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Diet, nutrition and the prevention of excess weight gain and obesity

Published online by Cambridge University Press:  02 January 2007

Swinburn BA*
Physical Activity and Nutrition Research Unit, School of Health Sciences, Deakin University, Melbourne, Australia
Caterson I
Faculty of Medicine, University of Sydney, Sydney, Australia
Seidell JC
Free University of Amsterdam, Amsterdam, The Netherlands
James WPT
International Obesity Task Force, London, UK
*Corresponding author: Email
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To review the evidence on the diet and nutrition causes of obesity and to recommend strategies to reduce obesity prevalence.


The evidence for potential aetiological factors and strategies to reduce obesity prevalence was reviewed, and recommendations for public health action, population nutrition goals and further research were made.


Protective factors against obesity were considered to be: regular physical activity (convincing); a high intake of dietary non-starch polysaccharides (NSP)/fibre (convincing); supportive home and school environments for children (probable); and breastfeeding (probable). Risk factors for obesity were considered to be sedentary lifestyles (convincing); a high intake of energy-dense, micronutrient-poor foods (convincing); heavy marketing of energy-dense foods and fast food outlets (probable); sugar-sweetened soft drinks and fruit juices (probable); adverse social and economic conditions—developed countries, especially in women (probable).

A broad range of strategies were recommended to reduce obesity prevalence including: influencing the food supply to make healthy choices easier; reducing the marketing of energy dense foods and beverages to children; influencing urban environments and transport systems to promote physical activity; developing community-wide programmes in multiple settings; increased communications about healthy eating and physical activity; and improved health services to promote breastfeeding and manage currently overweight or obese people.


The increasing prevalence of obesity is a major health threat in both low- and high income countries. Comprehensive programmes will be needed to turn the epidemic around.

Research Article
Copyright © CAB International 2004


1World Cancer Research Fund. Food, Nutrition, and the Prevention of Cancer: A Global Perspective. Washington, DC: American Institute for Cancer Research, 1997.Google Scholar
2Black, AE, Goldberg, GR, Jebb, SA, Livingstone, MBE, Cole, T, Prentice, AM. Critical evaluation of energy intake data using fundamental principles of energy physiology: 2. Evaluating the results of published surveys. European Journal of Clinical Nutrition 1991; 45: 583–99.Google ScholarPubMed
3Heitmann, BL, Lissner, L. Dietary underreporting by obese individuals—is it specific or non-specific? British Medical Journal 1995; 311(7011): 986–9.CrossRefGoogle ScholarPubMed
4Briss, PA, Zaza, S, Pappaioanou, M, Fielding, J, Wright-De Aguero, L, Truman, BI, et al. Developing an evidence-based Guide to Community Preventive Services—methods. The Task Force on Community Preventive Services. American Journal of Preventive Medicine 2000; 18(1): 3543.CrossRefGoogle ScholarPubMed
5DiPietro, L. Physical activity, body weight, and adiposity: an epidemiologic perspective. Exercise and Sport Sciences Review 1995; 23: 275303.CrossRefGoogle Scholar
6Centers for Disease Control and Prevention. Increasing Physical Activity. A Report on Recommendations of the Task Force on Community Preventive Services. Atlanta GA.: Centers for Disease Control and Prevention, 2001.Google Scholar
7WHO. Weight control and physical activity. In: Bianchini, F, ed. IARC Handbooks of Cancer Prevention. Lyon, France: IARC Press, 2002.Google Scholar
8Obesity: Preventing and Managing the Global Epidemic. Report of a WHO Consultation. WHO Technical Report Series No. 894. Geneva, Switzerland: WHO, 2000.Google Scholar
9Seidell, JC. Obesity: a growing problem. Acta Paediatrica Supplement 1999; 88(428): 4650.CrossRefGoogle ScholarPubMed
10Bell, AC, Ge, K, Popkin, BM. Weight gain and its predictors in Chinese adults. International Journal of Obesity and Related Metabolic Disorders 2001; 25(7): 1079–86.CrossRefGoogle ScholarPubMed
11Hodge, AM, Dowse, GK, Zimmet, PZ. Obesity in Pacific populations. Pacific Health Dialog 1996; 3(1): 7786.Google Scholar
12Bell, AC, Swinburn, BA, Simmons, D, Wang, W, Amosa, H, Gatland, B. Heart disease and diabetes risk factors in Pacific Islands communities and relationships with measures of body fat. New Zealand Medical Journal 2001; 114: 208–13.Google Scholar
13Seidell, JC, Rissanen, A. Prevalence of Obesity in Adults: The Global Epidemic. In: Bray, GA, Bouchard, C, eds. Handbook of Obesity, 2004 (In press).Google Scholar
14Pena, M, Bacallao, J, ed. Obesity and Poverty: A New Public Health Challenge. Washington, DC: Pan American Health Organization (PAHO), 2000.Google Scholar
15Monteiro, CA, Mondini, L, de Souza, AL, Popkin, BM. The nutrition transition in Brazil. European Journal of Clinical Nutrition 1995; 49(2): 105–13.Google Scholar
16Swinburn, BA, Ley, SJ, Carmichael, HE, Plank, LD. Body size and composition in Polynesians. International Journal of Obesity and Related Metabolic Disorders 1999; 23(11): 1178–83.CrossRefGoogle ScholarPubMed
17WHO Regional Office for the Western Pacific. The Asia-Pacific Perspective: Redefining Obesity and its Treatment. Manila, Philippines: World Health Organization, 2000.Google Scholar
18Deurenberg, P, Deurenberg-Yap, M, Guricci, S. Asians are different from Caucasians and from each other in their body mass index/body fat per cent relationship. Obesity Reviews 2002; 3(3): 141–6.CrossRefGoogle ScholarPubMed
19Sjostrom, L. Impacts of body weight, body composition, and adipose tissue distribution on morbidity and mortality. In: Stunkard, AJ, Wadden, TA, eds. Obesity: Theory and Therapy. 2nd ed; New York: Raven Press, 1992.Google Scholar
20McKeigue, PM. Metabolic consequences of obesity and body fat pattern: lessons from migrant studies. In: Shetty, Ps, McPherson, K, eds. The Origins and Consequences of Obesity. Chichester: John Wiley & Sons, 1996.Google Scholar
21Popkin, BM. The nutrition transition and obesity in the developing world. Journal of Nutrition 2001; 131(3): 871S–3S.CrossRefGoogle ScholarPubMed
22Drewnowski, A. Nutrition transition and global dietary trends. Nutrition 2000; 16(7–8): 486–7.CrossRefGoogle ScholarPubMed
23Jung, RT. Obesity as a disease. British Medical Bulletin 1997; 53(2): 307–21.CrossRefGoogle ScholarPubMed
24Manson, JE, Willett, WC, Stampfer, MJ, Colditz, GA, Hunter, DJ, Hankinson, SE, et al. Body weight and mortality among women. New England Journal of Medicine 1995; 333(11): 677–85.CrossRefGoogle ScholarPubMed
25Zimmet, P, Alberti, KG, Shaw, J. Global and societal implications of the diabetes epidemic. Nature 2001; 414(6865): 782–7.CrossRefGoogle ScholarPubMed
26Colditz, GA, Willett, WC, Rotnitzky, A, Manson, JE. Weight gain as a risk factor for clinical diabetes mellitus in women. Annals of Internal Medicine 1995; 1221 April: 481–6.CrossRefGoogle Scholar
27Savage, PJ, Bennett, PH, Senter, RG, Miller, M. High prevalence of diabetes in young Pima Indians: evidence of phenotypic variation in a genetically isolated population. Diabetes 1979; 28(10): 937–42.CrossRefGoogle Scholar
28Rosenbloom, AL, Joe, JR, Young, RS, Winter, WE. Emerging epidemic of type 2 diabetes in youth. Diabetes Care 1999; 22(2): 345–54.CrossRefGoogle ScholarPubMed
29Cockram, CS. The epidemiology of diabetes mellitus in the Asia-Pacific region. Hong Kong Medical Journal 2000; 6(1): 4352.Google ScholarPubMed
30Segal, L, Carter, R, Zimmet, P. The cost of obesity: the Australian perspective. Pharmacoeconomics 1994; 5(Suppl.): 4552.CrossRefGoogle ScholarPubMed
31Swinburn, B, Ashton, T, Gillespie, J, Cox, B, Menon, A, Simmons, D, et al. Health care costs of obesity in New Zealand. International Journal of Obesity and Related Metabolic Disorders 1997; 21(10): 891–6.CrossRefGoogle ScholarPubMed
32Seidell, JC. The impact of obesity on health status: some implications for health care costs. International Journal of Obesity and Related Metabolic Disorders 1995; 19(Suppl. 6): S13–6.Google ScholarPubMed
33Wolf, AM, Colditz, GA. Social and economic effects of body weight in the United States. American Journal of Clinical Nutrition 1996; 63(3 Suppl): 466S–9S.CrossRefGoogle ScholarPubMed
34Egger, G, Swinburn, B. An “ecological” approach to the obesity pandemic. British Medical Journal 1997; 315(7106): 477–80.CrossRefGoogle Scholar
35Green, SM, Burley, VJ. The effects of snacking on energy intake and body weight. Nutrition Bulletin BNF 1996; 21: 103–7.CrossRefGoogle Scholar
36Zizza, C, Siega-Riz, AM, Popkin, BM. Significant increase in young adults' snacking between 1977–1978 and 1994–1996 represents a cause for concern! Preventive Medicine 2001; 32(4): 303–10.CrossRefGoogle ScholarPubMed
37Drummond, S, Crombie, N, Kirk, T. A critique of the effects of snacking on body weight status. European Journal of Clinical Nutrition 1996; 50(12): 779–83.Google ScholarPubMed
38Mela, DJ. Determinants of food choice: relationships with obesity and weight control. Obesity Research 2001; 9(Suppl. 5): S249–55.CrossRefGoogle ScholarPubMed
39Smith, CF, Williamson, DA, Bray, GA, Ryan, DH. Flexible vs. rigid dieting strategies: relationship with adverse behavioural outcomes. Appetite 1999; 32(3): 295305.CrossRefGoogle Scholar
40Yanovski, SZ, Sebring, NG. Recorded food intake of obese women with binge eating disorder before and after weight loss. International Journal of Eating Disorders 1994; 15(2): 135–50.3.0.CO;2-I>CrossRefGoogle ScholarPubMed
41Schenck, CH, Mahowald, MW. Review of nocturnal sleep-related eating disorders. International Journal of Eating Disorders 1994; 15(4): 343–56.CrossRefGoogle ScholarPubMed
42French, SA, Story, M, Jeffery, RW. Environmental influences on eating and physical activity. Annual Reviews of Public Health 2001; 22: 309–35.CrossRefGoogle ScholarPubMed
43Lin, B-H, Frazao, E, Guthrie, J. Away-From-Home Foods Increasingly Important to Quality of American Diet. Jan. Report No.: Agriculture Information Bulletin No. 749. Washington, DC: Economic Research Service, US Dept of Agriculture, 1999.Google Scholar
44McCrory, MA, Fuss, PJ, Hays, NP, Vinken, AG, Greenberg, AS, Roberts, SB. Overeating in America: association between restaurant food consumption and body fatness in healthy adult men and women ages 19 to 80. Obesity Research 1999; 7(6): 564–71.CrossRefGoogle Scholar
45Jeffery, RW, French, SA. Epidemic obesity in the United States: are fast foods and television viewing contributing? American Journal of Public Health 1998; 88(2): 277–80.CrossRefGoogle ScholarPubMed
46Binkley, JK, Eales, J, Jekanowski, M. The relation between dietary change and rising US obesity. International Journal of Obesity and Related Metabolic Disorders 2000; 24(8): 1032–9.CrossRefGoogle ScholarPubMed
47Dietz, WH. Breastfeeding may help prevent childhood overweight. Journal of the American Medical Association 2001; 285(19): 2506–7.CrossRefGoogle ScholarPubMed
48Stark, O, Atkins, E, Wolff, OH, Douglas, JW. Longitudinal study of obesity in the National Survey of Health and Development. British Medical Journal (Clinical Research Education) 1981; 283(6283): 13–7.CrossRefGoogle ScholarPubMed
49Butte, NF. The role of breastfeeding in obesity. Pediatric Clinics of North America 2001; 48(1): 189–98.CrossRefGoogle ScholarPubMed
50von Kries, R, Koletzko, B, Sauerwald, T, von Mutius, E, Barnert, D, Grunert, V, et al. Breast feeding and obesity: cross sectional study. British Medical Journal 1999; 319(7203): 147–50.CrossRefGoogle ScholarPubMed
51Wadsworth, M, Marshall, S, Hardy, R, Paul, A. Breast feeding and obesity. Relation may be accounted for by social factors. British Medical Journal 1999; 319(7224): 1576.CrossRefGoogle ScholarPubMed
52Gillman, MW, Rifas-Shiman, SL, Camargo, CA Jr, Berkey, CS, Frazier, AL, Rockett, HR, et al. Risk of overweight among adolescents who were breastfed as infants. Journal of the American Medical Association 2001; 285(19): 2461–7.CrossRefGoogle ScholarPubMed
53Hediger, ML, Overpeck, MD, Kuczmarski, RJ, Ruan, WJ. Association between infant breastfeeding and overweight in young children. Journal of the American Medical Association 2001; 285(19): 2453–60.CrossRefGoogle ScholarPubMed
54Parsons, TJ, Power, C, Logan, S, Summerbell, CD. Childhood predictors of adult obesity: a systematic review. International Journal of Obesity and Related Metabolic Disorders 1999; 23(Suppl. 8): S1–107.Google ScholarPubMed
55Popkin, BM, Richards, MK, Montiero, CA. Stunting is associated with overweight in children of four nations that are undergoing the nutrition transition. Journal of Nutrition 1996; 126(12): 3009–16.CrossRefGoogle ScholarPubMed
56Schroeder, DG, Martorell, R, Flores, R. Infant and child growth and fatness and fat distribution in Guatemalan adults. American Journal of Epidemiology 1999; 149(2): 177–85.CrossRefGoogle ScholarPubMed
57Godfrey, KM, Barker, DJ. Fetal nutrition and adult disease. American Journal of Clinical Nutrition 2000; 71(Suppl. 5): 1344S–52S.CrossRefGoogle ScholarPubMed
58Katan, MB, Grundy, SM, Willett, WC. Should a low-fat, high-carbohydrate diet be recommended for everyone? Beyond low-fat diets. New England Journal of Medicine 1997; 337(8): 563–6. Discussion 566–7.Google ScholarPubMed
59Willett, WC. Dietary fat and obesity: an unconvincing relation. American Journal of Clinical Nutrition 1998; 68(6): 1149–50.CrossRefGoogle ScholarPubMed
60Bray, GA, Popkin, BM. Dietary fat intake does affect obesity!. American Journal of Clinical Nutrition 1998; 68(6): 1157–73.CrossRefGoogle ScholarPubMed
61Seidell, JC. Dietary fat and obesity: an epidemiologic perspective. American Journal of Clinical Nutrition 1998; 67(Suppl. 3): 546S–50S.CrossRefGoogle Scholar
62Lissner, L, Heitmann, BL. Dietary fat and obesity: evidence from epidemiology. European Journal of Clinical Nutrition 1995; 49(2): 7990.Google ScholarPubMed
63Reaven, GM. Do high carbohydrate diets prevent the development or attenuate the manifestations (or both) of syndrome X? A viewpoint strongly against. Current Opinion in Lipidology 1997; 8(1): 23–7.CrossRefGoogle Scholar
64Golay, A, Eigenheer, C, Morel, Y, Kujawski, P, Lehmann, T, de Tonnac, N. Weight-loss with low or high carbohydrate diet? International Journal of Obesity and Related Metabolic Disorders 1996; 20(12): 1067–72.Google ScholarPubMed
65Garg, A, Bantle, JP, Henry, RR, Coulston, AM, Griver, KA, Raatz, SK, et al. Effects of varying carbohydrate content of diet in patients with non-insulin-dependent diabetes mellitus. Journal of the American Medical Association 1994; 271(18): 1421–8.CrossRefGoogle ScholarPubMed
66Duncan, KH, Bacon, JA, Weinsier, RL. The effects of high and low energy density diets on satiety, energy intake, and eating time of obese and nonobese subjects. American Journal of Clinical Nutrition 1983; 37(5): 763–7.CrossRefGoogle ScholarPubMed
67Tremblay, A, Lavallee, N, Almeras, N, Allard, L, Despres, JP, Bouchard, C. Nutritional determinants of the increase in energy intake associated with a high-fat diet. American Journal of Clinical Nutrition 1991; 53(5): 1134–7.CrossRefGoogle ScholarPubMed
68Stubbs, RJ, Ritz, P, Coward, WA, Prentice, AM. Covert manipulation of the ratio of dietary fat to carbohydrate and energy density: effect on food intake and energy balance in free-living men eating ad libitum. American Journal of Clinical Nutrition 1995; 62(2): 330–7.CrossRefGoogle ScholarPubMed
69Stubbs, RJ, Harbron, CG, Murgatroyd, PR, Prentice, AM. Covert manipulation of dietary fat and energy density: effect on substrate flux and food intake in men eating ad libitum. American Journal of Clinical Nutrition 1995; 62(2): 316–29.CrossRefGoogle ScholarPubMed
70Tremblay, A, Plourde, G, Despres, JP, Bouchard, C. Impact of dietary fat content and fat oxidation on energy intake in humans. American Journal of Clinical Nutrition 1989; 49(5): 799805.CrossRefGoogle ScholarPubMed
71Thomas, CD, Peters, JC, Reed, GW, Abumrad, NN, Sun, M, Hill, JO. Nutrient balance and energy expenditure during ad libitum feeding of high-fat and high-carbohydrate diets in humans. American Journal of Clinical Nutrition 1992; 55(5): 934–42.CrossRefGoogle ScholarPubMed
72Lissner, L, Levitsky, DA, Strupp, BJ, Kalkwarf, HJ, Roe, DA. Dietary fat and the regulation of energy intake in human subjects. American Journal of Clinical Nutrition 1987; 46(6): 886–92.CrossRefGoogle ScholarPubMed
73Kendall, A, Levitsky, DA, Strupp, BJ, Lissner, L. Weight loss on a low-fat diet: consequence of the imprecision of the control of food intake in humans. American Journal of Clinical Nutrition 1991; 53(5): 1124–9.CrossRefGoogle ScholarPubMed
74Willett, WC. Dietary fat plays a major role in obesity: no. Obesity Reviews 2002; 3(2): 5968.CrossRefGoogle Scholar
75Astrup, A, Grunwald, GK, Melanson, EL, Saris, WH, Hill, JO. The role of low-fat diets in body weight control: a meta-analysis of ad libitum dietary intervention studies. International Journal of Obesity and Related Metabolic Disorders 2000; 24(12): 1545–52.CrossRefGoogle ScholarPubMed
76Swinburn, BA, Metcalf, PA, Ley, SJ. Long term (5 year) effects of a reduced-fat diet intervention in individuals with glucose intolerance. Diabetes Care 2001; 24: 619–24.CrossRefGoogle ScholarPubMed
77Weststrate, JA, van het Hof, KH, van den Berg, H, Velthuis-te-Wierik, EJ, de Graaf, C, Zimmermanns, NJ, et al. A comparison of the effect of free access to reduced fat products or their full fat equivalents on food intake, body weight, blood lipids and fat-soluble antioxidants levels and haemostasis variables. European Journal of Clinical Nutrition 1998; 52(6): 389–95.CrossRefGoogle ScholarPubMed
78Ravussin, E, Swinburn, BA. Metabolic predictors of obesity: cross-sectional versus longitudinal data. International Journal of Obesity and Related Metabolic Disorders 1993; 17(Suppl. 3): S28s31 Discussion S41–2.Google ScholarPubMed
79Ornish, D, Brown, SE, Scherwitz, LW, Billings, JH, Armstrong, WT, Ports, TA, et al. Lifestyle changes and heart disease. Lancet 1990; 336(8717): 741–2.CrossRefGoogle ScholarPubMed
80Shintani, TT, Hughes, CK, Beckham, S, O'Connor, HK. Obesity and cardiovascular risk intervention through the ad libitum feeding of traditional Hawaiian diet. American Journal of Clinical Nutrition 1991; 53: 1647s–51s.CrossRefGoogle ScholarPubMed
81Holt, S, Miller, JC, Petocz, P, Farmakalidis, E. A satiety index of common foods. European Journal of Clinical Nutrition 1995; 49: 675–90.Google ScholarPubMed
82Blundell, JE. Food intake and body weight regulation. In: Bouchard, C, Bray, GA, eds. Regulation Body Weight: Biological and Behavioural Mechanisms. Chichester/New York/Brisbane/Toronto/Singapore: John Wiley & Sons, 1996.Google Scholar
83Stubbs, RJ, Harbron, CG, Prentice, AM. Covert manipulation of the dietary fat to carbohydrate ratio of isoenergetically dense diets: effect on food intake in feeding men ad libitum. International Journal of Obesity and Related Metabolic Disorders 1996; 20(7): 651–60.Google ScholarPubMed
84Rolls, BJ, Bell, EA, Castellanos, VH, Chow, M, Pelkman, CL, Thorwart, ML. Energy density but not fat content of foods affected energy intake in lean and obese women. American Journal of Clinical Nutrition 1999; 69(5): 863–71.CrossRefGoogle Scholar
85Prentice, AM. Manipulation of dietary fat and energy density and subsequent effects on substrate flux and food intake. American Journal of Clinical Nutrition 1998; 67(3 Suppl.): 535S–41S.CrossRefGoogle ScholarPubMed
86Yao, M, Roberts, SB. Dietary energy density and weight regulation. Nutrition Reviews 2001; 59(8 Pt 1): 247–58.CrossRefGoogle ScholarPubMed
87Seidell, JC. Prevention of obesity: the role of the food industry. Nutrition, Metabolism, and Cardiovascular Diseases 1999; 9(1): 4550.Google ScholarPubMed
88Rolls, BJ, Bell, EA, Thorwart, ML. Water incorporated into a food but not served with a food decreases energy intake in lean women. American Journal of Clinical Nutrition 1999; 70(4): 448–55.CrossRefGoogle Scholar
89Flatt, JP. The difference in the storage capacities for carbohydrate and for fat, and its implications in the regulation of body weight. Annals of the New York Academy of Sciences 1987; 499: 104–23.CrossRefGoogle ScholarPubMed
90Hellerstein, MK. De novo lipogenesis in humans: metabolic and regulatory aspects. European Journal of Clinical Nutrition 1999; 53(Suppl. 1): S53–65.CrossRefGoogle ScholarPubMed
91Horton, TJ, Drougas, H, Brachey, A, Reed, GW, Peters, JC, Hill, JO. Fat and carbohydrate overfeeding in humans: different effects on energy storage. American Journal of Clinical Nutrition 1995; 62(1): 1929.CrossRefGoogle ScholarPubMed
92Stubbs, RJ, Murgatroyd, PR, Goldberg, GR, Prentice, AM. Carbohydrate balance and the regulation of day-to-day food intake in humans. American Journal of Clinical Nutrition 1993; 57(6): 897903.CrossRefGoogle ScholarPubMed
93Shetty, PS, Prentice, AM, Goldberg, GR, Murgatroyd, PR, McKenna, AP, Stubbs, RJ, et al. Alterations in fuel selection and voluntary food intake in response to isoenergetic manipulation of glycogen stores in humans. American Journal of Clinical Nutrition 1994; 60(4): 534–43.CrossRefGoogle ScholarPubMed
94Schwartz, M, Schultz, Y, Piolino, V, Schneider, H, Febler, JP. Thermogenesis in obese women: effect of fructose vs. glucose added to a meal. American Journal of Physiology 1992; 262: 394401.Google Scholar
95Heini, AF, Weinsier, RL. Divergent trends in obesity and fat intake patterns: the American paradox. American Journal of Medicine 1997; 102(3): 259–64.CrossRefGoogle ScholarPubMed
96Harnack, LJ, Jeffery, RW, Boutelle, KN. Temporal trends in energy intake in the United States: an ecologic perspective. American Journal of Clinical Nutrition 2000; 71(6): 1478–84.CrossRefGoogle Scholar
97Howard, BV, Abbott, WG, Swinburn, BA. Evaluation of metabolic effects of substitution of complex carbohydrates for saturated fat in individuals with obesity and NIDDM. Diabetes Care 1991; 14(9): 786–95.CrossRefGoogle ScholarPubMed
98Schaeffer, EJ, Lichtenstein, AH, Lamon-Fava, S, McNamara, JR, Schaefer, MM, Rasmussen, HM, et al. Body weight and low-density lipoprotein cholesterol changes after consumption of a low-fat ad libitum diet. Journal of the American Medical Association 1995; 274: 1450–5.CrossRefGoogle Scholar
99Leenen, R, van der Kooy, K, Meyboom, S, Seidell, JC, Deurenberg, P, Weststrate, JA. Relative effects of weight loss and dietary fat modification on serum lipid levels in the dietary treatment of obesity. Journal of Lipid Research 1993; 34(12): 2183–91.Google ScholarPubMed
100Saris, WH, Astrup, A, Prentice, AM, Zunft, HJ, Formiguera, X, Verboeket-van de Venne, WP, et al. Randomized controlled trial of changes in dietary carbohydrate/fat ratio and simple vs complex carbohydrates on body weight and blood lipids: the CARMEN study. The Carbohydrate Ratio Management in European National diets. International Journal of Obesity and Related Metabolic Disorders 2000; 24(10): 1310–8.CrossRefGoogle Scholar
101Williams, PT. Viewpoint. Sugar: is there a need for a dietary guideline in Australia? Australian Journal of Nutrition and Dietetics 2000; 58: 2631.Google Scholar
102Gibson, SA. Consumption and sources of sugar in the diets of British school children. Are high sugar diets inferior? Journal of Human Nutrition and Dietetics 1993; 6: 355–71.CrossRefGoogle Scholar
103Lewis, CJ, Park, YK, Dexter, PB, Yetley, EA. Nutrient intakes and body weights of persons consuming high and moderate levels of added sugars. Journal of the American Dietetic Association 1992; 92(6): 708–13.Google ScholarPubMed
104‘Dietary sugars and human disease’: conclusions and recommendations. British Dental Journal 1990; 168(2): 46.CrossRefGoogle Scholar
105Naismith, DJ, Nelson, M, Burley, B, Gattenby, S. Does a high-sugar diet promote overweight in children and lead to nutrient deficiencies? Journal of Human Nutrition and Dietetics 1995; 8: 249–54.CrossRefGoogle Scholar
106Hill, JO, Prentice, AM. Sugar and body weight regulation. American Journal of Clinical Nutrition 1995; 62(Suppl. 1): 264S–73S Discussion 273S–74S.CrossRefGoogle ScholarPubMed
107Bellisle, F, Rolland-Cachera, MF. How sugar-containing drinks might increase adiposity in children. Lancet 2001; 357(9255): 490–1.CrossRefGoogle ScholarPubMed
108Drewnowski, A, Kurth, C, Holden-Wiltse, J, Saari, J. Food preferences in human obesity: carbohydrates versus fats. Appetite 1992; 18(3): 207–21.CrossRefGoogle ScholarPubMed
109Rolls, BJ, Hetherington, M. The role of variety in eating and body weight regulation. In: Sheperd, R, ed. Handbook of the Psychophysiology of Human Eating. Sussex, England: John Wiley & Sons, 1989.Google Scholar
110Anderson, GH. Sugars, sweetness, and food intake. American Journal of Clinical Nutrition 1995; 62(Suppl.): 195s202s.CrossRefGoogle ScholarPubMed
111Raben, A, Macdonald, I, Astrup, A. Replacement of dietary fat by sucrose or starch: effects on 14d ad libitum energy intake, energy expenditure and body weight in formerly obese and never-obese subjects. International Journal of Obesity and Related Metabolic Disorders 1997; 21(10): 846–59.CrossRefGoogle ScholarPubMed
112Mattes, RD. Dietary compensation by humans for supplemental energy provided as ethanol or carbohydrate in fluids. Physiology & Behavior 1996; 59(1): 179–87.CrossRefGoogle ScholarPubMed
113Tordoff, MG, Alleva, AM. Effect of drinking soda sweetened with aspartame or high-fructose corn syrup on food intake and body weight. American Journal of Clinical Nutrition 1990; 51(6): 963–9.CrossRefGoogle ScholarPubMed
114Harnack, L, Stang, J, Story, M. Soft drink consumption among US children and adolescents: nutritional consequences. Journal of the American Dietetic Association 1999; 99(4): 436–41.CrossRefGoogle ScholarPubMed
115Ludwig, DS, Peterson, KE, Gortmaker, SL. Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet 2001; 357(9255): 505–8.CrossRefGoogle ScholarPubMed
116Ludwig, DS, Majzoub, JA, Al-Zahrani, A, Dallal, GE, Blanco, I, Roberts, SB. High glycemic index foods, overeating, and obesity. Pediatrics 1999; 103(3): E26.CrossRefGoogle ScholarPubMed
117Ludwig, DS. Dietary glycemic index and obesity. Journal of Nutrition 2000; 130(2S Suppl.): 280S–3S.CrossRefGoogle ScholarPubMed
118Brand-Miller, J, Holt, SHA, Pawlak, DB, McMillan, J. Glycemic index and obesity. American Journal of Clinical Nutrition 2002; 76: 281S–5S.CrossRefGoogle ScholarPubMed
119Holt, S, Brand, J, Soveny, C, Hansky, J. Relationship of satiety to postprandial glycemic, insulin and cholecystokinin responses. Appetite 1992; 18(2): 129–41.CrossRefGoogle Scholar
120Agus, MS, Swain, JF, Larson, CL, Eckert, EA, Ludwig, DS. Dietary composition and physiologic adaptations to energy restriction. American Journal of Clinical Nutrition 2000; 71: 901–7.CrossRefGoogle ScholarPubMed
121Slabber, M, Barnard, HC, Kuyl, JM, Dannhauser, A, Schall, R. Effects of a low-insulin-response, energy-restricted diet on weight loss and plasma insulin concentrations in hyperinsulinemic obese females. American Journal of Clinical Nutrition 1994; 60(1): 4853.CrossRefGoogle ScholarPubMed
122Spieth, LE, Harnish, JD, Lenders, CM, Raezer, LB, Pereira, MA, Hangen, SJ, et al. A low-glycemic index diet in the treatment of pediatric obesity. Archives of Pediatrics & Adolescent Medicine 2000; 154(9): 947–51.CrossRefGoogle ScholarPubMed
123Roberts, SB. High-glycemic index foods, hunger, and obesity: is there a connection? Nutrition Reviews 2000; 58(6): 163–9.CrossRefGoogle Scholar
124Pereira, MA, Ludwig, DS. Dietary fiber and body-weight regulation. Observations and mechanisms. Pediatric Clinics of North America 2001; 48(4): 969–80.CrossRefGoogle ScholarPubMed
125Howarth, NC, Saltzman, E, Roberts, SB. Dietary fiber and weight regulation. Nutrition Reviews 2001; 59(5): 129–39.CrossRefGoogle ScholarPubMed
126Burton-Freeman, B. Dietary fiber and energy regulation. Journal of Nutrition 2000; 130(2S Suppl.): 272S–5S.CrossRefGoogle ScholarPubMed
127Gurr, MI. Diet, nutrition and the prevention of chronic diseases (WHO, 1990). European Journal of Clinical Nutrition 1991; 45(12): 619–23.Google Scholar
128Latner, JD, Schwartz, M. The effects of a high-carbohydrate, high-protein or balanced lunch upon later food intake and hunger ratings. Appetite 1999; 33(1): 119–28.CrossRefGoogle ScholarPubMed
129Long, SJ, Jeffcoat, AR, Millward, DJ. Effect of habitual dietary-protein intake on appetite and satiety. Appetite 2000; 35(1): 7988.CrossRefGoogle ScholarPubMed
130Astrup, A, Raben, A. Carbohydrate and obesity. International Journal of Obesity and Related Metabolic Disorders 1995; 19(Suppl. 5): S27–37.Google ScholarPubMed
131Prentice, AM. Alcohol and obesity. International Journal of Obesity and Related Metabolic Disorders 1995; 19(Suppl 5): S44–50.Google ScholarPubMed
132Sonko, BJ, Prentice, AM, Murgatroyd, PR, Goldberg, GR, van de Ven, ML, Coward, WA. Effect of alcohol on postmeal fat storage. American Journal of Clinical Nutrition 1994; 59(3): 619–25.CrossRefGoogle ScholarPubMed
133Lands, WE. Alcohol and energy intake. American Journal of Clinical Nutrition 1995; 62(5 Suppl.): 1101S–6S.CrossRefGoogle ScholarPubMed
134Rose, D, Murphy, SP, Hudes, M, Viteri, FE. Food energy remains constant with increasing alcohol intake. Journal of the American Dietetic Association 1995; 95(6): 698700.CrossRefGoogle ScholarPubMed
135Suter, PM, Hasler, E, Vetter, W. Effects of alcohol on energy metabolism and body weight regulation: is alcohol a risk factor for obesity? Nutrition Reviews 1997; 55(5): 157–71.CrossRefGoogle ScholarPubMed
136Hellerstedt, WL, Jeffery, RW, Murray, DM. The association between alcohol intake and adiposity in the general population. American Journal of Epidemiology 1990; 132(4): 594611.CrossRefGoogle ScholarPubMed
137Emery, EM, Schmid, TL, Kahn, HS, Filozof, PP. A review of the association between abdominal fat distribution, health outcome measures, and modifiable risk factors. American Journal of Health Promotion 1993; 7(5): 342–53.CrossRefGoogle ScholarPubMed
138Wansink, B. Can package size accelerate usage volume? Journal of Marketing 1996; 60(3): 122.CrossRefGoogle Scholar
139Rolls, BJ, Engell, D, Birch, LL. Serving portion size influences 5-year-old but not 3-year-old children's food intakes. Journal of the American Dietetic Association 2000; 100(2): 232–4.CrossRefGoogle Scholar
140Swinburn, B, Egger, G, Raza, F. Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Preventive Medicine 1999; 29(6 Pt 1): 563–70.CrossRefGoogle ScholarPubMed
141Stunkard, AJ. Socioeconomic status and obesity. In: Cadwick, DJ, Cardew, G, eds. The Origins and Consequences of Obesity. Chichester: Wiley, 1996, 174–93.Google Scholar
142Monteiro, CA, Conde, WL, Popkin, BM. Independent effects of income and education on the risk of obesity in the Brazilian adult population. Journal of Nutrition 2001; 131(3): 881S–6S.CrossRefGoogle ScholarPubMed
143Subramania, SV, Kawachi, I, Kennedy, BP. Does the state you live in make a difference? Multilevel analysis of self-rated health in the US. Social Science & Medicine 2001; 53(1): 919.CrossRefGoogle ScholarPubMed
144Reidpath, DD, Burns, C, Garrard, J, Mahoney, M, Townsend, M. An ecological study of the relationship between socioeconomic status and obesogenic environments. Health and Place 2002; 8(2): 141–5.CrossRefGoogle Scholar
145Hider, P. Environmental interventions to reduce energy intake or density. A critical appraisal of the literature. New Zealand Health Technology Assessment Report 2001; 4(2).Google Scholar
146Gortmaker, SL, Peterson, K, Wiecha, J, Sobol, AM, Dixit, S, Fox, MK, et al. Reducing obesity via a school-based interdisciplinary intervention among youth: Planet Health. Archives of Pediatrics & Adolescent Medicine 1999; 153(4): 409–18.CrossRefGoogle Scholar
147Campbell, K, Crawford, D. Family food environments as determinants of preschool-aged children's eating behaviours: implications for obesity prevention policy: a review. Australian Journal of Nutrition and Dietetics 2001; 58(1): 1925.Google Scholar
148Hearn, MD, Baranowski, T, Baranowski, J. Environmental influences on dietary behaviour among children: availability and accessibility of fruits and vegetables enable consumption. Journal of Health Education 1998; 29(1): 2632.CrossRefGoogle Scholar
149Sullivan, SA, Birch, L. Pass the sugar, pass the salt: experience dictates preference. Developmental Psychology 1990; 26(546): 551.CrossRefGoogle Scholar
150Sullivan, SA, Birch, LL. Infant dietary experience and acceptance of solid foods. Pediatrics 1994; 93(2): 271–7.Google ScholarPubMed
151Gibson, EL, Wardle, J, Watts, CJ. Fruit and vegetable consumption, nutritional knowledge and beliefs in mothers and children. Appetite 1998; 31(2): 205–28.CrossRefGoogle ScholarPubMed
152Borah-Giddens, J, Falciglia, GA. A meta-analysis of the relationship in food preferences between parents and children. Journal of Nutrition Education 1993; 25: 102–7.CrossRefGoogle Scholar
153Skinner, J, Carruth, BR, Moran, J, Houck, K, Schmidhammer, J, Reed, A, et al. Toddler's food preferences: concordance with family member's preferences. Journal of Nutrition Education 1998; 30: 1722.CrossRefGoogle Scholar
154Endicott, RC. Ad Age Datacenter–46th Annual Report: 10 Leading National Advertisers. Advertising Age. (verified September 2001).Google Scholar
155Hill, JM, Radimer, KL. A content analysis of food advertisements in television for Australian children. Australian Journal of Nutrition and Dietetics 1997; 54(4): 174–81.Google Scholar
156Nestle, M, Wing, R, Birch, L, DiSogra, L, Drewnowski, A, Middleton, S, et al. Behavioral and social influences on food choice. Nutrition Reviews 1998; 56(5 Pt 2): S50S64 Discussion S64–74.CrossRefGoogle ScholarPubMed
157Hammond, KM, Wyllie, A, Casswell, S. The extent and nature of televised food advertising to New Zealand children and adolescents. Australian and New Zealand Journal of Public Health 1999; 23(1): 4955.CrossRefGoogle ScholarPubMed
158Feldwick, P. Food advertising and the nation's diet: what are the real issues? Business Strategy Reviews 1995; 6(1): 61–9.CrossRefGoogle Scholar
159Lewis, MK, Hill, AJ. Food advertising on British children's television: a content analysis and experimental study with nine-year olds. International Journal of Obesity and Related Metabolic Disorders 1998; 22(3): 206–14.CrossRefGoogle ScholarPubMed
160Taras, HL, Sallis, JF, Patterson, TL, Nader, PR, Nelson, JA. Television's influence on children's diet and physical activity. Journal of Developmental and Behavioral Pediatrics 1989; 10(4): 176–80.CrossRefGoogle ScholarPubMed
161Children, adolescents, and advertising. Committee on Communications, American Academy of Pediatrics. Pediatrics 1995; 95(2): 295–7.Google Scholar
162Colby, JJ, Elder, JP, Peterson, G, Knisley, PM, Carleton, RA. Promoting the selection of healthy food through menu item description in a family-style restaurant. American Journal of Preventive Medicine 1987; 3(3): 171–7.CrossRefGoogle Scholar
163Chu, C, Driscoll, T, Dwyer, S. The health-promoting workplace: an integrative perspective. Australian and New Zealand Journal of Public Health 1997; 21(4): 377–85.CrossRefGoogle Scholar
164Schmitz, M, Fielding, J. Point-of-choice nutritional labeling—evaluation in a worksite cafeteria. Journal of Nutrition Education 1986; 18(1 Suppl.): 65s–8s.CrossRefGoogle Scholar
165Winett, RA, Wagner, JL, Moore, JF, Walker, WB, Hite, LA, Leahy, M, et al. An experimental evaluation of a prototype public access nutrition information system for supermarkets. Health Psychology 1991; 10(1): 75–8.CrossRefGoogle ScholarPubMed
166Guo, X, Popkin, BM, Mroz, TA, Zhai, F. Food price policy can favorably alter macronutrient intake in China. Journal of Nutrition 1999; 129(5): 9941001.CrossRefGoogle Scholar
167Marshall, T. Exploring a fiscal food policy: the case of diet and ischaemic heart disease. British Medical Journal 2000; 320(7230): 301–5.CrossRefGoogle ScholarPubMed
168O'Rourke, A. VAT and fat. Will sales tax influence consumption? British Medical Journal 2000; 320(7247): 1469 Discussion 1470.Google ScholarPubMed
169Jacobson, MF, Brownell, KD. Small taxes on soft drinks and snack foods to promote health. American Journal of Public Health 2000; 90(6): 854–7.Google ScholarPubMed
170Neuhouser, ML, Kristal, AR, Patterson, RE. Use of food nutrition labels is associated with lower fat intake. Journal of the American Dietetic Association 1999; 99(1): 4553.CrossRefGoogle ScholarPubMed
171Weimer, J. Accelerating the trend toward healthy eating. America's Eating Habits: Changes and Consequences. Washington, DC: USDA/Econ. Res. Serv., 1999, 385401.Google Scholar
172Smith, CS, Taylor, JG, Stephen, AM. Use of food labels and beliefs about diet–disease relationships among university students. Public Health Nutrition 1999; 3(2): 175–82.Google Scholar
173Wang, G, Fletcher, SM, Carley, DH. Consumer utilization of food labeling as a source of nutrition information. Journal of Consumer Affairs 1995; 29(2): 368.CrossRefGoogle Scholar
174Zarkin, GA, Dean, N, Mauskopf, JA, Williams, R. Potential health benefits of nutrition label changes. American Journal of Public Health 1993; 83(5): 717–24.CrossRefGoogle ScholarPubMed
175Kreuter, MW, Brennan, LK, Scharff, DP, Lukwago, SN. Do nutrition label readers eat healthier diets? Behavioral correlates of adults' use of food labels. American Journal of Preventive Medicine 1997; 13(4): 277–83.CrossRefGoogle ScholarPubMed
176Noakes, M, Crawford, D. The National Heart Foundation's “Pick the Tick” program. Consumer awareness, attitudes and interpretation. Food Australia 1991; 43(6): 266–62.Google Scholar
177Young, LR, Swinburn, B. The impact of the Pick the Tick food information programme on the salt content of food in New Zealand. Health Promotion International 2002; 17(1): 13–9.CrossRefGoogle ScholarPubMed
178Miller, DL, Castellanos, VH, Shide, DJ, Peters, JC, Rolls, BJ. Effect of fat-free potato chips with and without nutrition labels on fat and energy intakes. American Journal of Clinical Nutrition 1998; 68(2): 282–90.CrossRefGoogle ScholarPubMed
179 Sustain: The Alliance for Better Food and Farming. TV Dinners – What's being served up by the advertisers? 2001. London. ISBN 1903060168.Google Scholar
180O'Brien, D. The gathering storm: Marketing food to children. American Association of Advertising Agencies. Bulletin 6228, 3 03 2003.Google Scholar
181Television food advertising during children's viewing times. Policy statement of the Public Health Association of Australia. (verified 10 2002).Google Scholar
182Pietinen, P, Nissinen, A, Vartiainen, E, Tuomilehto, A, Uusitalo, U, Ketola, A, et al. Dietary changes in the North Karelia Project (1972–1982). Preventive Medicine 1988; 17(2): 183–93.CrossRefGoogle Scholar
183Luepker, RV, Murray, DM, Jacobs, DR Jr, Mittelmark, MB, Bracht, N, Carlaw, R, et al. Community education for cardiovascular disease prevention: risk factor changes in the Minnesota Heart Health Program. American Journal of Public Health 1994; 84(9): 1383–93.CrossRefGoogle ScholarPubMed
184Resnicow, K, Robinson, TN. School-based cardiovascular disease prevention studies: review and synthesis. Annals of Epidemiology 1997; S7: S14S31.CrossRefGoogle Scholar
185Luepker, RV, Perry, CL, McKinlay, SM, Nader, PR, Parcel, GS, Stone, EJ, et al. Outcomes of a field trial to improve children's dietary patterns and physical activity: The child and adolescent trial for cardiovascular health. CATCH collaborative group. Journal of the American Medical Association 1996; 275(10): 768–76.CrossRefGoogle Scholar
186Sahota, P, Rudolf, MC, Dixey, R, Hill, AJ, Barth, JH, Cade, J. Evaluation of implementation and effect of primary school based intervention to reduce risk factors for obesity. British Medical Journal 2001; 323(7320): 1027.CrossRefGoogle ScholarPubMed
187Sahota, P, Rudolf, MC, Dixey, R, Hill, AJ, Barth, JH, Cade, J. Randomised controlled trial of primary school based intervention to reduce risk factors for obesity. British Medical Journal 2001; 323(7320): 1029–32.CrossRefGoogle ScholarPubMed
188Carter, M, Swinburn, B. Measuring the impact of a school food programme on food sales in New Zealand. Health Promotion International 1999; 14(4): 307–16.CrossRefGoogle Scholar
189Robinson, TN. Reducing children's television viewing to prevent obesity: a randomized controlled trial. Journal of the American Medical Association 1999; 282(16): 1561–7.CrossRefGoogle ScholarPubMed
190Nicholson, C, Shrapnel, B, Bauman, A, Booth, M, Burt, S. A controlled trial evaluation of a worksite nutrition education program. Australian Journal of Nutrition and Dietetics 1993; 50(1): 48.Google Scholar
191Fairbank, L, O'Meara, S, Renfrew, MJ, Woolridge, M, Sowden, AJ, Lister-Sharp, D. A systematic review to evaluate the effectiveness of interventions to promote the initiation of breastfeeding. Health Technology Assessment 2000; 4(25): 1171.Google ScholarPubMed
192Gilmore, M, O'Driscoll, D, Murphy, H. A pilot survey of an attempt to promote breastfeeding. Irish Journal of Medical Sciences 1979; 148(9–10): 272–5.CrossRefGoogle Scholar
193Kistin, N, Benton, D, Rao, S, Sullivan, M. Breast-feeding rates among black urban low-income women: effect of prenatal education. Pediatrics 1990; 86(5): 741–6.Google ScholarPubMed
194Rossiter, JC. The effect of a culture-specific education program to promote breastfeeding among Vietnamese women in Sydney. International Journal of Nursing Studies 1994; 31(4): 369–79.CrossRefGoogle ScholarPubMed
195van Wechem, SN, Brug, J, van Assema, P, Kistemaker, C, Riedstra, M, Lowik, MR. Fat Watch: a nationwide campaign in The Netherlands to reduce fat intake—effect evaluation. Nutrition and Health 1998; 12(2): 119–30.CrossRefGoogle ScholarPubMed
196Reger, B, Wootan, MG, Booth-Butterfield, S. Using mass media to promote healthy eating: a community-based demonstration project. Preventive Medicine 1999; 29(5): 414–21.CrossRefGoogle ScholarPubMed
197Turrell, G. Compliance with the Australian Dietary Guidelines in the early 1990's: have population-based health promotion programs been effective? Nutrition and Health 1997; 11(4): 271–88.CrossRefGoogle ScholarPubMed
198Geiger, CJ. Communicating dietary guidelines for Americans: room for improvement. Journal of the American Dietetic Association 2001; 101(7): 793–7.CrossRefGoogle Scholar
199Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. National Heart, Lung, and Blood Institute, National Institutes of Health Publication 98–4083. 1998.Google Scholar
200Sjostrom, L, Narbro, K, Sjostrom, D. Costs and benefits when treating obesity. International Journal of Obesity and Related Metabolic Disorders 1995; 19(Suppl. 6): S9–12.Google ScholarPubMed
201Galuska, DA, Will, JC, Serdula, MK, Ford, ES. Are health care professionals advising obese patients to lose weight? Journal of the American Medical Association 1999; 282(16): 1576–8.CrossRefGoogle ScholarPubMed
202Preparation and Use of Food-based Dietary Guidelines. Report of a Joint FAO/WHO Consultation. WHO Technical Report Series No. 880. Geneva, Switzerland: World Health Organisation, 1996.Google Scholar