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			 "We were curious to know how diners might have 
			changed what they were ordering in order to make up for the 
			reduction of calories," Andrew Hanks, one of the study's authors, 
			told Reuters Health. 
 			Hanks is a post-doctoral research associate in the Department of 
			Applied Economics and Management at Cornell University in Ithaca, 
			New York.
 			"That was the component we were really interested in because there's 
			evidence of compensation when your calories decrease," he said.
 			In addition to adding apple slices, the new Happy Meals contain a 
			smaller portion of French fries and non-fat chocolate milk was 
			offered along with 1 percent-fat white milk. McDonalds still offers 
			the same entrée choices for the meal - four chicken nuggets, a 
			hamburger or a cheeseburger. But the change in side items results in 
			98 fewer calories per meal, researchers say.
 			They had access to transaction records for June, July and August of 
			2011 and 2012 for 30 McDonalds restaurants located throughout the 
			United States. They found 232,424 transactions that included the 
			purchase of a Happy Meal. 			
			
			 
 			They looked at whether the reduction of calories in the new version 
			of the Happy Meal caused consumers to order more hamburgers and 
			cheeseburgers versus the chicken nuggets, which are lower in 
			calories.
 			But they found that the selection of chicken nuggets remained the 
			same - about 61 percent. More chocolate milk was ordered, 20 percent 
			compared to 16.5 percent before the meal change, but since it was a 
			new offering, it's not possible to determine if the additional 
			orders were due to calorie compensation or restaurant promotion, 
			they report in the journal Obesity.
 			More white milk was also ordered, rising from 5 percent of orders to 
			6.5 percent, and regular soft drink orders dropped from 58 percent 
			to 52 percent.
 			The researchers don't know how much of the food was consumed, 
			whether or not children ate more later to make up the difference in 
			calories or how many of the meals were ordered by the children or by 
			the parents.
 			The McDonald's Corporation partially funded the study.
 			"In March 2012, we began automatically including apple slices in 
			McDonald's Happy Meals. Since then, we have introduced more than 770 
			million packages/bags of apples slices as a part of Happy Meals. 
			Also, we have reduced the number of calories in our most popular 
			Happy Meals by an average of 20 percent," Cindy Goody, senior 
			director of Menu Innovation and Nutrition for McDonald's USA, LLC, 
			told Reuters Health in an email.
 			
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 "The changes we made to our Happy Meal reflects our ongoing 
			progress towards our multi-year Commitments to Offer Improved 
			Nutrition Choices, which include a commitment to automatically 
			include produce or low-fat dairy in each Happy Meal," Goody added.
 			A study that looked at children's meals across the U.S. in 2008 
			found "the overwhelming majority" were of "poor nutritional 
			quality."
 			Ameena Batada of the University of North Carolina wrote in a 2012 
			report in the journal Childhood Obesity, after reviewing menus at 
			the 50 largest U.S. restaurant chains, that at two-thirds of the 
			chains, 100 percent of children's meals failed to meet nutritional 
			standards for things like calories, salt, sugar and fats. "There were some healthier meals available, which suggests that 
			restaurant chains should be able to reformulate their existing menu 
			items to reduce calories, saturated and trans fat, and sodium and 
			add more healthy options like fruits, vegetables, and whole grains," 
			Batada wrote.
 			"We were able to find that calories fell by about 104 from the 
			three-item meal to the four-item meal," Hanks said. "We also found 
			that there was no substitution for a higher calorie entrée. The 
			diners stayed with the chicken nuggets. But there was this increase 
			in the purchases in milk, which is beneficial. It was a win on those 
			accounts."
 			Hanks noted that his team's study doesn't mean fast foods are 
			healthy foods but that adding apples and increasing milk consumption 
			is a step in the right direction. 			___
 			Source: http://bit.ly/1a6vSFLObesity, 
			online Dec. 23
 
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