Skip to main content

Forget large sodas, how about banning French fries?

By Mark A. Pereira, Special to CNN
updated 4:22 PM EDT, Mon June 4, 2012
Why target target a single dietary factor in the sea of unhealthy foods and drinks? That's what Mark A. Pereira is asking.
Why target target a single dietary factor in the sea of unhealthy foods and drinks? That's what Mark A. Pereira is asking.
STORY HIGHLIGHTS
  • Mayor Bloomberg of New York City plans to ban sale of large sugary drinks
  • Mark Pereira: A ban based on shaky science may be setting us up for disappointment
  • Why target a single dietary factor among so many unhealthy foods and drinks, he asks
  • Pereira: Eating French fries seems to have more effect on weight gain

Editor's note: Mark A. Pereira is an associate professor in the Division of Epidemiology and Community Health at the University of Minnesota.

(CNN) -- Smart policies are essential to America's "war on obesity."

The latest idea in that fight is a curious proposal from Mayor Michael Bloomberg of New York City. He's planning to ban the sale of sugary drinks 16 ounces or larger in public venues such as restaurants and movie theaters.

Critics are crying that the move is an infringement on personal freedom. But the bigger question is: What's the rationale behind targeting a single dietary factor in the sea of unhealthy foods and drinks that barrage us every day? Is it scientifically sound?

Mark A. Pereira
Mark A. Pereira

A typical 16-ounce soft drink contains about 180 calories, nearly all from sugar. It doesn't contain any fat. While Bloomberg's ban will make it illegal to sell large-sized sugary drinks, it's perfectly legal to sell plenty of other beverages (milkshakes, anyone?) and foods (how about some ice cream?) that pack far more calories per amount served as well as very high levels of fat, sodium or other laboratory-engineered chemicals.

Opinion: Bloomberg's visionary move against obesity

And what about the typical meal that goes along with a soft drink? A fast food meal contains tons of calories and is loaded with ingredients that are known to increase risks for diabetes and cardiovascular diseases. And, it is consumed in a matter of minutes.

Ban on big beverages brewing
Clinton: Soda ban 'right thing'

If Bloomberg's ban goes into effect, fast food restaurants can easily game his policy by offering a regularly portioned sugary drink that will likely come with free refills.

Many academic scientists in the field of obesity prevention support Bloomberg's efforts. After all, the track record looks good. New York City hit a home run when it banned the use of hydrogenated vegetable oils in restaurants. Granted, scientific evidence have consistently showed that these cooking oils are hazardous to health.

Experts have claimed that sugary drinks are a leading cause of obesity. If you make it more difficult for people to consume excessive amounts of these drinks, then shouldn't we see a drop in obesity?

Overheard on CNN.com: Doughnut lovers' lament, washed down with a giant soda

It seems so simple on the surface, but it's not.

Obesity is the result of an extremely complex interplay of factors, including dietary habits, environment, genes, etc. One of the best studies available, appearing last year in The New England Journal of Medicine, tells a more complicated picture.

The study shows that if you increase drinking sugary beverages by one serving per day, it will lead you to gain an additional pound of body weight over four years. A similar amount of weight would be gained from eating an additional serving of red or processed meat daily for four years. But when it comes to potato chips, there seems to be a stronger relationship with weight gain (1.65 pounds). And French fries blew away the numbers (3.65 pounds).

Does this look like good scientific evidence for banning the sale of large portions of soft drinks? Not really. Especially since the floodgates are open for selling enormous sizes of French fries and bacon double cheeseburgers, which seem to have more effect on weight gain.

We can argue about whether a change in body weight of a quarter of a pound per year is meaningful and how much faith we can put in these studies of self-reported diet. But there have been no authoritative research showing whether consuming sugary drinks is directly linked to a rise in obesity.

So, there is really no way to draw any conclusions about the scientific basis for Bloomberg's ban. It's guesswork for all we know.

Controversy fizzing over Bloomberg's soda ban

The proposal does represent a baby step into uncharted waters that should be navigated. A policy aimed at changing people's level of portion size couldn't hurt in our national struggle to reduce obesity. If people are going to the drive-through to pick up a fast meal and the large drink they're getting is no longer as large, then they would be consuming a little bit less sugar than they would otherwise.

However, the high profile targeting of a single dietary factor, based on shaky obesity science, may be setting us up for disappointment if there is no measurable public health impact.

Follow us on Twitter @CNNOpinion Join us on Facebook/CNNOpinion

The opinions expressed in this commentary are solely those of Mark A. Pereira.

ADVERTISEMENT
Part of complete coverage on
updated 11:39 AM EDT, Tue June 18, 2013
James Millward says if Chen Guangcheng's departure from NYU owes anything to Chinese pressure, his is but one, high-profile case.
updated 10:46 AM EDT, Tue June 18, 2013
Bruce Schneier says the United States is conducting offensive cyberwar actions around the world.
updated 7:42 AM EDT, Tue June 18, 2013
President Obama will speak in Berlin one week before the 50th anniversary of the famous speech by President Kennedy.
updated 8:36 AM EDT, Tue June 18, 2013
CNN let readers choose the topics for the new Change the List project. The votes are in.
updated 9:49 AM EDT, Tue June 18, 2013
Gloria Borger says the president should be leading the debate on balancing security vs. privacy.
updated 8:55 AM EDT, Tue June 18, 2013
Alex Footman says he and a former co-worker successfully sued a movie studio over their experience as unpaid interns.
updated 6:44 AM EDT, Tue June 18, 2013
Peter Bergen says the public record tends to cast doubt on the NSA's claim that its electronic surveillance has helped stop numerous plot.
updated 7:53 AM EDT, Mon June 17, 2013
Fifty years ago, President Kennedy defined civil rights and equality as a moral issue. Patrick Kennedy says today's moral issue is that people with brain injuries and mental illness face stigma and inadequate treatment.
updated 3:47 PM EDT, Mon June 17, 2013
The story of the boy bashed on social media after singing the National Anthem in mariachi costume is instructive.
updated 10:57 AM EDT, Sun June 16, 2013
Bob Greene says the Lone Ranger rode into town, fought injustice and got out. He didn't stop to tweet that he just saved the day.
updated 12:25 PM EDT, Sun June 16, 2013
Ruben Navarrette says that what many of us really want for Father's Day is an attitude adjustment for our kids.
updated 9:00 AM EDT, Mon June 17, 2013
At the outset of his term, the new president of Iran, Hassan Rouhani, will confront a thicket of national and international challenges.
updated 4:58 PM EDT, Fri June 14, 2013
Clifford Nass says talking to your car, even when you've got your hands on the wheel and eyes on the road, impairs your driving because it really confuses your brain.
updated 2:43 PM EDT, Tue June 18, 2013
Nadia Bilchik writes how she grew up in a cocoon of white privilege in South Africa. But she grew to understand the horror of apartheid and the greatness of Nelson Mandela.
updated 2:54 PM EDT, Wed June 12, 2013
Ronald Deibert says unintended consequences of the NSA scandal will undermine U.S. foreign policy interests.
ADVERTISEMENT