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June 12, 2002

Fast Food Franchises in Hospitals

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor

JAMA. 2002;287(22):2945-2946. doi:10.1001/jama.287.22.2942

To the Editor: The incidence of obesity is rising at an alarming rate in the United States, with nearly 18% of adult Americans now considered obese.1 High-calorie diets, due in part to the proliferation of fast food restaurants, are an important contributing factor.2 Surprisingly, hospitals—institutions traditionally involved in the promotion of health-related behavior—are increasingly contracting with fast food franchises that frequently offer limited, high-fat, high-calorie menus.3 The prevalence of such franchises in hospitals across the United States is not known.