To the Editor: Dr Ebbeling and colleagues1 reported in study 2 that overweight adolescents
did not compensate for the "massive portion sizes characteristic of fast food
today" because they ate 400 more calories on days that they ate fast food
compared with days when they did not. However, the overweight adolescents'
average caloric intake for both sets of days was 2499, which was similar to
the average caloric intake of the lean adolescents (2598), suggesting that
although they ate more on fast food days, they also compensated by eating
less on nondesignated fast food days.
Pisarik P. Compensation for Energy Intake From Fast Food Among Overweight and Lean Adolescents. JAMA. 2004;292(11):1304. doi:10.1001/jama.292.11.1304-b