Advertisement
Research Article| Volume 103, ISSUE 2, P231-240, February 2003

Expanding portion sizes in the US marketplace: Implications for nutrition counseling

  • Lisa R Young
    Affiliations
    L. R. Young is adjunct assistant professor, and M. Nestle is professor and chair of the Department of Nutrition and Food Studies, New York University (NYU), NY
    Search for articles by this author
  • Marion Nestle
    Correspondence
    Address correspondence to: Lisa R. Young, PhD, RD, Department of Nutrition and Food Studies, New York University, 35 W. 4th St., 10th Floor, New York, NY 10012-1172
    Affiliations
    L. R. Young is adjunct assistant professor, and M. Nestle is professor and chair of the Department of Nutrition and Food Studies, New York University (NYU), NY
    Search for articles by this author

      Abstract

      The greater energy content of larger food portions could be contributing to the increasing prevalence of overweight. Prevention guidelines recommend ″sensible” portion sizes but do not define them. The US Department of Agriculture (USDA) defines standard serving sizes for dietary guidance, and the Food and Drug Administration (FDA) defines standard servings for food labels. To use these standards in counseling, nutritionists must know the sizes of portions available in the marketplace. We determined marketplace portion sizes, identified changes in these sizes with time, and compared current marketplace portions with federal standards. Most marketplace portions exceed standard serving sizes by at least a factor of 2 and sometimes 8-fold. Portions have increased over time; those offered by fast-food chains, for example, often are 2 to 5 times larger than the original size. The discrepancy between marketplace portions and standard servings suggests the need for greater emphasis on the relationship of portion size to energy intake as a factor in weight maintenance. J Am Diet Assoc. 2003;103:231-234.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of the Academy of Nutrition and Dietetics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      References

        • Young LR
        • Nestle M
        The contribution of expanding portion sizes to the U.S. obesity epidemic.
        AM J PUBLIC HEALTH. 2002; 92: 246-249
        • National Institutes of Health, National Heart, Lung, and Blood Institute
        CLINICAL GUIDELINES ON THE IDENTIFICATION, EVALUATION, AND TREATMENT OF OVERWEIGHT AND OBESITY IN ADULTS.
        National Institutes of Health, National Heart, Lung, and Blood Institute, Bethesda, Md1998 (Publication 98-4083)
        • Flegal KM
        • Carroll MD
        • Ogden CL
        • Johnson CL
        Prevalence and trends in obesity among US adults, 1999-2000.
        JAMA. 2002; 288: 1723-1727
        • Ogden CL
        • Flegal KM
        • Carroll MD
        • Johnson CL
        Prevalence and trends in overweight among US children and adolescents, 1999-2000.
        JAMA. 2002; 288: 1728-1732
        • US Department of Health and Human Services
        THE SURGEON GENERAL'S CALL TO ACTION TO PREVENT AND DECREASE OVERWEIGHT AND OBESITY.
        US Department of Health and Human Services, Public Health Service, Office of the Surgeon General, Rockville, MD2001
        • Young LR
        • Nestle M
        Variation in perceptions of a ″medium” food portion: Implications for dietary guidance.
        J AM DIET ASSOC. 1998; 98: 458-459
        • Hogbin MB
        • Hess MA
        Public confusion over food portions and servings.
        J AM DIET ASSOC. 1999; 99: 1209-1211
        • US Department of Health and Human Services
        THE SURGEON GENERAL'S CALL TO ACTION TO PREVENT AND DECREASE OVERWEIGHT AND OBESITY.
        (Overweight and Obesity Fact Sheet: Surgeon General's Healthy Weight Advice for Consumers Available at Accessed)
        • Department of Agriculture US
        THE FOOD GUIDE PYRAMID.
        US Dept of Agriculture, Washington, DC1996 (Revised ed Home and Garden Bulletin No. 252)
        • Cronin FJ
        • Shaw AM
        • Krebs-Smith SM
        • Marsland PM
        • Light L
        Developing a food guidance system to implement the dietary guidelines.
        J NUTR EDUC. 1987; 19: 281-302
        • Department of Agriculture US
        USDA'S FOOD GUIDE: BACKGROUND AND DEVELOPMENT.
        US Dept of Agriculture, Human Nutrition Information Service, Hyattsville, Md1992 (Administrative Report No. 389)
        • Pao EM
        • Fleming KH
        • Guenther PM
        • Mickle SJ
        FOODS COMMONLY EATEN BY INDIVIDUALS: AMOUNTS PER DAY AND PER EATING OCCASION.
        USDA, Hyattsville, Md1982 (Home Econ Res Rep 44)
        • US Department of Agriculture, US Department of Health and Human Services
        NUTRITION AND YOUR HEALTH: DIETARY GUIDELINES FOR AMERICANS.
        5th ed. US Dept of Agriculture, Washington, DC2000 (Home and Garden Bulletin No. 232)
        • Heimbach JT
        • Levy AS
        • Schucker RE
        Declared serving sizes of packaged foods, 1977-86.
        FOOD TECHNOL. 1990; 44: 82-90
        • Food and Drug Administration
        Food labeling: serving sizes.
        FEDERAL REGISTER. 1993; 58: 2229-2291
        • Young LR
        • Nestle M
        Portion sizes in dietary assessment: issues and policy implications.
        NUTR REV. 1995; 53: 149-158
        • Clauson A
        Shares of food spending for eating reaches 47 percent.
        FOODREVIEW. 1999; 22: 20-22
        • Klara R
        Annual franchise report: hot prospects.
        RESTAURANT BUSINESS. 1996; 95: 87-121
        • Restaurant Business
        Top 50 growth chains.
        RESTAURANT BUSINESS. 1996; 95: 51-122
        • Lowe KD
        • Nicolas E
        The top 400 restaurant concepts.
        RESTAURANTS AND INSTITUTIONS. 1997; 107: 17
        • Block G
        • Dresser CM
        • Hartman AM
        • Carroll MD
        Nutrient sources in the American diet: Quantitative data from the NHANES II survey.
        AM J EPIDEMIOL. 1985; 122: 27-40
        • Subar AF
        • Krebs-Smith SM
        • Cook A
        • Kahle LL
        Dietary sources of nutrients among US adults, 1989 to 1991.
        J AM DIET ASSOC. 1998; 98: 537-547
        • Young LR
        • Nestle M
        Food labels consistently underestimate the actual weights of single-serving baked products.
        J AM DIET ASSOC. 1995; 95: 1150-1151
        • Young LR
        PORTION SIZES IN THE AMERICAN FOOD SUPPLY: ISSUES AND IMPLICATIONS [Dissertation].
        New York University, New York, NY2000
        • Anheuser-Busch, Inc
        THE HISTORY OF ANHEUSER-BUSCH COMPANIES: A FACT SHEET.
        Anheuser Busch, Inc, St. Louis1995
        • Hershey Foods Corporation
        BAR WEIGHT HISTORY.
        Hershey Foods Corporation, Hershey, Pa1991
        • Coca-Cola Company
        FACTS, FIGURES, AND FEATURES.
        Coca-Cola Company, Atlanta, GA1996
        • Zagat Survey
        ZAGAT SURVEY 2000: NEW YORK CITY RESTAURANTS.
        Zagat Survey, New York1999
        • Rombauer IS
        • Becker MR
        JOY OF COOKING.
        Penguin Books USA, New York1964
        • Rombauer IS
        • Becker MR
        JOY OF COOKING.
        Penguin Putnam, New York1975
        • Rombauer IS
        • Becker MR
        • Becker E
        JOY OF COOKING.
        Scribner, New York1997
        • Wakefield R
        RUTH WAKEFIELD'S TOLLHOUSE TRIED AND TRUE RECIPES.
        M. Barrows, New York1949
        • The Nestle Foods Corporation
        Nestle Tollhouse chocolate chip cookies [Advertisement].
        LADIES HOME JOURNAL. 1987;Dec; 166: 167
        • Hogbin M
        • Shaw A
        • Anand RS
        NUTRITION INSIGHTS: FOOD PORTIONS AND SERVINGS. HOW DO THEY DIFFER?.
        US Dept of Agriculture, Washington, DC1999
        • Bernstein C
        At steak RESTAURANTS AND INSTITUTIONS. 107. 1997
        • American Dietetic Association
        Nutrition and you: Trends 2002. American Dietetic Survey shows Americans can use some help in sizing up their meals.
        (Available at Accessed)
        • Department of Agriculture US
        HOW MUCH ARE YOU EATING?.
        Center for Nutrition Policy and Promotion, Washington, DC2002 (Home and Garden Bulletin No. 267-1)
        • McDonald's Corporation
        MCDONALD'S NUTRITION FACTS.
        McDonald's Corporation, Oakbrook, Ill1999
        • National Research Council
        RECOMMENDED DIETARY ALLOWANCES.
        10th ed. National Research Council, National Academy Press, Washington, DC1989
        • Putnam JJ
        • Allshouse JE
        FOOD CONSUMPTION, PRICES, AND EXPENDITURES.
        US Dept of Agriculture, Economic Research Service, Washington, DC1999 (Statistical Bulletin No. 965)
        • Department of Agriculture US
        Data tables: results from USDA's 1994-1996 continuing survey of food intakes by individuals and 1994-96 diet and health knowledge survey, December 1997.
        (Available at Accessed)
        • Nestle M
        FOOD POLITICS: HOW THE FOOD INDUSTRY INFLUENCES NUTRITION AND HEALTH.
        University of California Press, Berkeley2002
        • National Alliance for Nutrition and Activity (NANA)
        FROM WALLET TO WAISTLINE: THE HIDDEN COSTS OF SUPER SIZING.
        NANA, Washington, DCJune 2002
        • Rolls BJ
        • Morris EL
        • Roe LS
        Portion size of food affects energy intake in normal-weight and overweight men and women.
        AM J CLIN NUTR. 2002; 76: 1207-1213
        • Rolls BJ
        • Engell D
        • Birch LL
        Serving portion size influences 5-year-old but not 3-year-old children's food intakes.
        J AM DIET ASSOC. 2000; 100: 232-234
        • Edelman B
        • Engell D
        • Bronstein P
        • Hirsch E
        Environmental effects on intake of overweight and normal-weight men.
        APPETITE. 1986; 7: 71-83
        • Wansink B
        Can package size accelerate usage volume?.
        J MARKETING. 1996; 60: 1-13
        • Hollingsworth P
        Self-indulgence trends.
        FOOD TECHNOL. 1999; 53: 64-65
        • Information Resources Inc
        At the checkout: big sales for big products.
        WALL STREET JOURNAL. Oct 12, 1993; B1
        • Nelson E
        Finger food: Marketers push individual portions and families bite.
        WALL STREET JOURNAL. July 23, 2002; A1: 6
        • American Institute of Cancer Research
        New survey shows Americans ignore importance of portion size in managing weight.
        http://www.aicr.org
        Date: 10/27/2000
        (Available at Accessed)