American College of Physicians: Internal Medicine — Doctors for Adults ®

ACP EHR Partner Program
Advice, comparisons and reviews from ACP members help you select the right EHR system.

Advertisement
Advertisement
Thursday, December 1, 2011

QD: News Every Day--It's true: Smaller plates encourage smaller portions

A simple optical illusion might encourage better eating habits, researchers found.

The Delboeuf illusion makes equal size circles appear to be different sizes by surrounding them with larger or smaller concentric rings. Applied to eating, smaller plates make the food servings appear larger.

One problem is that the size of commercially available dinnerware has increased from 9.6 inches to 11.8 inches in the past century. Eating only 50 calories a day more as a result equals enough calories to add five pounds of weight annually.

Practical implications of the research include encouraging people to replace larger plates and bowls with smaller ones, choose plates that contrast starkly with food, and even choose tablecloths that match their dinnerware, the researchers noted. Those with eating disorders or elderly people who need to eat more could follow the opposite advice to improve their intake.

Researchers conducted five studies on different variables to test how the Delboeuf illusion affected how people dish out their dinner. Results, which were published online Nov. 11 in the Journal of Consumer Research, are also published in full at the researcher's university website.

The first study isolated plate size. College students were shown a 9 cm bowl filled with tomato soup. They then tried to match the serving at another table that had one of seven differently sized bowls with diameters larger and smaller than 9 cm.

Participants poured 8.2% less soup into the three smaller bowls and 9.9% more into the three larger bowls. Those who poured into a similarly sized control bowl served an insignificant .9% less.

Next, the students looked at a target serving of soup in a randomly sized serving bowl. The bowls were shaped so that no matter the diameters of the bowl, the soup itself had a consistent diameter in the bowl. The students were asked to determine how much larger or smaller the soup was in the bowl compared to the target diameters.

Participants perceived the diameter of the smaller bowls to be 8.9% larger than the diameter of the target serving and perceived the diameter of the larger bowls as 8.6% smaller. The similarly sized control bowl was seen as an insignificant .8% larger.

Paydirt!! courtesy of Erik B. HansenThe second of the five studies looked at color contrast between dinnerware and a tablecloth. Students were asked to look at a target serving of cereal and then serve themselves a similar diameter at four stations (large and small white bowls sitting on black and white tablecloths).

Students in the high-contrast condition served 9.8% more using large plates and 13.5% less on the smaller plate. The low-contrast station significantly reduced overserving on large plates (9.8% vs. .3%) and reduced undeserving on small plates (-13.5% vs. -4.7%).

The third of the five studies assessed attentive servers to inattentive ones. Large and small plates were shown with a target size of cereal, but half the subjects were shown the servings for less than two seconds while the others were allowed one minute to study the portions. Students then had to draw a circle around the serving with the same diameter as the target serving size on the smaller and larger plates.

Inattentive students drew circles 8.3% larger on the larger plates and 11.2% smaller on the smaller plates. Attentive students drew circles 1% larger on larger plates and 7.2% smaller on larger plates, showing that mindful servers could adjust somewhat for the Delboeuf illusion.

The fourth study directly told randomized participants about the Delboeuf illusion and its impact on serving sizes. Control and experimental subjects were then offered small and large plates. Plate size influenced serving sizes, but less so among informed subjects. Large plate servings were reduced from 10.6% more to 4.4% more and small plate servings were reduced from 7.1% to 4.3% less.

The fifth study recruited adult lunch goers randomized to two buffet tables serving pasta in either red or white sauces, one sauce per each table. Once in line, the adults were randomly offered red or white plates that were 27.3 cm. The adults served themselves and a hidden scale recorded the serving amounts. A recommended serving of pasta according to the Food Guide Pyramid and the Diabetic Exchange System is 114.3 g.

Those in low-contrast servings overserved significantly more pasta than high-contrast scenarios than low-contrast ones (182.7 g vs. 140.6 g). Low-contrast servings (red sauce on red plate, or white sauce on white plate) didn't differ much (184 g vs. 181.5 g), and neither did the high-contrast scenarios (141.5 g vs. 139.8 g).

"The solution to our tendency to overeat from larger plates and bowls is not simply education. In the midst of hardwired perceptual biases, a more straightforward action would be to simply eliminate larger dinnerware--replace our larger bowls and plates with smaller ones," the researchers concluded. "It may be easier to change our personal environments than to change our minds."

Labels: , , , ,

0 Comments:

Post a Comment

Subscribe to Post Comments [Atom]

<< Home

Share

 

Contact ACP Internist

Send comments to ACP Internist staff at acpinternist@acponline.org.

Blog log

Members of the American College of Physicians contribute posts from their own sites to ACP Internist and ACP Hospitalist. Contributors include:

Albert Fuchs, MD
Albert Fuchs, MD, FACP, graduated from the University of California, Los Angeles School of Medicine, where he also did his internal medicine training. Certified by the American Board of Internal Medicine, Dr. Fuchs spent three years as a full-time faculty member at UCLA School of Medicine before opening his private practice in Beverly Hills in 2000.

Zackary Berger
Zackary Berger, MD, ACP Member, is a primary care doctor and general internist in the Division of General Internal Medicine at Johns Hopkins. His research interests include doctor-patient communication, bioethics, and systematic reviews.

CasesBlog
Ves Dimov, MD, ACP Member, is an allergist/immunologist and Assistant Professor of Medicine and Pediatrics at the University of Chicago, where he evaluates and treats both pediatric and adult patients.

David Katz, MD
David L. Katz, MD, MPH, FACP, is an internationally renowned authority on nutrition, weight management, and the prevention of chronic disease, and an internationally recognized leader in integrative medicine and patient-centered care.

db's Medical Rants
Robert M. Centor, MD, FACP, contributes short essays contemplating medicine and the health care system.

DrDialogue
Juliet K. Mavromatis, MD, FACP, provides a conversation about health topics for patients and health professionals.

Dr. Mintz' Blog
Matthew Mintz, MD, FACP, has practiced internal medicine for more than a decade and is an Associate Professor of Medicine at an academic medical center on the East Coast. His time is split between teaching medical students and residents, and caring for patients.

Everything Health
Toni Brayer, MD, FACP, blogs about the rapid changes in science, medicine, health and healing in the 21st century.

FutureDocs
Vineet Arora, MD, FACP, is Associate Program Director for the Internal Medicine Residency and Assistant Dean of Scholarship & Discovery at the Pritzker School of Medicine for the University of Chicago. Her education and research focus is on resident duty hours, patient handoffs, medical professionalism, and quality of hospital care. She is also an academic hospitalist.

Glass Hospital
John H. Schumann, MD, FACP, provides transparency on the workings of medical practice and the complexities of hospital care, illuminates the emotional and cognitive aspects of caregiving and decision-making from the perspective of an active primary care physician, and offers behind-the-scenes portraits of hospital sanctums and the people who inhabit them.

Gut Check
Ryan Madanick, MD, ACP Member, is a gastroenterologist at the University of North Carolina School of Medicine, and the Program Director for the GI & Hepatology Fellowship Program. He specializes in diseases of the esophagus, with a strong interest in the diagnosis and treatment of patients who have difficult-to-manage esophageal problems such as refractory GERD, heartburn, and chest pain.

I'm dok
ACP Member Mike Aref, MD, PhD, ACP Member, is an academic hospitalist with an interest in basic and clinical science and education, with interests in noninvasive monitoring and diagnostic testing using novel bedside imaging modalities, diagnostic reasoning, medical informatics, new medical education modalities, pre-code/code management, palliative care, patient-physician communication, quality improvement, and quantitative biomedical imaging.

Informatics Professor
William Hersh, MD, FACP, Professor and Chair, Department of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, posts his thoughts on various topics related to biomedical and health informatics.

Just Oncology
Richard Just, MD, ACP Member, has 36 years in clinical practice of hematology and medical oncology. His blog is a joint publication with Gregg Masters, MPH.

KevinMD
Kevin Pho, MD, ACP Member, offers one of the Web's definitive sites for influential health commentary.

MD Whistleblower
Michael Kirsch, MD, FACP, addresses the joys and challenges of medical practice, including controversies in the doctor-patient relationship, medical ethics and measuring medical quality. When he's not writing, he's performing colonoscopies.

Medical Lessons
Elaine Schattner, MD, ACP Member, shares her ideas on education, ethics in medicine, health care news and culture. Her views on medicine are informed by her past experiences in caring for patients, as a researcher in cancer immunology, and as a patient who's had breast cancer.

More Musings
Rob Lamberts, MD, ACP Member, a med-peds and general practice internist, returns with "volume 2" of his personal musings about medicine, life, armadillos and Sasquatch at More Musings (of a Distractible Kind).

Musing of an Internist
Justin Penn, MD, ACP Associate Member, attended medical school at the University of Washington School of Medicine and trained in internal medicine at the University of Rochester, where he is serving as Chief Resident.

Prescriptions
David M. Sack, MD, FACP, practices general gastroenterology at a small community hospital in Connecticut. His blog is a series of musings on medicine, medical care, the health care system and medical ethics, in no particular order.

Reflections of a Grady Doctor
Kimberly Manning, MD, FACP, reflects on the personal side of being a doctor in a community hospital in Atlanta.

Technology in (Medical) Education
Neil Mehta, MBBS, MS, FACP, is interested in use of technology in education, social media and networking, practice management and evidence-based medicine tools, personal information and knowledge management.

White Coat Underground
Peter A. Lipson, MD, ACP Member, is a practicing internist and teaching physician in Southeast Michigan. The blog, which has been around in various forms since 2007, offers musings on the intersection of science, medicine, and culture.

Other blogs of note:

American Journal of Medicine
Also known as the Green Journal, the American Journal of Medicine publishes original clinical articles of interest to physicians in internal medicine and its subspecialities, both in academia and community-based practice.

Clinical Correlations
A collaborative medical blog started by Neil Shapiro, MD, ACP Member, associate program director at New York University Medical Center's internal medicine residency program. Faculty, residents and students contribute case studies, mystery quizzes, news, commentary and more.

Interact MD
Michael Benjamin, MD, ACP member, doesn't accept industry money so he can create an independent, clinician-reviewed space on the Internet for physicians to report and comment on the medical news of the day.

PLoS Blog
The Public Library of Science's open access materials include a blog.

White Coat Rants
One of the most popular anonymous blogs written by an emergency room physician.

Powered by Blogger

RSS feed