Healthier schools: Goodbye candy and greasy snacks

WASHINGTON (AP) — Goodbye candy bars and sugary cookies. Hello baked chips and diet sodas.

The government for the first time is proposing broad new standards to make sure all foods sold in schools are more healthful, a change that would ban the sale of almost all candy, high-calorie sports drinks and greasy foods on campus.

Under new rules the Department of Agriculture proposed Friday, school vending machines would start selling water, lower-calorie sports drinks, diet sodas and baked chips instead. Lunchrooms that now sell fatty "a la carte" items like mozzarella sticks and nachos would have to switch to healthier pizzas, low-fat hamburgers, fruit cups and yogurt.

The rules, required under a child nutrition law passed by Congress in 2010, are part of the government's effort to combat childhood obesity. While many schools already have made improvements in their lunch menus and vending machine choices, others still are selling high-fat, high-calorie foods.

Under the proposal, the Agriculture Department would set fat, calorie, sugar and sodium limits on almost all foods sold in schools. Current standards already regulate the nutritional content of school breakfasts and lunches that are subsidized by the federal government, but most lunch rooms also have "a la carte" lines that sell other foods. And food sold through vending machines and in other ways outside the lunchroom has not been federally regulated.

"Parents and teachers work hard to instill healthy eating habits in our kids, and these efforts should be supported when kids walk through the schoolhouse door," said Agriculture Secretary Tom Vilsack.

Most snacks sold in school would have to have less than 200 calories. Elementary and middle schools could sell only water, low-fat milk or 100 percent fruit or vegetable juice. High schools could sell some sports drinks, diet sodas and iced teas, but the calories would be limited. Drinks would be limited to 12-ounce portions in middle schools, and 8-ounce portions in elementary schools.

The standards will cover vending machines, the "a la carte" lunch lines, snack bars and any other foods regularly sold around school. They would not apply to in-school fundraisers or bake sales, though states have the power to regulate them. The new guidelines also would not apply to after-school concessions at school games or theater events, goodies brought from home for classroom celebrations, or anything students bring for their own personal consumption.

The new rules are the latest in a long list of changes designed to make foods served in schools more healthful and accessible. Nutritional guidelines for the subsidized lunches were revised last year and put in place last fall. The 2010 child nutrition law also provided more money for schools to serve free and reduced-cost lunches and required more meals to be served to hungry kids.

Iowa Sen. Tom Harkin, a Democrat, has been working for two decades to take junk foods out of schools. He calls the availability of unhealthful foods around campus a "loophole" that undermines the taxpayer money that helps pay for the healthier subsidized lunches.

"USDA's proposed nutrition standards are a critical step in closing that loophole and in ensuring that our schools are places that nurture not just the minds of American children but their bodies as well," Harkin said.

Last year's rules faced criticism from some conservatives, including some Republicans in Congress, who said the government shouldn't be telling kids what to eat. Mindful of that backlash, the Agriculture Department exempted in-school fundraisers from federal regulation and proposed different options for some parts of the rule, including the calorie limits for drinks in high schools, which would be limited to either 60 calories or 75 calories in a 12-ounce portion.

The department also has shown a willingness to work with schools to resolve complaints that some new requirements are hard to meet. Last year, for example, the government relaxed some limits on meats and grains in subsidized lunches after school nutritionists said they weren't working.

Schools, the food industry, interest groups and other critics or supporters of the new proposal will have 60 days to comment and suggest changes. A final rule could be in place as soon as the 2014 school year.

Margo Wootan, a nutrition lobbyist for the Center for Science in the Public Interest, says surveys done by her organization show that most parents want changes in the lunchroom.

"Parents aren't going to have to worry that kids are using their lunch money to buy candy bars and a Gatorade instead of a healthy school lunch," she said.

The food industry has been onboard with many of the changes, and several companies worked with Congress on the child nutrition law two years ago. Major beverage companies have already agreed to take the most caloric sodas out of schools. But those same companies, including Coca-Cola and PepsiCo, also sell many of the non-soda options, like sports drinks, and have lobbied to keep them in vending machines.

A spokeswoman for the American Beverage Association, which represents the soda companies, says they already have greatly reduced the number of calories kids are consuming at school by pulling out the high-calorie sodas.

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Follow Mary Clare Jalonick on Twitter at http://twitter.com/mcjalonick

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Explosion at Mexican oil giant Pemex offices kills 14

MEXICO CITY (Reuters) - A powerful explosion rocked the Mexico City headquarters of state oil giant Pemex on Thursday, killing at least 14 people and injuring 100 others.

The blast hit the lower floors of the downtown tower block, throwing debris into the streets and sending workers running outside.

Interior Minister Miguel Angel Osorio Chong said the blast killed at least 14 people and injured 100. It was not yet clear what caused the explosion, and the death toll could still rise, he added.

Media reports said machinery inside the building had apparently exploded. But an ambulance service official at the scene, who asked not to be named, said it was caused by a gas leak.

Police quickly cordoned off the building, and television images showed the explosion caused serious damage to the ground floor and blew out windows on the lower floors of the tower.

"The place shook, we lost power and suddenly there was debris everywhere. Colleagues were helping us out of the building," witness Cristian Obele told Mexican television.

Some people at the scene said the blast came from a neighboring building.

Pemex said initially its headquarters had been evacuated because of a problem with its electricity supply. It then said there had been an explosion, but did not say what caused it.

Helicopters buzzed around the building and lines of fire trucks sped to the entrance, while emergency workers ferried injured people through wreckage strewn on the street.

"Now we are in rescue mode and looking for people and for bodies," Osorio Chong said.

Search-and-rescue dogs were sent into the skyscraper, a Mexico City landmark more than 50 floors high and sporting a distinctive "hat" on top.

DEADLY ACCIDENTS

President Enrique Pena Nieto said via Twitter he "deeply regretted" the deaths and headed to the scene of the blast.

Gloria Garcia, 53, a Pemex worker not in the building during the explosion, came to see if she could track down her son, who works in one of the floors hit.

"I'm calling his phone and he's not answering," Garcia said, weeping as she called repeatedly on her phone. "Nobody knows anything. They won't let me through. I want to see my son whatever state he's in."

Plaster fell from the ceiling of the basement, and the situation at the Pemex tower was dangerous, a spokesman for local emergency services said.

Pemex has experienced a number of deadly accidents in recent years. In September, 30 people died after an explosion at a Pemex natural gas facility in northern Mexico.

More than 300 were killed when a Pemex natural gas plant on the outskirts of Mexico City exploded in 1984. Eight years later, about 200 people were killed and 1,500 injured after a series of underground gas explosions in Guadalajara, Mexico's second biggest city.

(Additional reporting by Gabriel Stargardter and Liz Diaz; Editing by Kieran Murray and Peter Cooney)

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Sony invites press to mystery New York event

SAN FRANCISCO: Sony sent out invitations Thursday to a mystery event in New York City on February 20, sparking rumors that the world would get its first look at a new-generation PlayStation videogame console.

Both Sony and Microsoft are expected this year to show off successors to their competing consoles, which have been evolving into home entertainment hubs for films, television, music, social networking and more.

The PlayStation 3 was released in November 2006 and industry trackers believe a successor is on the near horizon.

In January, the number of PS3 units shipped by Sony hit an estimated 77 million units, according to market research firm International Data Corporation.

IDC gaming research manager Lewis Ward predicted at the time of the report that consoles will retain their strongholds in homes while expanding to include other digital entertainment.

"The console ecosystem is in a state of flux since these platforms need to support an ever-growing array of non-gaming features and services at the same time that game distribution and monetization is moving in a digital direction," Ward said.

"It doesn't appear that alternative platforms -- set-top boxes from cable companies, Web-connected smart TVs and so on -- are positioned to materially disrupt the trajectory of the 'big 3' console OEMs in 2013 or 2014."

Videogame industry sales should be bolstered by the arrival of next-generation videogame consoles from Sony and Microsoft, according to Ward.

"With the advent of eighth-generation consoles, starting with the Wii U, historical norms strongly imply that game disk revenue will stop bleeding in 2013 and rise substantively in 2014," he said in the report.

- AFP/ir

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TOI Social Impact Awards: When an IT mind took the organic route to farming

BORIAVI (ANAND): Devesh Patel, 30, graduated in computer applications in 2005. But the idea of flying off to the US didn't attract him. He followed in his father's footsteps and became a farmer, returning to the land of his forefathers — Anand's Boriavi village.

Until recently, Devesh's father Ramesh, 56, suffered from chronic breathing problems induced by the chemical fertilizers he used. Nausea and headaches were part of life. "Only when his health worsened did my father realize that increasing yield wasn't everything. There's no point making money if one can't enjoy it. We switched to organic farming," Devesh says. They shifted to Anand Agricultural University's newly developed liquid biofertilizer (LBF). That changed their lives.

"Dharti maa chhe (Earth is our mother)," Devesh says. "A farmer should give her what she deserves. My father doesn't fall sick now. Hundreds of farmers in Gujarat are living healthier lives, largely because of AAU." Devesh uses 70 litres of LBF a year on his 4ha. "The health of the soil has improved. Chemical fertilizers cost up to Rs 28,000 per ha for crops such as sweet potato and ginger. LBF has cut my cost to below Rs 4,000/ha," he says. Proprietor of an organic brand, he supplies potato chips, turmeric and ginger powder to retail stores, earning Rs 30-40 lakh annually.

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Hedgehog Alert! Prickly pets can carry salmonella

NEW YORK (AP) — Add those cute little hedgehogs to the list of pets that can make you sick.

In the last year, 20 people were infected by a rare but dangerous form of salmonella bacteria, and one person died in January. The illnesses were linked to contact with hedgehogs kept as pets, according to a report released Thursday by the Centers for Disease Control and Prevention.

Health officials on Thursday say such cases seem to be increasing.

The CDC recommends thoroughly washing your hands after handling hedgehogs and cleaning pet cages and other equipment outside.

Other pets that carry the salmonella bug are frogs, toads, turtles, snakes, lizards, chicks and ducklings.

Seven of the hedgehog illnesses were in Washington state, including the death — an elderly man from Spokane County who died in January. The other cases were in Alabama, Illinois, Indiana, Michigan, Minnesota, Ohio and Oregon.

In years past, only one or two illnesses from this salmonella strain have been reported annually, but the numbers rose to 14 in 2011, 18 last year, and two so far this year.

Children younger than five and the elderly are considered at highest risk for severe illness, CDC officials said.

Hedgehogs are small, insect-eating mammals with a coat of stiff quills. In nature, they sometimes live under hedges and defend themselves by rolling up into a spiky ball.

The critters linked to recent illnesses were purchased from various breeders, many of them licensed by the U.S. Department of Agriculture, CDC officials said. Hedgehogs are native to Western Europe, New Zealand and some other parts of the world, but are bred in the United States.

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Online:

CDC report: http://www.cdc.gov/mmwr

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Obama Confident Immigration Reform Will Pass

President Barack Obama expressed confidence on Wednesday that he would sign comprehensive immigration reform into law by the end of this year.

In an interview with Univision's Maria Elena Salinas, Obama explained that significant details of a bill still must be worked out by lawmakers, including the structure of a pathway to citizenship for many of the 11 million undocumented immigrants. But Obama said that the progress made by a bipartisan group of lawmakers in the Senate has given him hope that a deal can get done.

See Also: What Will Be Obama's Immigration Legacy?

When asked by Salinas if we will have immigration reform by the end of the year, Obama said, "I believe so."

"You can tell our audience, 'Sí, se puede?'" Salinas asked.

"Sí, se puede," Obama responded.

Later in the interview, Obama said that he hopes a bill could be passed as early as this summer.

But cognizant of deep divisions a topic like immigration has sewn in the past, Obama said that's contingent on bipartisan negotiations continuing to proceed well.

"The only way this is going to get done is if the Republicans continue to work with Democrats in Congress, in both chambers, to get a bill to my desk," he said. "And I'm going to keep on pushing as hard as I can. I believe that the mood is right."

Although the president threatened to introduce his own bill if negotiations in Congress stall during his speech in Las Vegas, Nevada, on Tuesday, he said he is content to let lawmakers hash out the details among themselves for the time being.

"If they are on a path as they have already said, where they want to get a bill done by March, then I think that's a reasonable timeline and I think we can get that done. I'm not going to lay down a particular date because I want to give them a little room to debate," he said. "If it slips a week, that's one thing. If it starts slipping three months, that's a problem."

The president's principles and the Senate's principles on immigration broadly align with one another, but there are still thorny issues that could spark a division between Obama and Republicans, such as the pathway to citizenship.

The Senate's path to citizenship would allow many undocumented immigrants to obtain legal status immediately upon passage of the law. But their ability to then seek legal permanent residency would be contingent upon the U.S.-Mexico border being deemed secure. Sen. Marco Rubio (R-Fla.), a member of the bipartisan "Gang of Eight" on immigration, has been particularly vocal in stating that border security is a precondition for gaining legal permanent residence, and then citizenship.

While the White House has said that it is withholding judgment on that plan until actual legislative language is drafted, Obama said that he wants a bill that makes it clear from the outset that undocumented immigrants eligible to earn their way to citizenship can eventually obtain it.

"What we don't want to do is create some kind of vague prospect in the future that somehow comprehensive immigration reform that includes a pathway to citizenship will happen, you know, mañana," Obama said. "We want to make sure we are very clear this legislation provides a real pathway."

The president said that enhancing border security measures and workplace enforcement provisions are a part of his plan, as well as the Senate's, and cited his administration's efforts to bulk up border security during the past four years, saying that illegal crossings have dropped 80 percent since 2000.

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French troops deployed in last Mali rebel strongholds

DOUENTZA, Mali/PARIS (Reuters) - French troops seized the airport in Mali's northern town of Kidal, the last urban stronghold held by Islamist insurgents, as they moved to wrap up the first phase of a military operation to wrest northern Mali from rebel hands.

France has deployed some 4,500 troops in a three-week ground and air offensive to break the Islamist rebels' 10-month grip on major northern towns. The mission is aimed at heading off the risk of Mali being used as a springboard for jihadist attacks in the wider region or Europe.

The French military plans to gradually hand over to a larger African force, tasked with rooting out insurgents in their mountain redoubts near Algeria's border.

Defense Minister Jean-Yves Le Drian said French forces using planes and helicopters defied a sandstorm late on Tuesday to capture the airport but had been prevented by the bad weather from entering the town itself.

"The terrorist forces are pulling back to the Adrar des Ifoghas mountains which are difficult to access," Le Drian told a news conference. "There is support from Chadian and Nigerian troops coming from the south."

The deployment of French troops to remote Kidal puts them in direct contact with pro-autonomy Tuareg MNLA rebels, whose rebellion last year was hijacked by the Islamist radicals. Le Drian said France had established good relations with local Tuareg chieftains before sending in troops.

MNLA leaders say they are ready to fight al Qaeda but many Malians, including the powerful military top brass in the capital Bamako, blame them for the division of the country. They view Paris' liaisons with the Tuaregs with suspicion.

French and Malian troops retook the major Saharan trading towns of Gao and Timbuktu at the weekend.

There were fears that many thousands of priceless ancient manuscripts held in Timbuktu, a UNESCO World Heritage site, might have been lost during the rebel occupation, but experts said the bulk of the texts were safe.

The United States and European governments strongly support the Mali intervention and are providing logistical and surveillance backing but do not intend to send combat troops.

The MNLA rebels, who want greater autonomy for the desert north, said they had moved fighters into Kidal after Islamists left the town earlier this week.

"For the moment, there is a coordination with the French troops," said Moussa Ag Assarid, the MNLA spokesman in Paris.

A spokesman for the Malian army said its soldiers were securing Gao and Timbuktu and were not heading to Kidal.

The MNLA took up arms against the Bamako government a year ago, seeking to carve out a new independent desert state.

After initially fighting alongside the Islamists, by June they had been forced out by their better armed and financed former allies, who include al Qaeda North Africa's wing, AQIM, a splinter wing called MUJWA and Ansar Dine, a Malian group.

RISK OF ATTACKS, KIDNAPPINGS

As the French wind up the first phase of their offensive, doubts remain about just how quickly the U.N.-backed African intervention force can be fully deployed in Mali to hunt down the retreating al Qaeda-allied insurgents. Known as AFISMA, the force is now expected to exceed 8,000 troops.

Foreign Minister Laurent Fabius said France's military operation, codenamed Serval (Wildcat), was planned as a lightning mission lasting a few weeks.

"Liberating Gao and Timbuktu very quickly was part of the plan. Now it's up to the African countries to take over," he told the Le Parisien daily. "We decided to put in the means and the necessary number of soldiers to strike hard. But the French contingent will not stay like this. We will leave very quickly."

One French soldier has been killed in the mission, and Fabius warned that things could now get more difficult, as the offensive seeks to flush out insurgents with experience of fighting in the desert from their wilderness hideouts.

"We have to be careful. We are entering a complicated phase where the risks of attacks or kidnappings are extremely high. French interests are threatened throughout the entire Sahel."

An attack on the In Amenas gas plant in Algeria earlier this month by Islamist fighters opposing the French intervention in Mali led to the deaths of dozens of foreign hostages and raised fears of similar reprisal strikes across North and West Africa.

NEED FOR RECONCILIATION

The French operation has destroyed the Islamists' training camps and logistics bases but analysts say a long term solution for Mali hinges on finding a political settlement between the northern communities and the southern capital Bamako.

Interim President Dioncounda Traore said on Tuesday his government would aim to hold national elections on July 31. Paris is pushing strongly for Traore's government to hold talks with the MNLA, which has dropped its claims for independence.

"The Malian authorities must begin without delay talks with the legitimate representatives of the northern population and non-terrorist armed groups that recognize Mali's integrity," French Foreign ministry spokesman Philippe Lalliot said.

After months of being kept on the political sidelines, the MNLA said they were in contact with West African mediators who are trying to forge a national settlement to reunite Mali.

"We reiterate that we are ready to talk with Bamako and to find a political solution. We want self-determination, but all that will be up to negotiations which will determine at what level both parties can go," Ag Assarid said.

There have been cases in Gao and Timbuktu and other recaptured towns of reprisal attacks and looting of shops and residences belonging to Malian Tuaregs and Arabs suspected of sympathizing with the MNLA and the Islamist rebels.

(Additional reporting John Irish and Emmanuel Jarry in Paris, David Lewis and Pascal Fletcher in Dakar; Writing by David Lewis and Daniel Flynn; Editing by Pascal Fletcher and Rosalind Russell)

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Research links acute malnutrition to gut microbes

WASHINGTON: A dearth of calories may not be the only reason some children face acute malnutrition, according to a new study out this week that says the microbes living in our guts may also be to blame.

Within hunger-stricken communities, not all children fare the same. Some develop acute malnutrition, while others, even their brothers and sisters, may stay healthy.

And some children respond well to treatment -- generally a peanut-based nutrient-rich supplement -- while for others, the benefits cease when the treatment does.

To figure out why this happens, researchers studied more than 300 sets of twins in Malawi, where malnutrition is a common childhood ailment, during their first three years of life.

Among half the twin pairs, one or both twins became malnourished over the course of the study.

Even among identical twins, there were cases where one twin -- but not the other -- developed a form of malnutrition called kwashiorkor, associated with swollen bellies, liver damage, skin ulcerations and loss of appetite, in addition to wasting.

That ruled out human genetics as a factor in the disorder, since identical twins share identical genomes.

But the researchers found something else at play: the microbes in the gut that extract nutrients and calories from the diet synthesise vitamins and nutrients and help shape the immune system.

When any of the twins became malnourished, both received treatment to limit food sharing.

In the healthy twin, the gut microbes thrived with the extra food and continued to mature after the treatment ended. But in the severely malnourished twin, the gut microbes stalled out or even regressed by four weeks after the treatment ended.

The findings were further bolstered when the researchers implanted into mice the gut microbes of the healthy and malnourished twins.

Both groups of mice were fed the same diet -- one similar to the nutrient-deficient diet common in Malawi -- but the ones who were transplanted with the malnourished children's microbes dropped weight, while the others did not.

"The gut microbes of malnourished children and malnourished mice do not appear to mature along a normal, healthy trajectory," said senior author Jeffrey Gordon of Washington University's Centre for Genome Sciences and Systems Biology.

"Our results suggest we need to devise new strategies to repair gut microbial communities so these children can experience healthy growth and reach their full potential."

Gordon said the new findings could be a crucial step towards finding better treatment for severely malnourished children.

"It may be that earlier or longer treatment with existing or next-generation therapeutic foods will enhance our ability to repair or prevent the problems associated with malnutrition," he said.

"We are also exploring whether it is possible to supplement the therapeutic food with beneficial gut bacteria from healthy children, as a treatment to repair the gut microbiome," he added.

"We hope that these studies will provide a new way of understanding how the gut microbiome and food interact to affect the health and recovery of malnourished children."

Their study is to be published Thursday in the US journal "Science".

According to UNICEF, a person dies of starvation every 3.6 seconds, and most of the deaths are among children under five.

"Some 300 million children go to bed hungry every day. Of these only eight percent are victims of famine or other emergency situations. More than 90 per cent are suffering long-term malnourishment and micronutrient deficiency," the UN agency says on its website.

-AFP/fl

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Discoms to allow repayment of arrears in instalments

CHANDIGARH: In a bid to increase the case recovery of electricity bills, the Haryana power distribution corporations have decided to allow payment of arrears in installments.

Till now, the distribution companies were resorting to civil or legal recoveries after disconnection in case the arrears of bills crossed three billing cycles.

Chairman and managing director of Dakshin Haryana Bijli Vitran Nigam and Uttar Haryana Bijli Vitran Nigam Devender Singh said this has been done to facilitate the consumers.

The sub divisional officer (SDO) concerned can accept the payment of arrears in instalments with the condition that minimum 50% amount of the arrears is paid in the first instalment. The number of instalments can be two for arrear up to Rs 10,000, three for up to Rs 30,000, four for up to Rs 50,000, five for up to Rs 2 lakh and eight instalments for the amount of arrear above Rs 2 lakh.

Singh reiterated the promise of 20-hour power supply in rural belts, if consumers ensured regular payment of electricity bills. "If consumers pay for the power they consume, there would be no hurdle in supplying electricity for 20 hours a day in villages. There is no shortage of electricity, but the power distribution utilities should have sufficient money to purchase it,'' he said

Singh also elaborated on the campaign to maintain strengthen and renovate the electricity distribution system all over the state would help consumers bring down the aggregate technical and commercial (AT and C) losses to the level of below 25% on their feeders to qualify for taking power supply on urban mode.

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Sex to burn calories? Authors expose obesity myths

Fact or fiction? Sex burns a lot of calories. Snacking or skipping breakfast is bad. School gym classes make a big difference in kids' weight.

All are myths or at least presumptions that may not be true, say researchers who reviewed the science behind some widely held obesity beliefs and found it lacking.

Their report in Thursday's New England Journal of Medicine says dogma and fallacies are detracting from real solutions to the nation's weight problems.

"The evidence is what matters," and many feel-good ideas repeated by well-meaning health experts just don't have it, said the lead author, David Allison, a biostatistician at the University of Alabama at Birmingham.

Independent researchers say the authors have some valid points. But many of the report's authors also have deep financial ties to food, beverage and weight-loss product makers — the disclosures take up half a page of fine print in the journal.

"It raises questions about what the purpose of this paper is" and whether it's aimed at promoting drugs, meal replacement products and bariatric surgery as solutions, said Marion Nestle, a New York University professor of nutrition and food studies.

"The big issues in weight loss are how you change the food environment in order for people to make healthy choices," such as limits on soda sizes and marketing junk food to children, she said. Some of the myths they cite are "straw men" issues, she said.

But some are pretty interesting.

Sex, for instance. Not that people do it to try to lose weight, but claims that it burns 100 to 300 calories are common, Allison said. Yet the only study that scientifically measured the energy output found that sex lasted six minutes on average — "disappointing, isn't it?" — and burned a mere 21 calories, about as much as walking, he said.

That's for a man. The study was done in 1984 and didn't measure the women's experience.

Among the other myths or assumptions the authors cite, based on their review of the most rigorous studies on each topic:

—Small changes in diet or exercise lead to large, long-term weight changes. Fact: The body adapts to changes, so small steps to cut calories don't have the same effect over time, studies suggest. At least one outside expert agrees with the authors that the "small changes" concept is based on an "oversimplified" 3,500-calorie rule, that adding or cutting that many calories alters weight by one pound.

—School gym classes have a big impact on kids' weight. Fact: Classes typically are not long, often or intense enough to make much difference.

—Losing a lot of weight quickly is worse than losing a little slowly over the long term. Fact: Although many dieters regain weight, those who lose a lot to start with often end up at a lower weight than people who drop more modest amounts.

—Snacking leads to weight gain. Fact: No high quality studies support that, the authors say.

—Regularly eating breakfast helps prevent obesity. Fact: Two studies found no effect on weight and one suggested that the effect depended on whether people were used to skipping breakfast or not.

—Setting overly ambitious goals leads to frustration and less weight loss. Fact: Some studies suggest people do better with high goals.

Some things may not have the strongest evidence for preventing obesity but are good for other reasons, such as breastfeeding and eating plenty of fruits and vegetables, the authors write. And exercise helps prevent a host of health problems regardless of whether it helps a person shed weight.

"I agree with most of the points" except the authors' conclusions that meal replacement products and diet drugs work for battling obesity, said Dr. David Ludwig, a prominent obesity research with Boston Children's Hospital who has no industry ties. Most weight-loss drugs sold over the last century had to be recalled because of serious side effects, so "there's much more evidence of failure than success," he said.

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Online:

Obesity info: http://www.cdc.gov/obesity/data/trends.html

New England Journal: http://www.nejm.org

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Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP

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