Location, Location, Location
The study is from the national Bureau of Economic Research, and just wanted to see whether close geographic proximity to fast food plays a causal role in obesity.
To do this, they followed a large population of ninth grade kids for almost a decade. They were able to see the effect of the fast food restaurants by checking the kids in the years before and after a new fast food outlet opened nearby.
They controlled for income, education and race, and still found that obesity rates were 5% higher for the ninth graders whose schools were within one-tenth of a mile of a pizza, burger or other popular fast-food outlet. This was compared with students at schools farther away from the fast-food stores.
The other factor here, however, is the mysterious X factor called … the parent. My guess is that the degree of parental involvement at home, in the kitchen, around the family table, will also impact these numbers.
The authors did not mention these issues. I know they are hard to quantify scientifically, but they are also incredibly important in the development of healthy eating behaviors, and choices.