Article Text

Fast-food hyper-alimentation and exercise restriction in healthy subjects
  1. R D Johnston1,
  2. G P Aithal1,
  3. S D Ryder1,
  4. I A MacDonald2
  1. 1
    Wolfson Digestive Diseases Centre, University Hospital, Nottingham, UK
  2. 2
    School of Biomedical Sciences, University of Nottingham Medical School, Nottingham, UK
  1. Dr R D Johnston, Wolfson Digestive Diseases Centre, University Hospital, Nottingham, NG7 2UH, UK; rjohnston75{at}

Statistics from

We read with great interest the recent article by Kechegias et al on the hepatic effects of fast-food hyper-alimentation and exercise restriction (Gut 2008;57:649–54). The metabolic effects of fast-food consumption are a major public health issue, and have recently resulted in demands for the energy and nutrient content labelling of fast-food menus.1 Fast-food consumers significantly underestimate the energy and fat content of fast-foodstuffs, and their consumptive behaviours alter when they are informed of the foodstuffs’ true content.2

We would first like to commend them on performing such a valuable study. We agree with their conclusion that a dietary, as well as an alcohol history is an imperative component of the evaluation of patients with an idiopathically elevated alanine aminotransferase (ALT). Our …

View Full Text

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

  • Letter
    F H Nystrom S Kechagias