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Arch Pediatr Adolesc Med. 2004;158:290.

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In reply

We thank Ludwig et al for their letter and regret that they were misled by one of our speculations in the "Comment" section of the article.¹ We concluded from our cross-sectional survey that "increased levels of television viewing and soda intake are associated with a higher prevalence of overweight and obesity among sixth- and seventh-grade schoolchildren." In the "Comment" section, we speculated on reasons for an association between diet soft drinks and obesity—one of which was that it might not have been the calories in the beverage alone but the caloric intake associated with a child's general snacking behavior that could have led to obesity. In the report of their longitudinal study, Ludwig et al² assessed the association with diet drink consumption only while controlling for other calories. The study by Raben et al,³ comparing supplementations of sucrose and artificial sweeteners in overweight adults, and by Tordoff and . . . [Full Text of this Article]

David J. Pettitt, MD
Sansum Diabetes Research Institute
2219 Bath St
Santa Barbara, CA 93105
(e-mail: dpettitt@sansum.org)

Alison Okada Wollitzer, PhD
Santa Barbara

Joyce Giammattei, DrPH
Sonoma, Calif

Helen Hopp Marshak, PhD
Loma Linda, Calif

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Arch Pediatr Adolesc Med. 2004;158(3):290.
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