矛盾的是，美国人变得更加肥胖，同时也更加缺乏营养。食用加工食品的肥胖儿童营养耗尽，越来越多地患上坏血病和佝偻病，这些疾病是我们认为在 19 世纪和 20 世纪遗留下来的疾病。
(Paradoxically Americans are becoming both more obese and more nutrient deficient at the same time. Obese children eating processed foods are nutrient depleted and increasingly get scurvy and rickets, diseases we thought were left behind in the 19th and 20th centuries.)