McDonalds has faced criticism for contributing to obesity. To address this, McDonalds launched a "Change" campaign, changing their menu to offer smaller portion sizes and introducing healthier options. They also changed marketing tactics to move away from targeting children. Moving forward, the document recommends McDonalds strengthen their brand by offering an even healthier menu, consider health issues in all decisions, partner with health organizations, and use spokespeople to promote positive messages. However, some critiques argue McDonalds lost core customers with the menu changes and campaigns have not fully addressed the underlying health concerns.