Fast Food Nutrition Still Needs Improvement!

In the national effort to reduce childhood obesity, there has been a large push by a variety of advocates to improve fast food nutrition and marketing.  While this movement has resulted in some commendable improvements in fast food, such as a reduction in the amount of trans fat in fried foods and an increase in more fruit and vegetable options, a new report from Yale University's Rudd Center for Food Policy & Obesity clearly indicates that more still needs to be done.

This new report studied the marketing efforts of 12 of America's largest fast food chains and assessed the nutritional quality of over 3,000 children's meal combinations.  A summary of this new study paints a rather disturbing picture:

Unhealthy foods still the norm:

• Of the more than 3,000 meal combinations analyzed, only 12 met the Yale researchers nutrition criteria for preschool children and only 15 met the nutrition criteria for older children.  That's less than 0.5% of the meals tested!
• Meals purchased by teens averaged 800-1,100 calories, which is about one-half of their daily recommendation.  This suggests that eating at a fast food restaurant puts teens at risk for consuming many more calories than needed.
• At least 30% of the calories from fast food meals came from sugar and saturated fat and a single meal often provided one-half of a child's sodium recommendation.

Healthier options are not emphasized:

• Healthier side dishes are rarely the default or 'regular' side provided with a meal.  The standard, automatically-provided side dishes remain French fries and a soda.
• Fast food restaurants are frequently renaming their portion sizes to give the appearance of being smaller rather than actually providing smaller portions.

Fast food marketing continues to increase:

• The number of fast food advertisements seen by preschoolers and children ages 6-11 in 2009 have increased by about 25-30% on average compared to the year 2007.
• 15% of preschoolers ask their parents every day to take them to a fast food restaurant, while 40% of children 2-11 years of age ask to go at least once per week.
• Over 85% of parents report taking their children to a fast food restaurants at least once per week.

This is important information for everyone, but particularly so for those who choose to dine at fast food restaurants.  It is important to remember that we can choose healthier options when dining at fast food restaurants (or any restaurant for that matter).  For example, one kid's meal that includes 4 chicken tenders + fries + a soft drink provides 645 calories, 906 mg sodium, 63 calories from fat, and 120 calories from sugar. In contrast, by replacing the fries with apple slices and the soft drink with fat-free milk, we cut calories (350 calories) and sodium (515 mg) nearly in half while reducing the amount of calories that come from fat and sugar.  Yale University's Rudd Center for Food Policy & Obesity has established a web site, Fast Food FACTS, where you can learn more about fast food nutrition and your child's exposure to fast food marketing.

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New Menu Nutrition Labeling Laws

On March 23, 2010, section 4205 of the Patient Protection and Affordable Care Act was signed into law.  Section 4205 establishes new requirements for nutrition labeling of regular menu items in chain restaurants, similar retail food establishments, and chain vending machine operators.

This law was enacted as part of our fight against obesity.  According to the background information in a recently released FDA Guidance on the menu labeling, we Americans on average consume one-third of our total daily calories while eating out and in most cases, we are unaware of the amount of calories we consume while eating at restaurants.  By implementing this new menu labeling law, the FDA hopes to provide us consumers with access to nutritional information in restaurants and allow us to make more informed dietary decisions.

For chain retail food establishments (20 or more locations doing business under the same name and offering substantially the same menu items), the new law requires the following:

• Disclosure of the number of calories in each standard menu item on menus and on menu boards.  This includes both food and drink (including alcoholic beverages) routinely presented on the menu and/or menu boards of such restaurants.
• Make additional written nutrition information available to consumers upon request and provide a statement on menus and menu boards that such nutrition information is available upon request.  Should a customer request additional nutritional information, the restaurants must supply the total number of calories, calories from fat, total fat, saturated fat, cholesterol, sodium, total carbohydrates, sugars, dietary fiber, and total protein.
• Provide calorie information for most self-service items and foods on display by posting a sign adjacent to each food item.  This covers such items as foods at a salad bar, buffet line, cafeteria line or other similar self-service facility.

In regards to chain vending machines, operators of such chains must post the calorie content of each article of food sold in the machine in a clear and conspicuous manner.  This only applies to articles that do not allow the consumer to view the nutrition facts before purchasing the item.

While this new law will certainly cover most of the foods at restaurants, it will not cover all of them.  Foods not covered by this new law include condiments and other items placed on the table for general use, daily specials, temporary menu items appearing for less than 60 days per year, custom orders, and food that is part of a market test appearing on the menu for less than 90 days.  Pre-packaged food that lists the nutrition facts and can be viewed before purchase also are not covered by this new law.

While the federal law only went into effect earlier this year, a number of cities and states have previously established menu labeling laws.  It will be interesting to see how this information is both received and utilized.  The idea, of course, is that we will avoid eating less healthy options when we learn just how many calories they provide.  In many cases, menu options contain more that half (sometimes more than all) of our daily energy requirements.  However, it will remain up to us as consumers to use this information and actually choose the healthier option.  This might also impact what restaurants offer to consumers.  The hope is that once restaurants have to disclose the number of calories in their food items, they will start offering healthier, lower-calorie options more regularly.  Whether this strategy will be effective or not remains to be seen, but it has the possibility to help us develop healthier eating habits.

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Are Restaurants Getting The Message?

Recent news stories released earlier this summer suggest that restaurants might actually be starting to provide healthier options for their patrons, which considering the present rate of obesity in the U.S. is excellent news.

According to one recent press release, 60% of consumers responding to a marketing survey want to eat food that tastes great while dining out and 23% are looking for healthier meals.  Apparently, restaurants are starting to make the necessary changes to accommodate their customer's wishes.  According to this marketing research, menu items labeled as healthy increased by 65% with some of that improvement due to an increase in dishes that contain fruits and vegetables and an increase in vegetarian options.  Whether these menu changes are resulting in diners eating healthier or vice-versa, the survey reports that about half of the individuals responding attempt to eat healthier at restaurants by choosing lower fat items, eating more fruits and vegetables, and consuming less calories.

Additional news from the University of Minnesota School of Public Health's Nutrition Coordinating Center indicates that fast food restaurants have been successfully lowering the trans fat in their food items.  By using their nutritional values database of thousands of food items, the researchers were able to analyze changes in trans fat levels in french fries made at 5 major fast food restaurants from 1997 - 2008.  According to this analysis, McDonald's, Burger King, and Wendy's all successfully reduced the amount of trans fat in their french fries without increasing the amount of saturated fat.  This is a significant step considering that trans fat has been shown to have a negative impact on heart health and health authorities recommend that trans fat consumption be held as low as possible.

Overall, these stories provide excellent news for those of us who enjoy the occasional dining-out experience, but still want to eat healthy.  While this is a great step in the right direction, improving the availability of healthy food choices is an ever-evolving challenge for restaurants.  As nutrition researchers learn more about the health effects of foods and food ingredients, dietary recommendations continue to get updated.  New recommendations due out later this year, particularly in regards to sodium intake, are likely to present additional challenges to restaurants as well as the rest of the food industry.

While restaurants continue to strive for healthier, yet still flavorful, menu items, there are actions we can all take towards healthy eating when dining out.  Below are some general tips that might help us all make healthier choices when eating out at any restaurant:

• Eat a piece of fruit before going to a restaurant in order to curb your hunger and decrease the chance of overeating.
• Share your meal with a friend... this will help reduce portion sizes.
• Order from the appetizer menu… the portions are usually smaller.
• Try to limit the amount of bread that you eat (1 piece is best).
• Look for items that are baked, broiled, braised, grilled or steamed… they are generally lower calorie choices.
• Watch out for foods high in fat and calories… terms like fried, crispy, creamed, cheese sauce, au gratin, and basted often describe higher calorie foods.
• When choosing the salad bar, skip the non-vegetable foods like meat, cheese, eggs, etc.
• Drink low calorie or calorie free options such as diet soda, water, or unsweetened tea.
• When your food arrives put half of your meal in a to go box.

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