By Randy Dotinga
HealthDay Reporter
WEDNESDAY, April 6, 2016 (HealthDay News) — Popular restaurants have
cut calories in children’s meals and are offering some healthier side
dishes, such as fruits and vegetables, a new study reports.
But, the researchers added, while these restaurants appear to be
making some progress in providing lower-calorie menu options, the meals
are still packed with too much salt and fat.
“The industry has started to make some changes, but it’s focusing
mostly on calories. Improvements are needed to consistently offer
healthier combinations,” said study co-author Christina Economos. She is
an associate professor at the Tufts Friedman School of Nutrition in
Boston.
The investigators looked at online nutrition information for
children’s meal options in 2014. The research included the 10 most
popular fast-food outlets: Arby’s, Burger King, Chik-Fil-A, Dairy Queen,
Jack-in-the-Box, KFC, McDonald’s, Sonic, Subway, and Wendy’s. It also
included the 10 most popular sit-down restaurant chains: Applebee’s,
Buffalo Wild Wings, Chili’s, Denny’s, IHOP, Olive Garden, Outback
Steakhouse, Red Lobster, Red Robin, and TGI Friday’s.
The study focused on the numerous combinations that children could
create from the options for their meals at each restaurant. For example,
a burger and fries could come with a variety of soft drink options.
According to the results, 72 percent of fast-food meals and 63
percent of sit-down meals had 600 calories or less, meaning they met
recommended calorie guidelines. The researchers believe these options
offer fewer calories than in the past.
“We can encourage parents to look at the menus and the nutrition
numbers, and try to construct meals that fall within that 600-calorie
guideline,” Economos said.
However, only 32 percent of meal combinations at fast-food
restaurants and 22 percent of those at sit-down restaurants met
guidelines for fat, saturated fat and salt (sodium), as well as
calories. In both types of restaurants, “the calorie target was most
frequently met, and the sodium target the least,” the study authors
reported.
The researchers declined to identify which restaurants did the best
and worst. Timing is one reason, Economos said: “If we were to single
out a restaurant and finger point, they may have made some changes in
the last month.”
High levels of fat contribute to obesity, which is a major problem
among kids in the United States. But why is salt an issue when children
don’t tend to get salt-related health problems, such as high blood
pressure?
“When we’re providing kids with high-sodium meals, we’re encouraging
them to develop a preference for those foods,” Economos said.
“No one would want to have a lot of sodium up to age 18 and then be
restricted. We need to expose kids to less sodium in their younger years
so they can continue that behavior into older years,” she said.
Besides calorie counts that appear to be decreasing, there’s good
news with the presence of fruit and veggies as sides in children’s
meals, Economos said.
“You didn’t see them a decade ago in many of the restaurants. There’s
definitely a shift happening, and we’re excited about their
availability,” she added.
The study comes with several caveats, however. For example, the study
didn’t look at what kids actually eat. And the study assumed the
nutrition information was accurate. Plus, it didn’t include details
about free add-ons such as drink refills, toppings, and dressings, the
study authors said.
While more research is needed to figure out what kids order and eat,
Economos said, it’s still clear that “there are healthier options out
there for kids.”
So, how do parents get their kids to make better choices?
“We can eat in restaurants and still maintain a good dietary pattern,
but it requires some effort to be informed,” said Dr. Robert Murray,
professor of human nutrition at Ohio State University.
He recommends that families mix and match items from five
groups—fruits, vegetables, grains/whole grains, dairy, and quality
proteins—at each meal.
“A hamburger or cheeseburger that has lettuce or spinach, tomato or
salsa, and a whole grain bun—without the other sauces, bacon, or frills
that run up calories—can be easily balanced using a side of fruit or
veggie, perhaps a baked rather than fried potato,” he said. “A milk or
flavored milk, or iced tea, rather than soft drinks can help immensely.”
As for the big picture, Murray said “restaurants can help shape the
American eating pattern toward more healthful ends by moving toward
lower calorie items and smaller portions, and including more diverse
entrees and nutritious sides.”
The study appears in the April issue of the
Journal of Nutrition Education and Behavior.
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