Nutritionalqualityofmenusat full‐servicerestaurantchains Summaryrecommendationsforrestaurants DrexelUniversity, SchoolofPublicHealth Caloriesandnutrientsonfull‐servicemenus DrexelUniversityanalyzedthenutritionalvalueoffoodslistedon21full‐servicerestaurantchain menus. CaloriesandNutrients onAdultMenus Calories 75% Adultdaily recommendedlimits Calories Sodium SaturatedFat 2000kcal 2300mg 20g Averagemeals displayedonmenus 1500kcal* 3510mg 28g (adultentrée+sidedish+ ½appetizer) Adultmealsonmenu averaged75%to100%of caloriesforanentireday* (75%) (153%) (140%) (Valuesasapercentofdailyrecommendedintake) Averageadult mealsonmenu exceededdaily recommended levelsofsodium &saturatedfat CaloriesandNutrients onChildren'sMenus Calories Sodium SaturatedFat Children'sdaily recommendedlimits 1400kcal 1610mg 14g Averagemeals displayedonmenus 690kcal 1380mg 10g Calories 53% Children’smealsonmenu averaged53%ofcalories foranentireday (children'sentrée+side dish+beverage) (49%) (86%) (71%) Averagechildren’s mealsonmenuhad over70%ofdaily recommended levelsofsodium& saturatedfat (Valuesasapercentofdailyrecommendedintake) *Whenadultmealsdisplayedonmenusincluded½appetizer,entree,side dish,½desert+beverage,thenaveragecaloriestotaled2020kcalor100% ofcaloriesforanentireday. Healthierchoicesonmenus Onlyhalfofthe21full‐servicerestaurantchainsincludedinthisstudyoffered“healthier choice”menuoptions,andamongthoserestaurants,only10%ofalacarteentrees weretaggedassuch.Atsevenoutletsofonefull‐servicechainrestaurant,13%of customerspurchaseda“healthierchoice”itemandthosecustomersweremore likelytobemiddle‐aged(40yearsorolder)andhaveattendedgraduateschool. Whilecriteriafor“healthychoices”varied,mostemphasizedlowercaloriesratherthanabroader suiteofnutrients.“Healthychoice”itemswerelowerincaloriesandfatthanotheritems,but sodiumfarexceededhealthylevelsandfiberwaslow.Averagesodiumina"healthychoice"ala carteentreewas1565mgor70%ofsodiumforanentireday.Tobetteridentify“healthychoice” items,restaurantscanutilizetheHealthyDiningcriteria(seeresourcelistonbackpage). HealthyDiningCriteriaforaSingleAdultMeal Calories <750cal Sodium <750mg Totalfat <25g Saturated fat <8g Fiber >5g 1 Opportunitiesforimprovement Consumercomprehensionofmenulabels&nutrition Includenutritioninformationforeachmenuitem Reduceportionsizes ofregularentrees • Reduceportionsizetoenhancehealthbenefits • Offersmallportionsofregular‐sizeditems(e.g.,small‐plates,half‐portions) Reducesalt usedinfoodpreparation • Preparemoremenuitemsfromscratchinordertocontrolsodium 1teaspoonof • JointheU.S.NationalSodiumReductionInitiative&committoloweringsodium salt=sodium • Tagmenuitemsthatarelowerinsodium(FDAdefines"low"sodiumas forentireday <140per100gramswhichtranslatesto<600mgsodiumfor15ouncesoffood) Offermoremealsthatarelowinsaturatedfat • Reduceuseofsaturatedfats(solidfats)includingcheeseandcream • Avoidcheeseasadefaulttopping&chargeextraforaddingit • Offer&promotevegetarianentreesthathavelow/nodairy 2tablespoonsof butter=saturatedfat forentireday Guaranteethatchildrenhavehealthfulmealoptions • Excludesugarydrinksfromchildren'smenus • AdoptcriteriafromtheNationalRestaurantAssociation'sKidsLiveWell menu(seelastpageforreference) Enhanceappealto health‐consciouscustomers • Increasefibertoimprovesatietywhiledecreasingcalories Highfiber • Increase"healthychoice"items&promotetheseitemsinmenupictures Lowsodium • Ensure"healthychoice"itemsmeetcriteriaforcalories,sodium,andsaturated Lowsaturated fat.Atminimum,usecriteriafromtherestaurantindustry'sHealthyDining fat (seelastpageforreference). 2 Resources PhiladelphiaMenuLabeling InformationforConsumers http://www.foodfitphilly.org/menu‐labeling/ InformationforPhiladelphiaFoodEstablishments http://www.phila.gov/health/services/Serv_MenuLabeling.html Full‐ServiceRestaurantMenuEvaluation. Informationontherestaurantmenuanalysis,methodology,andresults. http://www.pages.drexel.edu/~aha27/index.html Full‐ServiceRestaurantCustomerEvaluation. Informationonthecustomerinterceptstudy,methodology,andresults. http://www.ncbi.nlm.nih.gov/pubmed/24237912 FocusGroupResearch Informationonthefocusgroupstudy,methodology,andresults. http://www.ncbi.nlm.nih.gov/pubmed/23388204 DailyRecommendedIntakeValues. http://fnic.nal.usda.gov/dietary‐guidance/dietary‐reference‐intakes HealthyEatingTips. Guidestofacilitatehealthyeating,portioncontrol,andnutritionawareness. http://www.choosemyplate.gov/ NationalSaltReductionInitiative http://www.nyc.gov/html/doh/html/diseases/salt.shtml HealthyDiningNutritionCriteria(websiteaccessedOctober2013) http://www.Healthydiningfinder.Com/about‐this‐site/nutrition‐criteria http://www.Healthydiningfinder.Com/sodium‐savvy/ss‐criteria http://www.Healthydiningfinder.Com/blogs‐recipes‐more/ask‐the‐dietitians/best‐restaurant‐dishes‐high‐in‐fiber NationalRestaurantAssociation'sKidsLiveWellmenu http://www.restaurant.org/Industry‐Impact/Food‐Healthy‐Living/Kids‐LiveWell‐ Program RecommendationsforKid’sMeals http://cspinet.org/new/pdf/cspi‐kids‐meals‐2013.pdf Acknowledgements ThissummarywaswrittenbyDrexelUniversity'sSchoolofPublicHealth,NutritionSciences Department,andCulinaryArtsandFoodSciencewiththeCenterforHospitalityandSport Management;andPhiladelphiaDepartmentofPublicHealth. Suggestedcitation:DrexelUniversity&PhiladelphiaDepartmentofPublicHealth.(2013).Nutritional qualityofmenusatfull‐servicerestaurantchains:summaryofrecommendationsforrestaurants. Philadelphia,Pennsylvania:DrexelUniversitySchoolofPublicHealth. http://www.pages.drexel.edu/~aha27/ExecSummaryForRestaurants.pdf TheimageonthefrontcoverisbyGertLavsenhttp://500px.com/lavsen DocumentdateDec14,2013 3