FCE13‐07 January, 2013 Let’sDineOut TheHealthyWay Leader Guide Lesson Objectives Identify healthy eating strategies when choosing restaurant food. Identify tools to help estimate restaurant food portion sizes. List healthy special requests when ordering restaurant food. Materials for Participants Participant Activity Sheet MyPlate Mini-Poster/Handout USDA 2010 Dietary Guideline Selected Messages Mini-Poster/Handout MyPlate Coloring Sheet Handout Participant Handout – Restaurant Menu Selection Inventory Optional: Tabletop restaurant decorations (candle, place setting, tablecloth etc.) standard size glassware (4, 6, 8, 10, 12, 16 ounce), silverware (teaspoon, tablespoon, soup spoon), chinaware (fruit and soup bowls, salad and dinner plate) Before the Lesson Copy handouts, mini-posters, evaluation and consent Decide on which activities to include based on time and interest of participants Note: Words in italics give directions to the leader. Introduction The 2010 Dietary Guidelines for Americans state that poor diet is one of the most important factors contributing to an epidemic of overweight and obesity affecting all segments of our society. Even in the absence of overweight, poor diet is associated with increased risk of chronic disease. The evidence is clear, all Americans can improve their health and lower their disease risk if healthy choices are made at every meal – including when eating out in restaurants. The average American eats in restaurants about 4 times a week - or 192 times each year – a frequency that can clearly impact a person’s health. The goal of this class is to teach you some strategies that will help make your restaurant dining experiences enjoyable and more healthful. If you follow some simple guidelines and practice them over and over you can eat more healthfully in restaurants, and suffer fewer health risks and consequences. Review Lesson Objectives. The 2010 Dietary Guidelines include healthy eating recommendations for home and away from home eating occasions. These recommendations, when followed, can help you make more healthful choices when eating in eating out in restaurants. Show USDA 2010 Dietary Guideline Suggested Messages Mini Poster/Handout. Balancing Calories Enjoy your food, but eat less. Avoid oversized portions. Foods to Increase: Make half your plate fruits and vegetables. Switch to fat-free or low-fat milk and milk products. Foods to Reduce: Compare sodium in foods like soup and bread – and choose the foods with lower sodium. Drink water instead of sugary drinks. Discussion: Restaurant food can be high in calories. That’s in part due to the way restaurant food is prepared (often with added fat) and the size of portions that are served. Restaurant food also can have limited fruit and vegetable choices. Additionally, restaurant food can be high in sodium. That’s in part due to entrée ingredients such as cold cuts, bread, cheese, hot dogs, rolls, bacon/sausage, condiments, chicken, fish and ham – these ingredients tend to be high in sodium. Sodium content is also influenced by how restaurant food is seasoned – often with salt. So following the healthy eating guidelines suggested in the 2010 Dietary Guidelines can be a challenge when you’re eating out. Ask participants to consider their eating out habits and foods they typically enjoy in restaurants. Ask participants to consider what health consequences (if any) they anticipate experiencing if they aren’t careful when eating in restaurants. Hand out the “Participant Activity Sheet”. Have each participant complete questions 1 – 4. Learn the Language on Menus to Weigh Your Choices Choosing healthy foods in restaurants can be difficult for a number of reasons. The culinary menu descriptions used to entice diners require some knowledge of what those descriptors mean to weigh your choices - better or worse. For example, “Grilled Chicken Breast”, describes a healthy preparation method because grilling doesn’t add fat. In another example, describing a taco as “topped with salsa and green onions”- tells you that vegetables are added that improve the nutrition. Lastly, a hamburger described as “served with mayo, mustard, and pickle” all describe ingredients that are contribute a lot of sodium to the entrée. Just like reading food labels can help you choose healthier packaged foods, identifying key culinary descriptors on a restaurant menu can point you towards more healthy options - before you order. 2 Start by Adjusting Portions to Your Needs Making a plan to control food portions to fit within your daily needs can help you choose a more healthful menu in a restaurant. Then, when your food is served, plan to adjust the portion you eat to match your estimated calorie needs as well. Discussion: Show the MyPlate mini-poster. Explain that MyPlate is a visual reminder of what a healthy meal consists of and in what proportions. This can be used in restaurants as well as at home. Handout the MyPlate Coloring Sheet Handout. Have participants write the foods from their typical menu in question #3 on the Activity Sheet Handout to the appropriate food group sections on the MyPlate Coloring Sheet Handout. Have participants discuss what foods (if any) have oversized portions and/or are missing food group portions. These would be areas they could make restaurant menu choice improvements to make more healthy choices. The MyPlate mini-poster/handout is also a useful guide to use for estimating your calorie needs. The chart on the back side shows estimated calorie needs for individuals. For a 2,000-calorie daily food plan, you need the amounts below from each food group. To find amounts personalized for you, go to ChooseMyPlate.gov. If there’s time and interest, have participants find their calorie needs by passing around the MyPlate mini-poster or provide a copy to each person as a handout. Use Tools at the Table Did you know the dishes your restaurant food is served on can be used to estimate portion size? The glasses, bowls and silverware used in restaurants are standard sizes similar to what you may use at home. Dishware and utensils hold specific measured amounts of food in cups, ounces, teaspoons and tablespoons, all of which correspond to the estimated portions recommended in the MyPlate guide. Discussion: Refer back to the MyPlate Handout. If the optional bowls, cups, spoons and serving utensils are available, have participants guess what measured quantity of their favorite foods fit into the standard dish and utensil items. Keep discussion short and provide the following examples if the participants need other suggestions: Soup bowls = 1 - 2 cups – Used to serve soup, salads, side dishes, hot or cold cereal Fruit bowls = ½ cup – used to serve desserts, side dishes, salad dressings Juice glass = 4-6 oz. – used to serve fruit juices Tumbler glass = 6-8 oz. – used to serve beverages Large tumbler glass =10-12 oz. – used to serve beverages Soup Spoon = 1 Tablespoon – used to serve salad dressing, cream cheese, coffee creamer, gravy Teaspoon – 1 teaspoon – used to serve butter, margarine, mayonnaise If you learn the portion sizes that each of these dish and silverware items serve, you can use them as a guide to help you estimate the portion size to eat for your calorie needs. Make Special Requests for Your Health Restaurants are in the business to serve people, and more and more people are making healthy menu choices when eating out. So, if you make special requests to help you make healthy choices, you might find that restaurants are willing to accommodate your request to keep your business. 3 Discussion: Ask participants how many of them make special requests to control portions, increase fruits or vegetables or control the sodium content of their restaurant food. Ask participants to check their skills making special requests and using them to their advantage to help them stay on track. Activity: Handout: Participant Menu Selection Skills Inventory. Ask participants to assess their restaurant menu selection skills using the inventory in the participant handout. Encourage them to add their own ideas on menu selection skills. When everyone is done, ask a few people to volunteer examples of something they already do, will try to do or don’t plan to do. Discuss new ideas that were added by participants. Activity: Have participants look again at their responses to question # 3 and # 4 on the Participant Activity Sheet. Have participants pair up and role play, ordering their typical menu and trying new special requests to make their meal more healthful. Have each person in each pair take a turn with the role of server and the role of customer. Encourage participants to have fun with the activity. Conclusion Eating out in restaurants is a part of nearly every American’s lifestyle. The 2010 Dietary Guidelines recommendations for healthy eating as well as the MyPlate guide can be used in restaurants as well as at home. Learning to decipher culinary menu descriptions is a great place to start, before you order. Making special requests then adjusting the portions to meet the MyPlate guidelines for your nutritional needs can keep you on track to a more healthful dining out experience. Practicing using the strategies you’ve learned in this class, will increase your skills and confidence to choose healthy restaurant food so you can enjoy eating out to avoid health risks or consequences. Evaluation: Please take time to evaluate the program by reading the consent form and filling out the evaluation survey. Give participants 5 minutes or so to complete the evaluation. Collect the evaluations and return them to your local county Extension Office. Sources: Dietary Guidelines and Restaurants in the USA, Roger Clemens, DrPH, USC School of Pharmacy. 2012. National Restaurant Association, 2000; Restaurant Industry Pocket Factbook. USDA 2010 Dietary Guidelines for Americans, http://www.cnpp.usda.gov/dietaryguidelines.htm © 2013 Oregon State University. OSU Extension Service cooperating. OSU Extension Service offers educational programs, activities, and materials without discrimination based on race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, or disabled veteran or Vietnam‐era veteran status. OSU Extension Service is an Equal Opportunity Employer. 4