City of Denton Heart Healthy Dining Guide Dine Well & Live Well! Presented by Last Updated 4/14/13 Table of Contents Mission Statement 2 About the Denton County Healthy Communities Coalition 3 About the Dining Guide 3 Current Initiative 4 Made to Order: Ask for It! 4 General Tips for Healthy Dining 5 Build a Healthy Plate—On the Go 6 Healthy Choices: It’s Up to You 7 Let’s Practice Ordering 8 How Restaurants Can Join the Guide 9 Contact Us, Survey/ Drawing, Sponsorship 9 Criteria for Restaurants 10 How to Read Dining Guide 12 Restaurant Directory 13 Local Resources for Nutrition 15 Resources 16 Mission Statement To improve the health of Denton County residents through disease prevention and health promotion. For more health promotion disease prevention resources in Denton County: http://dentoncounty.com/dept/main.asp? Dept=33 www.livewelldentoncounty.org Page 2 City of Denton Heart Healthy Dining Guide About the Denton County Healthy Communities Coalition The Denton County Healthy Communities Coalition (DCHCC) is comprised of representatives from Denton County Health Department, City of Denton, local universities, local hospital health professionals, local business owners, and concerned citizens. In 2002, this coalition identified the community need of “access to care” as its primary focus. In 2004, the coalition coordinated the effort that led to the opening of the People’s Clinic, a medical care clinic that provided patient care independent of the ability to pay. In 2007, this coalition reconvened to identify current needs and still focuses on healthy eating, active living, smoking cessation, and geriatric services. About the Dining Guide The Heart Healthy Dining Guide was developed to help Denton residents choose healthier menu options at local and chain restaurants. The revised Heart Healthy Dining Guide uses a new system to reward restaurants that make strides in informing the public of healthier choices and providing options for better health. Award winners receive a Certificate of Excellence from the Denton County Healthy Communities Coalition and a window decal for their establishments to highlight their accomplishment. Page 3 Current Initiative Heart and Stroke Healthy City Recognition Program The Texas Council on Cardiovascular Disease reviews cities every two years on 10 indicators for recognition. Denton has earned Honorable Mention in 2008 and Silver Level in 2011. Made to Order: Ask for it! Take advantage of healthy offerings by restaurants, many of which are only available upon request: Fruits and vegetables allowed as substitutes in place of higher fat side orders (e.g. French fries or chips) Information about recipe ingredients Portion-controlled sizes for customers of all ages at all meals or half-sized portions on regular menu items The opportunity to have half of a meal placed in a box for take-out before being served Gravies/sauces/dressing/butter etc. served on the side Use low-fat or skim milk in your coffee or tea instead of coffee creamer. www.livewelldentoncounty.org Page 4 City of Denton Heart Healthy Dining Guid e General Tips for Healthy Dining Try these “Heart Healthy” tips for eating out, regardless of where you are! For restaurants that provide nutrient facts on their website use these guidelines adapted from the Putting Health on the Menu initiative to see how they measure up: Nutritional Standards for Restaurant Per Adult Meal Per Children’s Meal Per Side Item* Calories (kcals) < 500 < 350 < 250 Fruit/Vegetable > 2 servings > 2 servings > 1 serving Whole Grains > ½ of all grains > ½ of all grains > 1 serving Dairy (Milk, Yogurt, Cheese) Low-fat or fatfree; Cheese (sat. fat within limits below) Low-fat or fatfree; Cheese (sat. fat within limits below) > 1 serving Added Caloric Sweetener Trans Fat < 10 % of kcals < 0.5 g < 0.5 g Calories from Fat < 30 % of total calories < 30 % of total calories < 30 % of total calories Saturated Fat < 7 % of total calories < 7 % of total calories < 7 % of total calories < 750 mg < 600 mg < 230 mg Sodium * Restaurants must meet this criteria for one third of all side dishes to follow the guidelines. The meal includes entrees (which are not always a meat) and side items. Page 5 Build a Healthy Plate—On the Go Aim for fresh fruit or vegetable options (preferably non-processed). Think whole food! Aim for half of each meal to be fruits and vegetables Skip the complimentary options such as breads, chips, etc. that can be high in calories/fat or ask to have the bowl/ basket moved to away from you. Don’t be afraid to ask for your order to be made to your specifications and ask how food is prepared. Make half of your grains whole grains. Examples include whole-wheat bread and dishes made with brown rice. Keep the portions under control with one of these techniques: Stop eating when you are full — listen to the cues your body gives you! Take half of your meal home. The second half can serve as a second meal! (Two meals for the price of one: What a deal!) Remember, don't deprive yourself of the foods you love. All foods can fit into a well-balanced diet. Just watch portions and how often you indulge. Avoid portion distortion! To learn more: http://hp2010.nhlbihin.net/oei_ss/menu.htm www.livewelldentoncounty.org Page 6 City of Denton Heart Healthy Dining Guid e Healthy Choices-It’s Up to You! Choose This….. Avoid This… Enjoy what you eat in smaller portions Instead of Supersized, large portions Split the entrée or take half home Instead of The “jumbo”, “large” or “supersized” portions: Chew your calories to prevent being hungry later Instead of Drinking your calories. Liquid calories add up fast! Drink liquids with 0 calories unless they provide vitamins/ minerals (e.g. milk, soy milk, orange juice with calcium). Instead of 20 oz of soda that packs on 240 kcals. You could eat half a meal for same amount of calories Foods that are low in fat (lean meat, vegetable proteins, low fat dairy, Instead of Creams, butters, and cheeses; items that are “loaded” Enjoy steamed vegetables as a side item Instead of High calorie sides such as chips, French fries, bread Order dressings, sauces, and condiments on the side Instead of These being poured on your plate by your server. Ask for a substitution of a side salad, steamed vegetables, or a baked potato Instead of Having French fries with your entree Water, herbal tea, or unsweetened tea or coffee. Instead of Regular soda, juices, or alcoholic beverages Baked, grilled, dry-sautéed, broiled, poached, or steamed, Instead of Fried, battered, or breaded or high fat meats like ham or bacon Sirloin, flank, tenderloin Instead of Ground beef, prime rib, corned beef Skinless poultry Instead of Poultry with skin or fried Corn tortillas Instead of Flour tortillas Mustard Instead of Mayonnaise Page 7 Let’s Practice Ordering! Are these healthy choices? Stuffed cheese tortellini in cream sauce No—”stuffed cheese” and “cream sauce” are your clues here Try a lean protein such as chicken or fish and a marinara sauce instead Breaded chicken sandwich and fries No—”breaded” and “fried” are your clues here Try a grilled chicken sandwich instead and substitute steamed vegetables for fries Taco salad No—high fat condiments such as cheese, sour cream, olives plus the taco shell can make this item cost you over 1000 calories before dressing! Ask for cheese and olives on the side, swap guacamole for the sour cream and just think of the shell as a bowl that you do not eat and this could become a decent choice if fajita meat is used. Southwest grilled chicken wrap Maybe! If you control how much dressing is added and the portion size is not too distorted, this could be a great choice. Keep the side item healthy and you should be better fueled for your day! www.livewelldentoncounty.org Page 8 City of Denton Heart Healthy Dining Guid e How Restaurants Can Join the Guide If you would like us to evaluate your restaurant for possible inclusion in the Heart Healthy Dining Guide, please use the contact us information below to request a review. See criteria on p. 10. Contact Us If you would like to learn more about the dining guide or the Denton County Healthy Communities Coalition, please contact us: Phone: 972-434-4715 Email: info@livewelldentoncounty.org Web: www.livewelldentoncounty.org Complete Our Survey We launched a survey with the revision of the Dining Guide. Please take the link to the survey from Eat Healthy page of our website above. Participants are entered into drawings for gift certificates provided by Love to Live Well. Sponsorship Opportunities This Dining Guide will expand throughout Denton County with the help of community sponsors. If you are interested in sponsorship opportunities, please contact us! Page 9 Criteria for Restaurants To be reviewed for award status, restaurants must first score a minimum of 85 according to city restaurant code (http://www.cityofdenton.com/home/showdocument? id=13221). Then each restaurant is evaluated on the following criteria to see what award level they reach. 10-Point Criteria (Bronze: 70%, Silver: 80%, Gold:90%, Platinum: 100% of criteria met) 1. Whole Grains: Offer whole grain options (defined as first ingredient is whole grain or at least 51% grain ingredients are whole) for breads, rice, pasta, pizza crusts, etc. 2. Portions: Offer smaller portions in one of the following ways: Half or smaller portions of entrees are available at a lower cost or Entree sharing is available at no cost or smaller portions are available on lunch menu or Adults are allowed to order kids’ portions or off the kids’ menu 3. Fruits and/or Vegetables: Offer at least 4 fruits or vegetables on menu (excluding French fries) www.livewelldentoncounty.org Page 10 City of Denton Heart Healthy Dining Guid e 4. Calories: Offer at least 2 entrées under 500 calories 5. Dietary Restrictions: Vegetarian, gluten-free, and/ or sugar-free options are listed on menu 6. Non-sugary Beverages: At least 4 non-sugary beverages are listed on menu 7. Locavore! Local ingredients are used in menu items 8. Low-fat cooking: At least 4 entrees are prepared using low-fat cooking methods 9. Low-fat desserts: At least 2 lower fat choices are on the dessert menu 10. Low-fat alternatives: Offer low-fat alternatives in one of the following ways: Reduced-fat milk as a beverage or Reduced or fat-free dressing The general guideline for better health, particularly for those watching their weight, is for adults to keep lunch and dinner < 400-500 calories/meal for women and < 600-700 calories/meal for men. American Heart Association recommends a sodium intake should of < 1500 mg/day. The average American consumes ~3500 mg/day with some who frequent fast-food restaurants often reaching more than 5,000 mg/day. Page 11 How to Read the Dining Guide: Restaurants are listed in alphabetical order with their award level beside their name. Award Levels with Minimum Criteria Met Platinum (100% of criteria met) Gold (> 90% of criteria met) Silver (> 80% of criteria met) Bronze (> 70% of criteria met) Honorable Mention (> 50% of criteria met)Restaurants are making some effort in marking healthier options on their menu but do not meet criteria for an award level. For each restaurant, tips for wiser eating and specific efforts to help patrons eat healthier are included. Other symbols V = > 3 Vegetarian entrees/main course GF = > 3 Gluten-free entrees/main course The No-Smoking symbol represents restaurants that are 100% smoke-free. V GF Criteria Legend: 1=Whole Grains 2= Portions, 3=Fruits/ Veggies, 4=Calories, 5=Diet Restrictions, 6=Non-Sugary Beverages, 7=Locavore!, 8=Low-fat Cooking, 9=Low-fat Desserts, 10=Low-fat Alternatives (milk & dressings). Online version of provides links to nutrition information/menu for each restaurant. www.livewelldentoncounty.org Page 12 City of Denton Heart Healthy Dining Guid e Restaurant Directory Applebee’s (Bronze Meets 7 criteria 2-6, 8, 10) Allergen-free options; go for grilled entrees or 1/2 portions on signature salads and low-fat dressing. GF Chili’s (Silver Meets 8 criteria 1-6, 8, 10) Will substitute turkey or black bean patty on any burger; low fat milk; low-fat dressings; whole wheat buns. GF V Cracker Barrel (Bronze Meets 7 criteria 1-3, 5-6, 8, 10) Choose whole grain options, watch how vegetables are prepared, choose grilled meats to reduce fat; add nutrient-rich fruit and yogurt. Cupboard Natural Foods (Silver Meets 7 criteria 13, 5-8, 10) Allows splitting meals; whole grain options; watch sauces—order those on the side and use sparingly. GF Denny’s (Bronze Meets 7 criteria 1-4, 6, 8, 10) Choose “fit fare” items (lean, light, high protein, high fiber noted); aim for grilled meats; and add fruits and veggies. V Golden Corral (Silver Meets 8 criteria 1-3, 5-6, 8-10) Buffets are tricky—load half the plate with fruits and veggies (see p. 6) first, then sample small portions of the foods you like; look for the lower fat desserts if you Page 13 V Restaurant Directory The Greenhouse (Bronze Meets 7 criteria 2-3, 5-9) Grow their own herbs for cooking; allows split portions; aim for grilled/seared items. McAlister’s Deli (Silver Meets 8 criteria 1-6, 8, 10) Try “choose 2 portion” to reduce fat and calories; aim for entrees< 500 kcals. Olive Garden (Silver Meets 8 criteria 1-6, 8, 10) Order items with olive branch for low-fat options and Lighter Italian Fare for lower-calorie entrees. Panera Bread (Silver Meets 8 criteria 1-6, 8, 10) Order from the “you pick 2” items or mini scones or mini muffins to keep under 500 calories. Weinberger’s Deli (Bronze Meets 7 criteria 1-3, 5-8) Order smaller-sized sandwiches to keep calories in check; go easy on the dressings as no low-fat dressings are available; 8 vegetarian options; small sandwiches can be made gluten-free. Honorable Mention: 60% of criteria met: Andaman Thai Restaurant, Cici’s Pizza, Fuddrucker’s, Rosa’s Café 50% of criteria met: Arby’s, Fuzzy’s Tacos www.livewelldentoncounty.org Page 14 GF V V GF V V GF V City of Denton Heart Healthy Dining Guid e Local Resources for Nutrition Texas AgriLIFE Extension-Denton County Better Living for Texans Do Well Be Well with Diabetes (940) 349-2886 Find a Registered Dietitian (RD) RDs can help you meet your nutrition goals, use the RD Finder to see who’s near you. LEAD-Up Program-Diabetes Lifestyle Program 940-898-2512 WIC/SNAP Program-Nutrition counseling for women & children ages 1-5 (940) 349-2900 References Academy of Nutrition & Dietetics American Heart Association Anna Love, PhD, RD, LD, MCHES—Registered Dietitian in private practice, Love to Live Well. Restaurant criteria adapted from Activate Wallingford (www.activatewallingford.org/), Get Active LaCrosse Initiatives (www.getactivelacrosse.org/), and Putting Health on the Menu (www.phlpnet.org). Page 15 There’s an App For That! Eating Well on the Go With Websites/Apps Academy of Nutrition and Dietetics: www.eatright.org American Heart Association: http://www.heart.org/ HEARTORG/ Healthy Dining Finder: Find local restaurants with healthy options-www.healthydiningfinder.com Sparkpeople: Free online diet plans & healthy living community www.sparkpeople.com* The Daily Plate: Calorie Counter, Diet Tracking, Food Journal, Nutrition Facts (App called Calorie Counter)www.thedailyplate.com* United States Department of Agriculture/My Platewww.choosemyplate.gov Try these apps to track your food intake and activity using your smart phone! Lose It* My Fitness Pal* Calorie Tracker (Livestrong)* * Mobile phone app on iphone, Android, & Blackberry For more resources, see www.livewelldentoncounty.org. Acknowledgements This Dining Guide was revised and printed with grant funding from Texas Department of State Health Services (# 2013-042881 No. 001A: Health Promotion & Chronic Disease Prevention Cardiovascular Healthy Eating). Page 16