{"id":13477,"date":"2020-02-20T22:50:03","date_gmt":"2020-02-21T03:50:03","guid":{"rendered":"https:\/\/foodmedcenter.org\/?p=13477"},"modified":"2022-06-16T14:41:29","modified_gmt":"2022-06-16T18:41:29","slug":"how-dining-out-leads-to-unhealthy-eating-for-most-americans","status":"publish","type":"post","link":"https:\/\/foodmedcenter.org\/es_pr\/how-dining-out-leads-to-unhealthy-eating-for-most-americans\/","title":{"rendered":"How Dining Out Leads to Unhealthy Eating for Most Americans"},"content":{"rendered":"<p><b>Overview<\/b><span style=\"font-weight: 400;\">: In a cross-sectional study of US adults published in the <\/span><i><span style=\"font-weight: 400;\">Journal of Nutrition,<\/span><\/i><span style=\"font-weight: 400;\"> researchers at the <\/span><a href=\"https:\/\/nutrition.tufts.edu\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Friedman School of Nutrition Science and Policy at Tufts University<\/span><\/a><span style=\"font-weight: 400;\"> found that meals from fast food (FF) and full-service (FS) restaurants accounted for <\/span><i><span style=\"font-weight: 400;\">one in five<\/span><\/i><span style=\"font-weight: 400;\"> calories consumed by American adults between 2003-2016 aimed to assess the nutritional quality of restaurant meals in general.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Findings included that, based on validated diet scores from the American Heart Association, less than 0.1 percent of all restaurant meals consumed during the study period were of \u201cideal\u201d quality. This score is determined by the American Heart Association&#8217;s <\/span><a href=\"https:\/\/www.heart.org\/idc\/groups\/heart-public\/@wcm\/@sop\/@smd\/documents\/downloadable\/ucm_319831.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">2020 Strategic Impact Goals<\/span><\/a><span style=\"font-weight: 400;\"> and factors in consumption of fruits and vegetables, fish\/shellfish, whole grains, sodium, sugar-sweetened beverages, nuts\/seeds\/legumes, processed meat, and saturated fat. The majority of the restaurant items assessed were low quality, with AHA diet scores of 31.6 (FS) and 27.6 (FF) out of a possible 80.<\/span><span style=\"font-weight: 400;\">\u201cIdeal\u201d quality meals had a score at or above 40 out of the possible 80.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The study concluded that spending on food away from home has risen to more than half of all food dollars Americans spend, yet the nutritional quality of the restaurant meals have remained the same in full-service restaurants and only modestly improved in fast-food restaurants. The disparities between meal quality and sociodemographic factors of race\/ethnicity, obesity status, education and income are widening, and there is a need for improvement in the nutritional quality of US restaurant meals.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Because the study findings concluded that the nutritional quality of restaurant items is low overall, <\/span><a href=\"https:\/\/www.sciencedaily.com\/releases\/2020\/01\/200129091401.htm\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Dariush Mozaffarian, senior author of the study and dean of the Friedman School notes<\/span><\/a><span style=\"font-weight: 400;\"> that <\/span><span style=\"font-weight: 400;\">&#8220;it should be a priority to improve the nutritional quality of both full-service and fast-food restaurant meals, while reducing disparities so that all Americans can enjoy the pleasure and convenience of a meal out that is also good for them.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The researchers assessed specific foods and nutrients found in restaurant meals and identified priorities for improvement. Based on findings of no improvement over the study period in sodium levels of fast-food meals and worsening levels of dishes consumed at full service establishments, they prioritized adding more whole grains, nuts and legumes, fish, fruits and vegetables to meals while reducing the amount of sodium to restaurant meals.<\/span><\/p>\n<p><a href=\"https:\/\/www.sciencedaily.com\/releases\/2020\/01\/200129091401.htm\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Mozaffarian mentioned to Science Daily<\/span><\/a><span style=\"font-weight: 400;\"> that \u201cat restaurants, two forces are at play: what&#8217;s available on the menu, and what Americans are actually selecting.\u201d Strategic improvements of nutritional quality must be carried out by the restaurant industry; however, advocacy groups, government, and consumers also have roles in advocating for improvements and making individual changes.\u00a0<\/span><\/p>\n<p><b>Article Citation: <\/b><span style=\"font-weight: 400;\">Junxiu Liu, Colin D Rehm, Renata Micha, Dariush Mozaffarian, Quality of Meals Consumed by US Adults at Full-Service and Fast-Food Restaurants, 2003\u20132016: Persistent Low Quality and Widening Disparities, <\/span><i><span style=\"font-weight: 400;\">The Journal of Nutrition<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/doi.org\/10.1093\/jn\/nxz299\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.1093\/jn\/nxz299<\/span><\/a><\/p>\n<p><b>Abstract Link: <\/b><a href=\"https:\/\/academic.oup.com\/jn\/advance-article-abstract\/doi\/10.1093\/jn\/nxz299\/5696668?redirectedFrom=fulltext\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Here<\/span><\/a><\/p>\n<p><b>Study Methodology<\/b><span style=\"font-weight: 400;\">: Cross-sectional study with 24-hour recalls in surveyed samples of US adults<\/span><\/p>\n<p><b>Human or Animal Participants<\/b><span style=\"font-weight: 400;\">: Human<\/span><\/p>\n<p><b>Study Populations<\/b><span style=\"font-weight: 400;\">: 35,015 nationally representative US adults ages 20 and older from 7 <\/span><a href=\"https:\/\/nutrition.tufts.edu\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">National Health and Nutrition Examination Survey (NHANES)<\/span><\/a><span style=\"font-weight: 400;\"> cycles (2003-2016)<\/span><\/p>\n<p><b>Who Does This Research Impact<\/b><span style=\"font-weight: 400;\">: The study was focused on US adults specifically; however, the conclusions can provide insight into restaurant food nutritional quality for all Americans, including children as well.\u00a0<\/span><\/p>\n<p><b>How to Apply Findings:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Use mustard, lemon, salt, pepper or vinegar as fat-free ways to season your food.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">For salads, watch the nuts, croutons, cheese and other add-ons.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Instead of cheese on your sandwich or burger, pick vegetables such as lettuce, tomato and onion.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Order a salad or broth-based soup to enjoy before your main course.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">If an item is labeled \u201chealthy,\u201d don\u2019t take their word for it. Review the nutritional information. Look for items that are high in nutrients, with lots of fruits, vegetables and whole grains, and low in unhealthy oils and creamy sauces.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Read the menu and look for any of the following cooking techniques, which use less fat and are generally lower in calories: baked, grilled, broiled, poached or steamed.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Ask questions about preparation and don\u2019t hesitate to make special requests. Make sure to ask:<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">\u201cHow is this prepared?\u201d even if it\u2019s called \u201clight\u201d on the menu. \u201cIs this fried? Can you make it baked, grilled, steamed or broiled without using much oil?\u201d<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">\u201cCan you prepare this without the cheese\/sauce and\/or can you put the sauce on the side?\u201d<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">\u201cHow many ounces\/how large is this dish?\u201d<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">See: <\/span><a href=\"https:\/\/foodmedcenter.org\/es_pr\/how-to-avoid-restaurant-sabotage\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">https:\/\/foodmedcenter.org\/how-to-avoid-restaurant-sabotage\/<\/span><\/a><\/p>\n<p><b>Number of Related Studies:\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Google Scholar: 20,200 articles published since 2016 appeared for the search \u201c<\/span><a href=\"https:\/\/scholar.google.com\/scholar?hl=en&amp;as_sdt=0%2C31&amp;as_ylo=2016&amp;q=restaurant+nutrition+quality+americans&amp;btnG=\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">restaurant nutrition quality americans<\/span><\/a><span style=\"font-weight: 400;\">\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">PubMed: 965 studies (all results published in the last 5 years) appeared for the search\u00a0 \u201c<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">restaurant nutrition quality americans<\/span><\/a><span style=\"font-weight: 400;\">\u201d<\/span><\/p>\n<p><b>Related Studies<\/b><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/doi.org\/10.1016\/j.amepre.2016.11.007\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Trends in Nutrient Content of Children\u2019s Menu Items in US Chain Restaurants <\/span><\/a><span style=\"font-weight: 400;\">(<\/span><i><span style=\"font-weight: 400;\">American Journal of Preventive Medicine<\/span><\/i><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/fullarticle\/1899558\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Trends in Dietary Quality Among Adults in the United States, 1999 Through 2010<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><i><span style=\"font-weight: 400;\">JAMA Internal Medicine<\/span><\/i><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/psycnet.apa.org\/record\/2017-22804-001\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Reading Between the Menu Lines: Are Restaurants\u2019 Descriptions of \u201cHealthy\u201d Foods Unappealing?<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><i><span style=\"font-weight: 400;\">Health Psychology<\/span><\/i><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/doi.org\/10.1093\/ajcn\/nqx024\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">US Restaurant Sector Can Promote Healthy Food Environments to Reduce Obesity Risk<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><i><span style=\"font-weight: 400;\">American Journal of Clinical Nutrition<\/span><\/i><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/dx.doi.org\/10.1080%2F19325037.2016.1250688\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Eating Well While Dining Out: Collaborating with Local Restaurants to Promote Heart Healthy Menu Items<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><i><span style=\"font-weight: 400;\">American Journal of Health Education<\/span><\/i><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6015353\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Association of Fast-Food and Full-Service Restaurant Densities with Mortality from Cardiovascular Disease and Stroke, and the Prevalence of Diabetes Mellitus<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><i><span style=\"font-weight: 400;\">Journal of the American Heart Association<\/span><\/i><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/dx.doi.org\/10.3390%2Fnu8120804\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Trends in Consumption of Solid Fats, Added Sugars, Sodium, Sugar-Sweetened Beverages, and Fruit from Fast Food Restaurants and by Fast Food Restaurant Type Among US Children, 2003-2010<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><i><span style=\"font-weight: 400;\">Nutrients<\/span><\/i><span style=\"font-weight: 400;\">)<\/span><\/li>\n<\/ul>\n<p><b>Are Results Consistent With Related Studies?<\/b><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As mentioned, the study focused on meals consumed by adults, but <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0749379716305797\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">a 2017 study in the American Journal of Preventive Medicine<\/span><\/a><span style=\"font-weight: 400;\"> found similar issues on children&#8217;s menus. Results of this study suggest little progress towards improved nutrition in children\u2019s menu items and concluded that efforts need to be made by restaurants to offer more healthful children\u2019s meals. Additional studies <\/span><a href=\"https:\/\/doi.org\/10.1093\/ajcn\/nqx024\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">on the role of the restaurant sector to promote healthy food environments<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/dx.doi.org\/10.1080%2F19325037.2016.1250688\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">on a restaurant-based intervention to promote heart-healthy menu items<\/span><\/a><span style=\"font-weight: 400;\"> also concluded that restaurants, as well as food manufacturers partnering with restaurants, could show leadership and adopt strategies to promote affordable and profitable offerings that support a healthier diet. Additionally, these studies emphasized the need for government agencies and individuals to request healthier options and hold the restaurant industry accountable for making these changes.\u00a0<\/span><\/p>\n<p><b>Limitations of Study<\/b><span style=\"font-weight: 400;\">: Limitations of the study include the nature of the self-reported food recall data, which is subject to measurement error and, therefore, inaccuracies in reported food intake. The food intake reports, because of the subjectivity of self-reported data and socially constructed perceptions, participants may over- or under-report consumption of healthy or unhealthy foods.\u00a0<\/span><\/p>\n<p><b>References and Related Information<\/b><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/academic.oup.com\/jn\/advance-article-abstract\/doi\/10.1093\/jn\/nxz299\/5696668?redirectedFrom=fulltext\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Quality of Meals Consumed by US Adults at Full-Service and Fast-Food Restaurants, 2003-2016: Persistent Low Quality and Widening Disparities<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><i><span style=\"font-weight: 400;\">Journal of Nutrition<\/span><\/i><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.eurekalert.org\/pub_releases\/2020-01\/tuhs-otm012320.php\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">On the Menu: Study Days DIning Out is a Recipe for Unhealthy Eating for Most Americans<\/span><\/a><span style=\"font-weight: 400;\"> (Eurekalert)<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.sciencedaily.com\/releases\/2020\/01\/200129091401.htm\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">On the Menu: Study Says Dining Out is a Recipe for Unhealthy Eating for Most Americans<\/span><\/a><span style=\"font-weight: 400;\"> (ScienceDaily)<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/doi.org\/10.1016\/j.amepre.2016.11.007\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Trends in Nutrient Content of Children\u2019s Menu Items in US Chain Restaurants <\/span><\/a><span style=\"font-weight: 400;\">(<\/span><i><span style=\"font-weight: 400;\">American Journal of Preventive Medicine<\/span><\/i><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/doi.org\/10.1093\/ajcn\/nqx024\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">US Restaurant Sector Can Promote Healthy Food Environments to Reduce Obesity Risk<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><i><span style=\"font-weight: 400;\">American Journal of Clinical Nutrition<\/span><\/i><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/dx.doi.org\/10.1080%2F19325037.2016.1250688\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Eating Well While Dining Out: Collaborating with Local Restaurants to Promote Heart Healthy Menu Items<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><i><span style=\"font-weight: 400;\">American Journal of Health Education<\/span><\/i><span style=\"font-weight: 400;\">)<\/span><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Overview: In a cross-sectional study of US adults published in the Journal of Nutrition, researchers at the Friedman School of Nutrition Science and Policy at Tufts University found that meals&hellip;<\/p>","protected":false},"author":47,"featured_media":13491,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[11371],"tags":[10966,10970,10968,10969,10971,10972,10967],"class_list":["post-13477","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-foods-and-ingredients","tag-american-heart-association","tag-american-journal-of-preventive-medicine","tag-friedman-school-of-nutrition-science-and-policy","tag-journal-of-nutrition","tag-nhanes","tag-science-daily","tag-tufts-university"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.9 (Yoast SEO v27.9) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ 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