Fast-food Menu Offerings Vary in Dietary Quality, but Are Consistently Poor

Overview

Journal Public Health Nutr

Publisher Cambridge University Press

Date 2013 Jan 16

PMID 23317511

Citations 38

Authors

Sharon I Kirkpatrick

Jill Reedy

Lisa L Kahle

Jennifer L Harris

Punam Ohri-Vachaspati

Susan M Krebs-Smith

Affiliations

Soon will be listed here.

Abstract

Objective: To evaluate five popular fast-food chains' menus in relation to dietary guidance.

Design: Menus posted on chains' websites were coded using the Food and Nutrient Database for Dietary Studies and MyPyramid Equivalents Database to enable Healthy Eating Index-2005 (HEI-2005) scores to be assigned. Dollar or value and kids' menus and sets of items promoted as healthy or nutritious were also assessed.

Setting: Five popular fast-food chains in the USA.

Subjects: Not applicable.

Results: Full menus scored lower than 50 out of 100 possible points on the HEI-2005. Scores for Total Fruit, Whole Grains and Sodium were particularly dismal. Compared with full menus, scores on dollar or value menus were 3 points higher on average, whereas kids' menus scored 10 points higher on average. Three chains marketed subsets of items as healthy or nutritious; these scored 17 points higher on average compared with the full menus. No menu or subset of menu items received a score higher than 72 out of 100 points.

Conclusions: The poor quality of fast-food menus is a concern in light of increasing away-from-home eating, aggressive marketing to children and minorities, and the tendency for fast-food restaurants to be located in low-income and minority areas. The addition of fruits, vegetables and legumes; replacement of refined with whole grains; and reformulation of offerings high in sodium, solid fats and added sugars are potential strategies to improve fast-food offerings. The HEI may be a useful metric for ongoing monitoring of fast-food menus.

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References

Bowman S, Vinyard B . Fast food consumption of U.S. adults: impact on energy and nutrient intakes and overweight status. J Am Coll Nutr. 2004; 23(2):163-8. DOI: 10.1080/07315724.2004.10719357. View

Powell L, Szczypka G, Chaloupka F . Trends in exposure to television food advertisements among children and adolescents in the United States. Arch Pediatr Adolesc Med. 2010; 164(9):794-802. DOI: 10.1001/archpediatrics.2010.139. View

Kirkpatrick S, Dodd K, Reedy J, Krebs-Smith S . Income and race/ethnicity are associated with adherence to food-based dietary guidance among US adults and children. J Acad Nutr Diet. 2012; 112(5):624-635.e6. PMC: 3775640. DOI: 10.1016/j.jand.2011.11.012. View

Duffey K, Gordon-Larsen P, Jacobs Jr D, Williams O, Popkin B . Differential associations of fast food and restaurant food consumption with 3-y change in body mass index: the Coronary Artery Risk Development in Young Adults Study. Am J Clin Nutr. 2007; 85(1):201-8. DOI: 10.1093/ajcn/85.1.201. View

Urban L, McCrory M, Dallal G, Das S, Saltzman E, Weber J . Accuracy of stated energy contents of restaurant foods. JAMA. 2011; 306(3):287-93. PMC: 4363942. DOI: 10.1001/jama.2011.993. View

Larson N, Story M, Nelson M . Neighborhood environments: disparities in access to healthy foods in the U.S. Am J Prev Med. 2008; 36(1):74-81. DOI: 10.1016/j.amepre.2008.09.025. View

Pereira M, Kartashov A, Ebbeling C, Van Horn L, Slattery M, Jacobs Jr D . Fast-food habits, weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis. Lancet. 2005; 365(9453):36-42. DOI: 10.1016/S0140-6736(04)17663-0. View

French S, Harnack L, Jeffery R . Fast food restaurant use among women in the Pound of Prevention study: dietary, behavioral and demographic correlates. Int J Obes Relat Metab Disord. 2000; 24(10):1353-9. DOI: 10.1038/sj.ijo.0801429. View

Britten P, Marcoe K, Yamini S, Davis C . Development of food intake patterns for the MyPyramid Food Guidance System. J Nutr Educ Behav. 2006; 38(6 Suppl):S78-92. DOI: 10.1016/j.jneb.2006.08.007. View

10.

Guenther P, Reedy J, Krebs-Smith S . Development of the Healthy Eating Index-2005. J Am Diet Assoc. 2008; 108(11):1896-901. DOI: 10.1016/j.jada.2008.08.016. View

11.

Reedy J, Krebs-Smith S, Bosire C . Evaluating the food environment: application of the Healthy Eating Index-2005. Am J Prev Med. 2010; 38(5):465-71. DOI: 10.1016/j.amepre.2010.01.015. View

12.

Wu H, Sturm R . What's on the menu? A review of the energy and nutritional content of US chain restaurant menus. Public Health Nutr. 2012; 16(1):87-96. PMC: 10271328. DOI: 10.1017/S136898001200122X. View

13.

Duffey K, Gordon-Larsen P, Steffen L, Jacobs Jr D, Popkin B . Regular consumption from fast food establishments relative to other restaurants is differentially associated with metabolic outcomes in young adults. J Nutr. 2009; 139(11):2113-8. PMC: 2762152. DOI: 10.3945/jn.109.109520. View

14.

Bowman S, Gortmaker S, Ebbeling C, Pereira M, Ludwig D . Effects of fast-food consumption on energy intake and diet quality among children in a national household survey. Pediatrics. 2004; 113(1 Pt 1):112-8. DOI: 10.1542/peds.113.1.112. View

15.

Krebs-Smith S, Reedy J, Bosire C . Healthfulness of the U.S. food supply: little improvement despite decades of dietary guidance. Am J Prev Med. 2010; 38(5):472-7. PMC: 2858769. DOI: 10.1016/j.amepre.2010.01.016. View

16.

Krebs-Smith S, Guenther P, Subar A, Kirkpatrick S, Dodd K . Americans do not meet federal dietary recommendations. J Nutr. 2010; 140(10):1832-8. PMC: 2937576. DOI: 10.3945/jn.110.124826. View

17.

Powell L, Nguyen B, Han E . Energy intake from restaurants: demographics and socioeconomics, 2003-2008. Am J Prev Med. 2012; 43(5):498-504. PMC: 3479669. DOI: 10.1016/j.amepre.2012.07.041. View

18.

Sebastian R, Wilkinson Enns C, Goldman J . US adolescents and MyPyramid: associations between fast-food consumption and lower likelihood of meeting recommendations. J Am Diet Assoc. 2009; 109(2):226-35. DOI: 10.1016/j.jada.2008.10.053. View