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Healthy Fast Food

Healthy Choices at Fast Food Restaurants

Healthy Choices at Fast Food Restaurants

America has been called a ‘fast food nation,' and for good reason. Everyday, one out of four Americans eats fast food. If you are eating out, fast food restaurants are often the cheapest option, but unfortunately, not usually a healthy one. Eating just one fast food meal can pack enough calories, sodium and fat for an entire day, but the quick-and-cheap temptation can be hard to resist.  

The good news is that many chain restaurants are adding healthier menu options. Read on to learn how to make smart choices and maintain your healthy diet goals when eating out!

Healthy fast food - Yes it's possible

One obstacle to healthy eating at fast food restaurants is the lack of knowledge of the nutritional content of your favorite items.  For example, a seemingly healthy salad can be a diet minefield when smothered in high-fat dressing and fried toppings. Portion control is also a challenge, as many fast food restaurants serve enough food for several meals in the guise of a single serving.  However, following a few simple rules when you are eating out will make it possible to stick to a healthy diet.

Healthy choices at fast food restaurants

When you think of fast food, big chains such as McDonalds, Taco Bell, Pizza Hut, or Kentucky Fried Chicken usually come to mind. But healthy eating guidelines apply to a wide variety of eateries, including “fast casual” chains with full service, mall food courts, and buffet or cafeteria style restaurants. Whether you eat in or take out; choose your own food at a buffet or wait in line to order; you can learn to make healthy food choices.

Top tips for healthy eating at fast food restaurants  

Following a few simple rules when you are eating out will make it possible to maintain your nutritious diet, even when you are away from home or on the road.

  1. Look before you leap - Most fast food restaurants and restaurant chains post nutritional information about their food offerings on their web sites – check them out. If you decide what you can and should order before you arrive, it will make it easier to avoid the less nutritious, higher calorie options.
  2. Eat mindfully - Mindful eating means paying attention to what you eat, savoring each bite, and choosing foods that are both nourishing and enjoyable. Being mindful about food also means eating until you are not quite full, but not one bite more—things that are hard to do if your attention is elsewhere. Mindful eating relaxes you so you digest better, slows down the pleasure and makes you feel more satisfied.
  3.  “Undress” your food - When choosing, be aware of highly caloric additions such as salad dressings, cheese, sour cream, etc. Sometimes, making your choice healthier is as simple as removing the condiments. For example, ask for a grilled chicken sandwich without the mayonnaise.
  4. Avoid buffets – All-you-can-eat buffets – even seemingly healthy ones like salad bars -0promote overeating. If the temptation isn't in front of you, you are less likely to overindulge.
  5. Make careful menu selections – Many restaurants indicate healthy choices on their menus; fast food restaurants now offer a wider range of healthy choices and most will provide nutritional information on all of their offerings by request.
  6. Don't be afraid to special order – Most restaurants have plenty of things that are good for you, but they are served in heavy sauces. Ask for your vegetables and main dishes to be served without the sauces. Ask if things are fried or cooked in oil or butter – if they are, see if you can order them in a more healthy way.
  7. Watch portion size – At a typical restaurant, a single serving provides enough calories for at least two meals. If you can't order a smaller portion, it is a good rule of thumb to leave at least one-third to one-half of the meal on your plate. Or, separate your meal before you start eating so that you create a distinction between what you are going to eat in the restaurant and what you want to take home. Ordering something that will reheat easily will provide you with a delicious lunch or dinner the next day. At fast food chains, avoid combo meals – they often have larger portions and extra calories.
  8. Share – Sharing entrees, appetizers and desserts with dining partners is a great idea. It allows you to sample something that you really want to have while also helping you avoid the temptation to overindulge. It is still important to make good menu choices, but sharing might make dessert (or something else indulgent) more of an option.
  9. Order sauce and dressing on the side – If you ask for sauces and dressings on the side, you can control the amount that you eat. Often you can use less than is normally used and still enjoy the same taste.
  10. Remember the big picture – Think of eating out in the context of your whole diet. If it is a special occasion, or you know you want to order your favorite meal at a nice restaurant, cut back on your earlier meals that day. Moderation is always key, but planning ahead can help you relax and enjoy your dining out experience without sacrificing good nutrition or diet control.

Watch your salt!

Even when items are low-fat or low-calories, restaurant food tends to be very high in sodium – a major cause of high blood pressure. Broth-based soups, which can be a great choice for those cutting calories, are notoriously high in salt. When nutrition information for the restaurant is available to you, try and pay attention to the sodium content as well as fat, saturated fat, and calories.

Healthy fast food: Burger chains

Healthy fast food: Burger chains Figuring out the healthiest option at your favorite fast food burger chain can be tricky. Chicken may seem like a better diet choice than beef, but according to McDonald’s website, the McDonald’s chicken sandwich has more fat and calories than their regular hamburger – a decent choice at 280 calories and 10 grams of fat. But upgrade that regular hamburger to a Big Mac, and you’ll be adding more than 300 calories and 20 grams of fat to your meal!

However, even some old favorites can be healthier choices – once you know the nutrition facts of your favorite items, you’ll be able to make better decisions.

The Big Burger Chains

Healthy choices
  1. Regular, single-patty hamburger without mayo or cheese
  2. Grilled chicken sandwich
  3. Veggie burger
  4. Garden salad with grilled chicken and low-fat dressing
  5. Egg on a muffin
  6. Baked potato
  7. Yogurt parfait
  8. Grilled chicken strips
  9. Limiting cheese, mayo, and special sauces
Unhealthy choices
  1. Double-patty hamburger with cheese, mayo, special sauce, and bacon
  2. Fried chicken sandwich
  3. Fried fish sandwich
  4. Salad with toppings such as bacon, cheese, and ranch dressing
  5. Breakfast burrito with steak
  6. French fries
  7. Milkshake
  8. Chicken “nuggets” or tenders
  9. Adding cheese, extra mayo, and special sauces

Healthy fast food: Fried chicken chains

Healthy fast food: Fried chicken chainsAlthough certain chains have been advertising “no trans fats” in their food, the fact is that fried chicken can pack quite a fattening punch. According to the restaurant’s nutrition info, just a single Extra Crispy Chicken breast at KFC has a whopping 440 calories, 27 grams of fat, and 970 mg of sodium.

However, you can still enjoy an occasional lunch from fast food chicken restaurants by making smart choices.

The Big Fried Chicken Chains

Healthy choices
  1. Skinless chicken breast without breading
  2. Honey BBQ chicken sandwich
  3. Garden salad
  4. Mashed potatoes
  5. Limiting gravy and sauces
Unhealthy choices
  1. Fried chicken, original or extra-crispy.
  2. Teriyaki wings or popcorn chicken
  3. Caesar salad
  4. Chicken and biscuit “bowl”
  5. Adding extra gravy and sauces

Healthy fast food: Mexican chains

Healthy fast food: Mexican chains Fast food chains that specialize in tacos or burritos can also be caloric minefields. Adding guacamole, cheese, sour cream and tortilla chips can make even a good meal turn unhealthy.

Luckily, chains like Taco Bell and Baja Fresh have recently added “healthy” menu options that feature less fat and fresher ingredients.


The Big Taco Chains

Healthy choices
  1. Grilled chicken soft taco
  2. Black beans
  3. Shrimp ensalada
  4. Grilled “fresco” style steak burrito
  5. Veggie and bean burrito
  6. Limiting sour cream, guacamole, or cheese
Unhealthy choices
  1. Crispy shell chicken taco
  2. Refried beans
  3. Steak Chalupa
  4. Crunch wraps or gordita-type burritos
  5. Nachos with refried beans
  6. Adding sour cream, guacamole, or cheese

Healthy fast food: Sub sandwich chains

Healthy fast food: Sub sandwich chainsWe’ve all seen the ads – eat at Subway and lose weight! Easier said than done... an October 2007 Journal of Consumer Research study found that people tend to eat 350 more calories per meal at a sub shop than at McDonalds. This may be because people feel so virtuous eating “healthy” like the ads promise, that they reward themselves with chips, sodas, or extra condiments.

It is easier to eat healthfully at a deli or sub shop than it is at most fast food establishments, but you need to use some common sense.

Subs, Sandwich and Deli Choices

Healthy choices
  1. Six-inch sub
  2. Lean meat (roast beef, chicken breast, lean ham) or veggies
  3. One or two slices of lower-fat cheese (Swiss or mozzarella)
  4. Adding low-fat dressing or mustard instead of mayo
  5. Adding extra veggie toppings
  6. Choosing whole-grain bread or taking the top slice off your sub and eating it open-faced
Unhealthy choices
  1. Foot-long sub
  2. High-fat meat such as ham, tuna salad, bacon, meatballs, or steak
  3. The “normal” amount of higher-fat (Cheddar, American) cheese
  4. Adding mayo and special sauces
  5. Keeping the sub “as is” with all toppings
  6. Choosing white bread or “wraps” which are often higher in fat than normal bread

Healthy fast food: “Fast casual” restaurants

Just because someone serves you your food at a table, doesn’t necessarily make it healthier. But many casual restaurants are offering “light selections” on their menus.

Some healthy choices that can be found at casual-fare chains:

Casual-fare Restaurant Choices

Healthy fast food: “Fast casual” restaurants
Healthy choices
  1. Side salad with low-fat dressing or a side of steamed veggies
  2. Turkey, roast beef, or grilled chicken sandwich
  3. Baked or grilled fish
  4. Chicken or turkey wraps w/out mayo or cheese
Unhealthy choices
  1. Salads with fried onions, cheeses, meats and high-fat dressings
  2. Mayo-heavy tuna or chicken salad sandwich
  3. Battered or deep-fried fish
  4. Extra-large burgers loaded with cheese and sauces

Healthy Asian food

Healthy Asian FoodAsian cultures tend to eat very healthfully, with an emphasis on veggies and small servings of stir-fried meats. Unfortunately, however, Americanized versions of these ethnic foods tend to be much higher in fat and calories – so caution is needed. But here’s a great tip for all Asian restaurants – use the chopsticks! You’ll eat more slowly, since you can’t grasp as much food with them at a time as you can with your normal fork and knife.

Asian Food Choices

Healthy choices
  1. Egg drop, miso, wonton, or hot & sour soup
  2. Stir-fried, steamed, roasted or broiled entrees (Shrimp chow mein, chop suey)
  3. Steamed or baked tofu
  4. Sauces such as ponzu, rice-wine vinegar, wasabi, ginger, and low-sodium soy sauce
  5. Steamed brown rice
  6. Edamame, cucumber salad, stir-fried veggies
Unhealthy choices
  1. Fried egg rolls, spare ribs, tempura
  2. Battered or deep-fried dishes (sweet and sour pork, General Tso’s chicken)
  3. Deep-fried tofu
  4. Coconut milk, sweet and sour sauce, regular soy sauce
  5. Fried rice
  6. Salads with fried or crispy noodles

Healthy Italian fast food

Healthy Italian fast food The anti-carbohydrate revolution has given Italian food a bad rap, but Italian is actually one of the easiest types of cuisine to make healthy. Stay away from fried, oily or overly-buttery menu items, and you can keep those diet goals intact.

Watch out for the following terms, which are common culprits of high fat and calories: alfredo, carbonara, saltimbocca, parmigiana, lasagna, manicotti, stuffed (all have heavy amounts of cream and cheese).

Italian and Pizza Restaurant Choices

Healthy choices
  1. Thin-crust pizza with half the cheese and extra veggies
  2. Plain rolls or breadsticks
  3. Antipasto with vegetables
  4. Pasta with tomato sauce and veggies
  5. Entrée with side of veggies
  6. Grilled (“Griglia”) dishes
Unhealthy choices
  1. Thick-crust or butter-crust pizza with extra cheese and meat toppings
  2. Garlic bread
  3. Antipasto with meat
  4. Pasta with cream or butter-based sauce
  5. Entrée with side of pasta
  6. Fried (“Frito”) dishes

Related links for healthy fast food

Helpguide

Healthy Eating: Tips for a Healthy Diet – Guidelines for developing a plan for healthier eating.

NYC Fast Food Chains Must Now Post Nutrition Info on Menus (Helpguide Blog)

Healthy choices at fast food restaurants

Healthy Dining Finder – This comprehensive website provides nutritional analysis for hundreds of popular restaurants. Alphabetical listings help you find the healthiest choices at your favorite eatery. (Healthy Dining Program)

Nutrition Action Healthletter

These detailed illustrated reports (All PDF) are available to non-subscribers. (Center for Science in the Public Interest

  • Italian Restaurant Food: Belly-ismo – Discusses the best menu choices for the most popular Italian restaurant chains, as well as tips for healthy Italian food dining in general.
  • Chinese Restaurant Food – Wok Carefully – Analysis of the nutritional value of take out Chinese food and includes three suggestions for making your restaurant Chinese dinner more healthy.
  • Fresh Mex Study –  Talks about the best and worst choices at some of the biggest Mexican chains - Chipotle, Baja Fresh, Rubios, and  La Salsa.
  • Beyond Fast Food "Fast Casuals" Come Of Age - Provides guidance on selecting healthy choices when dining at "fast casual" restaurants, such as Au Bon Pain, Panera, and Briazz.

General tips for eating healthy while eating out

Your Guide to Eating Out – many useful tips to help you eat healthier when dining out. (American Diabetes Association)

Nutritional information from popular fast food restaurants

Suzanne Barston created this article with contributions from Melinda Smith,M.A, Deborah Cutter,Psy.D., Gina Kemp, M.A., and Robert Segal, M.A. Last modified on: 4/15/08.

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