Dining at Restaurants Is a Recipe for Unhealthy Eating — How You Can Eat Better
By Moira McCarthy
- Researchers say eating at restaurants is generally bad for our overall health.
- They note that 50 percent of full-service restaurant meals and 70 percent of fast-food meals are of poor dietary quality.
- Experts say you can avoid unhealthy eating habits at restaurants by checking the menu beforehand and saving a portion of your meal for lunch the next day.
There was a time not so long ago when dining out was a rare treat and most of our meals were prepared at home.
Today, restaurants are lined up along main roads, and fast-food joints are tucked into every corner of our world. We even have the ability to summon just about any kind of food to our couch with the tap of an app.
The result: A solid 20 percent of the calories we consume as a nation comes from some type of restaurant.
Those factors are bad news for the health of people in the U.S., according to a studyTrusted Source published today in The Journal of Nutrition by the Friedman School of Nutrition Science and Policy at Tufts University in Massachusetts.
The study analyzed the dietary selections of more than 35,000 U.S. adults from 2003 to 2016 in the National Health and Nutrition Examination Survey (NHANES) to determine how often they dined at full-service or fast-food restaurants.
The researchers assessed nutritional quality by evaluating specific foods and nutrients in the meals, based on the American Heart Association 2020 Diet Score.
The researchers found that at fast-food restaurants, about 70 percent of the meals Americans consumed were of poor dietary quality.
At full-service restaurants, about 50 percent were of poor nutritional quality.
The researchers also report that less than 0.1 percent of all the restaurant meals consumed over the study period were of ideal quality.
The study authors point out that consumer choice comes into play here, but they add that restaurant choices don't make healthy ordering easy.
"Our findings indicate that major efforts are needed to improve the nutritional quality of meals consumed at U.S restaurants — both what's available on the menu and marketed, and what Americans actually choose," Dariush Mozaffarian, MD, BS, dean of the Friedman School of Nutrition Science and Policy at Tufts University and a co-author of the study, told Healthline.
"Looking at how close or far each meal was from ideal, the biggest problem is actually too few healthy components," he said.
"Adding more healthy foods to restaurant meals, while reducing salt, is the biggest opportunity for improving their healthfulness," he said.
Making Quality Food Available
Eight years ago, while driving along a suburban Boston highway and realizing her young son with type 1 diabetes needed to eat quickly, Shannon Allen was faced with the realization that not one of the many restaurants she passed — fast food or otherwise — came close to offering the kind of meals she chooses to feed her children.
In reaction, Allen took action. She formed Grown, a group of organically certified restaurants.
Her goal is to place a healthy spot to eat quickly close enough for anyone to access.
So far, Grown has four locations, including one in the Florida stadium that will host Super Bowl 2020.
Allen agrees personal choice plays a role in ordering, but she places the responsibility squarely on the restaurants themselves.
"I think that for the most part, the food industry is broken," Allen told Healthline. "For some families, it's cost prohibitive to eat real food. Delicious, fresh, nutrient dense, organic ingredients are about three times more expensive than conventional grown ingredients, and it only costs pennies to eat traditional fast food, like burgers, tacos, and fries."
Allen says those choices aren't necessarily a bad thing if they're an occasional meal. However, if that's the only kind of food a person can afford, it will affect their health over time.
"If we lead with what's right, what is real, and what is obvious — that real food made with fresh, organic ingredients should be the right of every family," she said, "now we are really doing something to change busy people's lives for the better."
Getting the Government to Act
Mozaffarian agrees that restaurants must take action, but he adds this problem should be attacked with a societal and governmental effort as well.
He says federal, state, and local governments should reward restaurants that are doing the right thing.
Those officials, for example, can link the Opportunity Zones legislation to healthier menu items, or provide tax or regulatory policy that encourages and lowers the cost of healthier options and eating.
He adds that more messaging is needed to consumers about how critical their food choices are for health and healthcare costs.
"Many chefs are showing that healthier options can taste even better than unhealthy ones. We need more of this innovation," Mozaffarian said.
What You Can Do
So, what's a busy diner to do?
Susan Weiner, MS, RDN, CDE, FAADE, owner of Susan Weiner Nutrition, suggests diners take time to think ahead, study menus, and not fall prey to special "value deals."
"If you're with other people, it's always best to order first," she told Healthline. "You are less likely to be peer influenced."
She also suggests the following:
- Review the menu before you go to the restaurant so you have a heads-up on the offerings. You can also call in advance to see if food can be prepared in a way that's satisfactory to you.
- Try to avoid the "upsell" meal deals. Stick to the basics.
- Your server is your friend. Be kind, and ask for recommendations that would fit your needs.
- Put some away for lunch tomorrow. Think about how much you would eat at home. Chances are restaurant portions are much larger. Or, share a meal.
Mozaffarian would also like to see the presidential candidates not just take this up as a talking point, but take action on the campaign trail.
"With the 2020 elections in full swing, everyone is talking about healthcare and healthcare costs, but no one is addressing a leading driver: poor food," he said.
"In fact, it sometimes seems like the candidates are trying to outdo each other on the campaign trail by eating the worst food possible. We will never get healthcare costs under control until we fix our food system. This is a leading opportunity for innovation and better health," Mozaffarian said.
- 9 Dishes Chefs Eat When They're Sick - EcoWatch ›
- How to Avoid 'Forever Chemicals' in Your Dinner (and Popcorn ... ›
EcoWatch Daily Newsletter
Mangroves play a vital role in capturing carbon from the atmosphere. Mangrove forests are tremendous assets in the fight to stem the climate crisis. They store more carbon than a rainforest of the same size.
- Protecting Mangroves Can Prevent Billions of Dollars in Global ... ›
- Could the 'Mangrove Effect' Save Coasts From Sea Level Rise ... ›
Monday is World Oceans Day, but how can you celebrate our blue planet while social distancing?
- 5 Things to Know About Earth's Warming Oceans - EcoWatch ›
- Bioluminescent Waves Mesmerize California Beachgoers, Surfers ... ›
- NOAA: 2020 Could Be Warmest Year on Record - EcoWatch ›
- On June 8, We Celebrate Our Oceans, Our Future - EcoWatch ›
- 5 Things to Know About the State of Our Oceans for World Oceans Day ›
By Jacob L. Steenwyk and Antonis Rokas
From the mythical minotaur to the mule, creatures created from merging two or more distinct organisms – hybrids – have played defining roles in human history and culture. However, not all hybrids are as fantastic as the minotaur or as dependable as the mule; in fact, some of them cause human diseases.
When Looking Through a Microscope Isn’t Close Enough.<p>For the last few years, <a href="http://www.rokaslab.org/" target="_blank">our team at Vanderbilt University</a>, <a href="https://www.researchgate.net/lab/Gustavo-Goldman-Lab" target="_blank">Gustavo Goldman's team at São Paulo University in Brazil</a> and many other collaborators around the world have been collecting samples of fungi from patients infected with different species of <em>Aspergillus</em> molds. One of the species we are particularly interested in is <a href="https://doi.org/10.1006/rwgn.2001.0082" target="_blank"><em>Aspergillus nidulans</em>, a relatively common and generally harmless fungus</a>. Clinical laboratories typically identify the species of <em>Aspergillus</em> causing the infection by examining cultures of the fungi under the microscope. The problem with this approach is that very closely related species of <em>Aspergillus</em> tend to look very similar in their broad morphology or physical appearance when viewing them through a microscope.</p><p>Interested in examining the varying abilities of different <em>A. nidulans</em> strains to cause disease, we decided to analyze their total genetic content, or genomes. What we saw came as a total surprise. We had not collected <em>A. nidulans</em> but <em>Aspergillus latus</em>, a close relative of <em>A. nidulans</em> and, as we were to soon find out, <a href="https://doi.org/10.1016/j.cub.2020.04.071" target="_blank">a hybrid species that evolved through the fusion of the genomes</a> of two other <em>Aspergillus</em> species: <em>Aspergillus spinulosporus</em> and an unknown close relative of <em>Aspergillus quadrilineatus</em>. Thus, we realized not only that these patients harbored infections from an entirely different species than we thought they were, but also that this species was the first ever <em>Aspergillus</em> hybrid known to cause human infections.</p>
Several Different Fungal Hybrids Cause Human Disease.<p>Hybrid fungi that can cause infections in humans are well known to occur in several different lineages of single-celled fungi known as yeasts. Notable examples include multiple different species of <a href="https://doi.org/10.1002/yea.3242" target="_blank">yeast hybrids</a> that cause the human diseases <a href="https://rarediseases.info.nih.gov/diseases/6218/cryptococcosis" target="_blank">cryptococcosis</a> and <a href="https://www.cdc.gov/fungal/diseases/candidiasis/index.html" target="_blank">candidiasis</a>. Although pathogenic yeast hybrids are well known, our discovery that the <em>A. latus</em> pathogen is a hybrid is a first for molds that cause disease in humans.</p>
(Left) Candida yeasts live on parts of the human body. Imbalance of microbes on the body can allow these yeasts, some of which are hybrids, to grow and cause infection. (Right) Cryptococcus yeasts, including ones that are hybrids, can cause life-threatening infections in primarily immunocompromised people. Centers for Disease Control and Prevention<p><a href="https://doi.org/10.1371/journal.ppat.1008315" target="_blank">Why certain <em>Aspergillus</em> species are so deadly</a> while others are harmless remains unknown. This may in part be because <a href="https://doi.org/10.1016/j.fbr.2007.02.007" target="_blank">combinations of traits, rather than individual traits</a>, underlie organisms' ability to cause disease. So why then are hybrids frequently associated with human disease? Hybrids inherit genetic material from both parents, which may result in new combinations of traits. This may make them more similar to one parent in some of their characteristics, reflect both parents in others or may differ from both in the rest. It is precisely this mix and match of traits that hybrids have inherited from their parental species that <a href="https://www.nytimes.com/2010/09/14/science/14creatures.html" target="_blank">facilitates their evolutionary success</a>, including their ability to cause disease.</p>
The Evolutionary Origin of an Aspergillus Hybrid.<p>Multiple evolutionary paths can lead to the emergence of hybrids. One path is through mating, just as the horse and donkey mate to create a mule. Another path is through the merging or fusion of genetic material from cells of different species.</p><p>It is this second path that appears to have been taken by our fungus. <em>A. latus</em> appears to have two of almost everything compared to its parental species: twice the genome size, twice the total number of genes and so on. But unlike other hybrids, which are often sterile like the mule, we found that <em>A. latus</em> is capable of reproducing both asexually and sexually.</p><p>But how distinct were the parents of <em>A. latus</em>? By comparing the parts contributed by each parent in the <em>A. latus</em> genome, we estimate that its parents are approximately 93% genetically similar, which is about as related as we humans are with lemurs. In other words, <em>A. latus</em>, an agent of infectious disease, is the fungal equivalent of a human-lemur hybrid.</p>
How A. Latus Differs From its Parents.<p>Elucidating the identity of closely related fungal pathogens and how they differ from each other in infection-relevant characteristics is a key step toward reducing the burden of fungal disease. For example, we found that <em>A. latus</em> was three times more resistant than <em>A. nidulans</em>, the species it was originally identified as using microscopy-based methods, to one of the most common antifungal drugs, <a href="https://www.drugbank.ca/drugs/DB00520" target="_blank">caspofungin</a>. This result provides a clear example of the potential importance of accurate identification of the <em>Aspergillus</em> pathogen causing an infection.</p><p>We also examined how <em>A. latus</em> and <em>A. nidulans</em> interact with cells from our immune system. We found that immune cells were less efficient at combating <em>A. latus</em> compared to <em>A. nidulans</em>, suggesting the hybrid fungus may be trickier for our immune systems to identify and destroy.</p><p>In the midst of the COVID-19 pandemic, our quest to understand <em>Aspergillus</em> pathogens is becoming more urgent. Growing evidence suggests that <a href="https://doi.org/10.1111/myc.13096" target="_blank">a fraction of COVID-19 patients are also infected with <em>Aspergillus</em>.</a> More worrying is that these <a href="https://doi.org/10.3201/eid2607.201603" target="_blank">secondary <em>Aspergillus</em> infections</a> can worsen the clinical outcomes for those infected with the novel coronavirus. That being said, we stress that little is known about <em>Aspergillus</em> infections in COVID-19 patients due to a lack of systematic testing, and none of the infections identified so far appear to have been caused by hybrids.</p><p>So, when it comes to hybrids, some are fantastic (the minotaur), some are helpful (the mule) and some are dangerous (<em>Aspergillus latus</em>). Understanding more about the biology of <em>Aspergillus latus</em> may help in our understanding of how microbial pathogens arise and how to best prevent and combat their infections.</p>
This Saturday, June 6, marks National Trails Day, an annual celebration of the remarkable recreational, scenic and hiking trails that crisscross parks nationwide. The event, which started in 1993, honors the National Trail System and calls for volunteers to help with trail maintenance in parks across the country.
- As Protests Rage, Climate Activists Embrace Racial Justice ... ›
- First-Ever Black Birders Week Tackles Racism Outdoors - EcoWatch ›
- 15 EcoWatch Stories on Environmental and Racial Injustice ... ›
- Take a Hike Day Is Around the Bend. What's Your Dream Hike ... ›
By John Letzing
This past Wednesday, when some previously hard-hit countries were able to register daily COVID-19 infections in the single digits, the Navajo Nation – a 71,000 square-kilometer (27,000-square-mile) expanse of the western US – reported 54 new cases of what's referred to locally as "Dikos Ntsaaígíí-19."
The Navajo Nation covers the corners of three different states. Google Maps
Growing Contribution<img lazy-loadable="true" src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yMzM3NDY5Ny9vcmlnaW4ucG5nIiwiZXhwaXJlc19hdCI6MTY0NjM4MTgyM30.IuQTKQs1stvYYKD6vaVTrqAyoBsUG0BhDvlhxsyKwPA/img.png?width=980" id="02a05" class="rm-shortcode" data-rm-shortcode-id="2841f82b1785df5d5ed7bf64d3bb882b" data-rm-shortcode-name="rebelmouse-image" />
World Economic Forum
- Black and Hispanic Americans Suffer Disproportionate Coronavirus ... ›
- Native American Tribes' Pandemic Response Is Hindered by ... ›
- Navajo Nation Has Highest Covid-19 Infection Rate in the U.S. ... ›
World Environment Day: A Time to Consider the Planet We’ll Return To, and Decide How to Care for It Going Forward
It's a different kind of World Environment Day this year. In prior years, it might have been enough to plant a tree, spend some extra time in the garden, or teach kids the importance of recycling. This year we have heavier tasks at hand. It's been months since we've been able to spend sufficient time outside, and as we lustfully watch the beauty of a new spring through our kitchen's glass windows, we have to decide how we'll interact with the natural world on our release, and how we can prevent, or be equipped to handle, future threats against our wellbeing.
Scuba divers around the world are holding their metaphorical breath to see if a coronavirus infection affects the ability to dive.
DAN medical experts explained the difference between normal lungs, on the left, and "very serious lungs caused by COVID-19," on the right. Matias Nochetto / Divers Alert Network (DAN)
- How the COVID-19 Coronavirus Attacks the Entire Body - EcoWatch ›
- What Does 'Recovered From Coronavirus' Mean? - EcoWatch ›
- Scuba Divers Make Face Masks out of Recycled Ocean Plastic ... ›