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.
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As Biden Embraces More Ambitious Climate Plan, Fossil Fuel Execs Donate to Trump 'With Greater Zeal' Than in 2016
By Jake Johnson
With presumptive Democratic nominee Joe Biden's climate platform becoming increasingly ambitious thanks to nonstop grassroots pressure, fossil fuel executives and lobbyists are pouring money into the coffers of President Donald Trump's reelection campaign in the hopes of keeping an outspoken and dedicated ally of dirty energy in the White House.
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The Food and Drug Administration (FDA) is now warning against more than 100 potentially dangerous hand sanitizers.
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While the nation overall struggles with rising COVID cases, New York State is seeing the opposite. After peaking in March and April and implementing strict shutdowns of businesses, the state has seen its number of positive cases steadily decline as it slowly reopens. From coast-to-coast, Governor Andrew Cuomo's response to the crisis has been hailed as an exemplar of how to handle a public health crisis.
By Gavin Naylor
Sharks elicit outsized fear, even though the risk of a shark bite is infinitesimally small. As a marine biologist and director of the Florida Program for Shark Research, I oversee the International Shark Attack File – a global record of reported shark bites that has been maintained continuously since 1958.
A Big, Diverse Family<p>Not all sharks are the same. Only a dozen or so of the roughly 520 shark species pose any risk to people. Even the three species that account for almost all shark bite fatalities – the <a href="https://www.floridamuseum.ufl.edu/discover-fish/species-profiles/carcharodon-carcharias/" target="_blank">white shark</a> (<em>Carcharodon carcharias</em>), <a href="https://www.floridamuseum.ufl.edu/discover-fish/species-profiles/galeocerdo-cuvier/" target="_blank">tiger shark</a> (<em>Galeocerdo cuvier</em>) and <a href="https://www.floridamuseum.ufl.edu/discover-fish/species-profiles/carcharhinus-leucas/" target="_blank">bull shark</a> (<em>Carcharhinus leucas</em>) – are behaviorally and evolutionarily very different from one another.</p><p>The tiger shark and bull shark are genetically as different from each other as a dog is from a rabbit. And both of these species are about as different from a white shark as a dog is from a kangaroo. The evolutionary lineages leading to the two groups split 170 million years ago, during the age of dinosaurs and before the origin of birds, and <a href="https://www.ck12.org/book/CK-12-Human-Biology/section/7.2/" target="_blank">110 million years before the origin of primates</a>.</p>
White, tiger and bull sharks are distinct species that diverged genetically tens of millions of years ago. Gavin Naylor / CC BY-ND<p>Yet many people assume all sharks are alike and equally likely to bite humans. Consider the term "shark attack," which is scientifically equivalent to "mammal attack." Nobody would equate dog bites with hamster bites, but this is exactly what we do when it comes to sharks.</p><p>So, when a reporter calls me about a fatality caused by a white shark off Cape Cod and asks my advice for beachgoers in North Carolina, it's essentially like asking, "A man was killed by a dog on Cape Cod. What precautions should people take when dealing with kangaroos in North Carolina?"</p>
Know Your Species<p>Understanding local species' behavior and life habits is one of the best ways to stay safe. For example, almost all shark bites that occur off Cape Cod are by white sharks, which are a large, primarily cold-water species that spend most of their time in isolation feeding on fishes. But they also aggregate near seal colonies that provide a reliable food source at certain times of the year.</p><p>Shark bites in the Carolinas are by warm-water species like bull sharks, tiger sharks and <a href="https://www.floridamuseum.ufl.edu/discover-fish/species-profiles/carcharhinus-limbatus/" target="_blank">blacktips</a> (<em>Carcharhinus limbatus</em>). Each species is associated with particular habitats and dietary preferences.</p><p>Blacktips, which we suspect are responsible for most relatively minor bites on humans in the southeastern United States, feed on schooling bait fishes like menhaden. In contrast, bull sharks are equally at home in fresh water and salt water, and are often found near estuaries. Their bites are more severe than those of blacktips, as they are larger, more powerful, bolder and more tenacious. Several fatalities have been ascribed to bull sharks.</p><p>Tiger sharks are also large, and are responsible for a significant fraction of fatalities, particularly off the coast of volcanic islands like Hawaii and Reunion. They are tropical animals that often venture into shallow water frequented by swimmers and surfers.</p>
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Humans Are Not Targets<p>Sharks do not "hunt" humans. Data from the International Shark Attack File compiled over the past 60 years show a tight association between shark bites and the number of people in the water. In other words, shark bites are a simple function of the probability of encountering a shark.</p><p>This underscores the fact that shark bites are almost always cases of mistaken identity. If sharks actively hunted people, there would be many more bites, since humans make very easy targets when they swim in sharks' natural habitats.</p><p>Local conditions can also affect the risk of an attack. Encounters are more likely when sharks venture closer to shore, into areas where people are swimming. They may do this because they are following bait fishes or seals upon which they prey.</p><p>This means we can use environmental variables such as temperature, tide or weather conditions to better predict movement of bait fish toward the shoreline, which in turn will predict the presence of sharks. Over the next few years, the Florida Program for Shark Research will work with colleagues at other universities to monitor onshore and offshore movements of tagged sharks and their association with environmental variables so that we can improve our understanding of what conditions bring sharks close to shore.</p>
More to Know<p>There still is much to learn about sharks, especially the 500 or so species that have never been implicated in a bite on humans. One example is the tiny <a href="https://www.newsweek.com/one-worlds-rarest-sharks-also-one-most-adorable-325280" target="_blank">deep sea pocket shark</a>, which has a strange pouch behind its pectoral fins.</p><p>Only two specimens of this type of shark have ever been caught – one off the coast of Chile 30 years ago, and another more recently in the Gulf of Mexico. We're not sure about the function of the pouch, but suspect it stores luminous fluid that is released to distract would-be predators – much as its close relative, the <a href="https://sharkdevocean.wordpress.com/2015/04/23/second-ever-pocket-shark-discovered-in-gulf-of-mexico/" target="_blank">tail light shark</a>, releases luminous fluid from a gland on its underside near its vent.</p>
<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="5783b39d0838d6e410344a852ed0dcc3"><iframe lazy-loadable="true" src="https://www.youtube.com/embed/UTO5debfmsg?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span><p>Sharks range in form from the bizarre <a href="https://www.floridamuseum.ufl.edu/discover-fish/species-profiles/mitsukurina-owstoni/" target="_blank">goblin shark</a> (<em>Mitsukurina owstoni</em>), most commonly encountered in Japan, to the gentle filter-feeding <a href="https://www.floridamuseum.ufl.edu/discover-fish/species-profiles/rhincodon-typus/" target="_blank">whale shark</a> (<em>Rhincodon typus</em>). Although whale sharks are the largest fishes in the world, we have yet to locate their nursery grounds, which are likely teeming with thousands of <a href="https://www.earthtouchnews.com/oceans/sharks/baby-whale-shark-rescued-from-gillnet-in-india-video/" target="_blank">foot-long pups</a>. Some deepwater sharks are primarily known from submersibles, such as the giant <a href="https://twitter.com/gavinnaylor/status/1146144452681113601" target="_blank">sixgill shark</a>, which feeds mainly on carrion but probably also preys on other animals in the deep sea.</p><p>Sharks seem familiar to almost all of us, but we know precious little about them. Our current understanding of their biology barely scratches the surface. The little we do know suggests they are profoundly different from other vertebrate animals. They've had 400 million years of independent evolution to adapt to their environments, and it's reasonable to expect they may be hiding more than a few tricks up their gills.</p>
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Current efforts to curb an infectious disease show the potential we have for collective action. That action and more will be needed if we want to stem the coming wave of heat-related deaths that will surpass the number of people who die from all infectious diseases, according to a new study, as The Guardian reported.
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By Jenny Morber
Caribbean corals sprout off Texas. Pacific salmon tour the Canadian Arctic. Peruvian lowland birds nest at higher elevations.
Known and anticipated changes in species distribution due to climate change around the world have implications for culture, society ecosystems, governance and climate change. Figure used with permission from Gretta T. Pecl, originally published on 31 Mar 2017 in Science 355(6332).<p>How we define species is critical, because these definitions influence perceptions, policy and management. The U.S. National Invasive Species Council (NISC) defines a biological invasion as "the process by which non-native species breach biogeographical barriers and extend their range" and states that "preventing the introduction of potentially harmful organisms is … the first line of defense." But some say excluding newcomers is myopic.</p><p>"If you were trying to maintain the status quo, so every time a new species comes in, you chuck it out," says Camille Parmesan, director of the French National Centre for Scientific Research, you could gradually "lose so many that that ecosystem will lose its coherence." If climate change is driving native species extinct, she says, "you need to allow new ones coming in to take over those same functions."</p><p>As University of Florida conservation ecologist Brett Scheffers and Pecl warned in a <a href="https://www.nature.com/articles/s41558-019-0526-5" target="_blank">2019 paper in <em>Nature Climate Change</em></a>, "past management of redistributed species … has yielded mixed actions and results." They concluded that "we cannot leave the fate of biodiversity critical to human survival to be randomly persecuted, protected or ignored."</p>
Existing Tools<p>One approach to managing these climate-driven habitat shifts, suggested by University of California, Irvine marine ecologist Piper Wallingford and colleagues in <a href="https://www.nature.com/articles/s41558-020-0768-2" target="_blank">a recent issue of Nature Climate Change</a>, is for scientists to adapt existing tools like the <a href="https://www.iucn.org/theme/species/our-work/invasive-species/eicat" target="_blank">Environmental Impact Classification of Alien Taxa (EICAT)</a> to assess potential risks associated with moving species. Because range-shifting species pose impacts to communities similar to those of species introduced by humans, the authors argue, new management strategies are unnecessary, and each new arrival can be evaluated on a case-by-case basis.</p><p>Karen Lips, a professor of biology at University of Maryland who was not associated with the study, echoes the idea that each case is so varied and nuanced that trying to fit climate shifting species into a single category with broad management goals may be impractical. "Things may be fine today, but add a new mosquito vector or add a new tick or a new disease, and all of a sudden things spiral out of control," she says. "The nuance means that the answer to any particular problem might be pretty different."</p>
In recent years, northern flying squirrels in Canada have found themselves in the company of new neighbors — southern flying squirrels expanding their range as the climate warms. Public Domain / USFW<p>Laura Meyerson, a professor in the Department of Natural Resources Science at the University of Rhode Island says scientists should use existing tools to identify and address invasive species to deal with climate-shifting species. "I would like to operate under the precautionary principle and then reevaluate as things shift. You're sort of shifting one piece in this machinery; as you insert a new species into a system, everything is going to respond," she says. "Will some of the species that are expanding their ranges because of climate change become problematic? Perhaps they might."</p><p>The reality is that some climate-shifting species may be harmful to some conservation or economic goals while being helpful to others. While sport fisherman are excited about red snapper moving down the East Coast of Australia, for example, if they eat juvenile lobsters in Tasmania they could harm this environmentally and economically important crustacean. "At the end of the day … you're going to have to look at whether that range expansion has some sort of impact and presumably be more concerned about the negative impacts," says NISC executive director Stas Burgiel. "Many of the [risk assessment] tools we have are set up to look at negative impact." As a result, positive effects may be deemphasized or overlooked. "So that notion of cost versus benefit … I don't think it has played out in this particular context."</p>
Location, Location, Location<p>In a <a href="https://www-nature-com.ezp3.lib.umn.edu/articles/s41558-020-0770-8" target="_blank">companion paper</a> to Wallingford's, University of Connecticut ecology and evolutionary biology associate professor Mark Urban stressed key differences between invasive species, which are both non-native and harmful, and what he calls "climate tracking species." Whereas invasive species originate from places very unlike the communities they overtake, he says, climate tracking species expand from largely similar environments, seeking to follow preferred conditions as these environments move. For example, an American pika may relocate to a higher mountain elevation, or a marbled salamander might expand its New England range northward to seek cooler temperatures, but these new locations are not drastically different than the places they had called home before.</p><p>Climate tracking species may move faster than their competitors at first, Urban says, but competing species will likely catch up. "Applying perspectives from invasion biology to climate-tracking species … arbitrarily chooses local winners over colonizing losers," he writes.</p>
The marbled salamander, a native of the eastern U.S., is among species whose range could expand northward to accommodate rising temperatures. Seánín Óg / Flickr / CC BY-NC-ND 2.0<p>Urban stresses that if people prevent range shifts, some climate-tracking species may have nowhere to go. He suggests that humans should even <a href="https://ensia.com/features/time-for-trees-to-pack-their-trunks/" target="_blank">facilitate movement</a> as the planet warms. "The goal in this crazy warming world is to keep everything alive. But it may not be in the same place," Urban says.</p><p>Parmesan echoes Urban, emphasizing it's the distance that makes the difference. "[Invasives] come from a different continent or a different ocean. You're having these enormous trans-global movements and that's what ends up causing the species that's exotic to be invasive," she says. "Things moving around with climate change is a few hundred miles. Invasive species are moving a few thousand miles."</p><p>In 2019 University of Vienna conservation biology associate professor Franz Essl published a similar argument for species classification beyond the native/non-native dichotomy. Essl uses "neonatives" to refer to species that have expanded outside their native areas and established populations because of climate change but not direct human agency. He argues that these species should be considered as native in their new range.</p>
They Never Come Alone<p>Meyerson calls for caution. "I don't think we should be introducing species" into ecosystems, she says. "I mean, they never come alone. They bring all their friends, their microflora, and maybe parasites and things clinging to their roots or their leaves. … It's like bringing some mattress off the street into your house."</p><p>Burgiel warns that labeling can have unintended consequences. We in the invasive species field … focus on non-native species that cause harm," he says. "Some people think that anything that's not native is invasive, which isn't necessarily the case." Because resources are limited and land management and conservation are publicly funded, Burgiel says, it is critical that the public understands how the decisions are being made.</p><p>Piero Genovesi, chair of the International Union for the Conservation of Nature's Invasive Species Specialist Group, sees the debate about classification — and therefore about management — as a potential distraction from more pressing conservation issues.</p><p>"The real bulk of conservation is that we want to focus on the narrow proportion of alien species that are really harmful," he says. In Hawaii "we don't discuss species that are there [but aren't] causing any problem because we don't even have the energy for dealing with them all. And I can tell you, no one wants to remove [non-native] cypresses from Tuscany. So, I think that some of the discussions are probably not so real in the work that we do in conservation."</p><p>Indigenous frameworks offer another way to look at species searching for a new home in the face of climate change. According to <a href="https://link.springer.com/article/10.1007%2Fs11625-018-0571-4" target="_blank">a study</a> published in Sustainability Science in 2018 by Dartmouth Native American studies and environmental studies associate professor Nicholas Reo, a citizen of the Sault Ste. Marie Tribe of Chippewa Indians, and Dartmouth anthropology associate professor Laura Ogden, some Anishnaabe people view plants as persons and the arrival of new plants as a natural form of migration, which is not inherently good or bad. They may seek to discover the purpose of new species, at times with animals as their teachers. In their paper Reo and Ogden quote Anishnaabe tribal chairman Aaron Payment as saying, "We are an extension of our natural environment; we're not separate from it."</p>
The Need for Collaboration<p>The successful conservation of Earth's species in a way that keeps biodiversity functional and healthy will likely depend on collaboration. Without global agreements, one can envision scenarios in which countries try to impede high-value species from moving beyond their borders, or newly arriving species are quickly overharvested.</p><p>In Nature Climate Change, Sheffers and Pecl call for a Climate Change Redistribution Treaty that would recognize species redistribution beyond political boundaries and establish governance to deal with it. Treaties already in place, such as the Convention on International Trade in Endangered Species of Wild Fauna and Flora, which regulates trade in wild plants and animals; the Migratory Bird Treaty Act; and the Agreed Measures for the Conservation of Antarctic Fauna and Flora, can help guide these new agreements.</p><p>"We are living through the greatest redistribution of life on Earth for … potentially hundreds of thousands of years, so we definitely need to think about how we want to manage that," Pecl says.</p><p>Genovesi agrees that conservationists need a vision for the future. "What we do is more to be reactive [to known threats]. … It's so simple to say that destroying the Amazon is probably not a good idea that you don't need to think of a step ahead of that." But, he adds, "I don't think we have a real answer in terms of okay, this is a threshold of species, or this is the temporal line where we should aim to." Defining a vision for what success would look like, Genovesi says, "is a question that hasn't been addressed enough by science and by decision makers."</p><p>At the heart of these questions are values. "All of these perceptions around what's good and what's bad, all [are based on] some kind of value system," Pecl says. "As a whole society, we haven't talked about what we value and who gets to say what's of value and what isn't."</p><p>This is especially important when it comes to marginalized voices, and Pecl says she is concerned because she doesn't "think we have enough consideration or representation of Indigenous worldviews." Reo and colleagues <a href="https://cpb-us-e1.wpmucdn.com/sites.dartmouth.edu/dist/9/52/files/2012/10/Reo_etal_AIQ_invasive_species_2017.pdf" target="_blank">wrote in American Indian Quarterly in 2017</a> that climate change literature and media coverage tend to portray native people as vulnerable and without agency. Yet, says Pecl, "The regions of the world where [biodiversity and ecosystems] are either not declining or are declining at a much slower rate are Indigenous controlled" — suggesting that Indigenous people have potentially managed species more effectively in the past, and may be able to manage changing species distributions in a way that could be informative to others working on these issues.</p><p>Meanwhile, researchers such as Lips see species classification as native or other as stemming from a perspective that there is a better environmental time and place to return to. "There is no pristine, there's no way to go back," says Lips. "The entire world is always very dynamic and changing. And I think it's a better idea to consider just simply what is it that we do want, and let's work on that."</p>
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