Poor nutrition on the menu: children's meals at America's top chain restaurants.
BACKGROUND
We evaluated the nutritional quality of children's meals at chain restaurants, because children obtain about a third of their daily calories from away-from-home foods and studies show that restaurant foods are often higher in calories and lower in nutritional value than foods prepared at home.


METHODS
We assessed the nutritional quality of children's meals at the 50 largest U.S. restaurant chains by visiting each chain's web site or calling the company. Eighteen of the chains did not have children's meals and 10 did not provide adequate nutrition information to be included in the study. The nutritional quality of each meal combination was evaluated against a set of nutrition standards based on key nutrition recommendations in the Dietary Guidelines for Americans.


RESULTS
Of the 22 restaurants that had children's menus and available nutrition information, 99% of 1662 children's meal combinations were of poor nutritional quality.


CONCLUSIONS
Restaurants should support healthier choices for children by reformulating existing menu items and adding new healthier items, posting calories on menus, and setting nutrition standards for marketing to children.
Health and Wellness Department, University of North Carolina, Asheville, Asheville, NC, USA.
Ameena
A
Batada
Meg
M
Bruening
Elizabeth H
EH
Marchlewicz
Mary
M
Story
Margo G
MG
Wootan
D002648:Child; D057140:Fast Foods / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D018673:Nutrition Policy; D009753:Nutritive Value; D012147:Restaurants / Q000592:standards* / Q000706:statistics & numerical data; D014481:United States