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Research Original Research: Brief| Volume 116, ISSUE 10, P1606-1612, October 2016

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The Fast-Casual Conundrum: Fast-Casual Restaurant Entrées Are Higher in Calories than Fast Food

      Abstract

      Background

      Frequently eating fast food has been associated with consuming a diet high in calories, and there is a public perception that fast-casual restaurants (eg, Chipotle) are healthier than traditional fast food (eg, McDonald’s). However, research has not examined whether fast-food entrées and fast-casual entrées differ in calorie content.

      Objective

      The purpose of this study was to determine whether the caloric content of entrées at fast-food restaurants differed from that found at fast-casual restaurants.

      Design

      This study was a cross-sectional analysis of secondary data. Calorie information from 2014 for lunch and dinner entrées for fast-food and fast-casual restaurants was downloaded from the MenuStat database.

      Outcome measures

      Mean calories per entrée between fast-food restaurants and fast-casual restaurants and the proportion of restaurant entrées that fell into different calorie ranges were assessed.

      Statistical analyses performed

      A t test was conducted to test the hypothesis that there was no difference between the average calories per entrée at fast-food and fast-casual restaurants. To examine the difference in distribution of entrées in different calorie ranges between fast-food and fast-casual restaurants, χ2 tests were used.

      Results

      There were 34 fast-food and 28 fast-casual restaurants included in the analysis (n=3,193 entrées). Fast-casual entrées had significantly more calories per entrée (760±301 kcal) than fast-food entrées (561±268; P<0.0001). A greater proportion of fast-casual entrées compared with fast-food entrées exceeded the median of 640 kcal per entrée (P<0.0001).

      Conclusions

      Although fast-casual entrées contained more calories than fast-food entrées in the study sample, future studies should compare actual purchasing patterns from these restaurants to determine whether the energy content or nutrient density of full meals (ie, entrées with sides and drinks) differs between fast-casual restaurants and fast-food restaurants. Calorie-conscious consumers should consider the calorie content of entrée items before purchase, regardless of restaurant type.

      Keywords

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      References

        • Flegal K.M.
        • Carroll M.D.
        • Kit B.K.
        • Ogden C.L.
        Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010.
        JAMA. 2012; 307: 491-497
      1. Centers for Disease Control and Prevention. The CDC guide to strategies for reducing the consumption of energy dense foods. http://www.cdph.ca.gov/SiteCollectionDocuments/Strats4ConsumptionofEnergyDenseFoods.pdf. Published March 2010. Accessed March 5, 2016.

      2. Fryar CD, Ervin RB. National Center for Health Statistics data brief no 114. Caloric intake from fast food among adults: United States 2007-2010. http://www.cdc.gov/nchs/data/databriefs/db114.pdf. Published February 2013. Accessed March 5, 2016.

        • French S.A.
        • Harnack L.
        • Jeffery R.W.
        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: 1353-1359
        • Clemens L.H.
        • Slawson D.L.
        • Klesges R.C.
        The effect of eating out on quality of diet in premenopausal women.
        J Am Diet Assoc. 1999; 99: 442-444
        • Wilcox S.
        • Sharpe P.A.
        • Turner-McGrievy G.
        • Granner M.
        • Baruth M.
        Frequency of consumption at fast-food restaurants is associated with dietary intake in overweight and obese women recruited from financially disadvantaged neighborhoods.
        Nutr Res. 2013; 33: 636-646
        • Satia J.A.
        • Galanko J.A.
        • Siega-Riz A.M.
        Eating at fast-food restaurants is associated with dietary intake, demographic, psychosocial and behavioural factors among African Americans in North Carolina.
        Public Health Nutr. 2004; 7: 1089-1096
        • Pereira M.A.
        • Kartashov A.I.
        • Ebbeling C.B.
        • et al.
        Fast-food habits, weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis.
        Lancet. 2005; 365: 36-42
      3. Fast casual is only restaurant segment to see traffic growth in 2013, reports NPD. https://www.npd.com/wps/portal/npd/us/news/press-releases/fast-casual-is-only-restaurant-segment-to-see-traffic-growth-in-2013-reports-npd/. Published February 5, 2014. Accessed March 5, 2016.

      4. Fast casual fuels Technomic Top 500 growth once again. https://www.technomic.com/Pressroom/Releases/dynRelease_Detail.php?rUID=362. Published April 28, 2015. Accessed March 8, 2016.

      5. Roberto F. The Chipotle effect: Why America is obsessed with fast casual food. http://www.washingtonpost.com/blogs/wonkblog/wp/2015/02/02/the-chipotle-effect-why-america-is-obsessed-with-fast-casual-food/. Published February 2, 2015. Accessed March 1, 2016.

      6. Five consumer trends shaping the future of the food and foodservice industries. https://www.npd.com/wps/portal/npd/us/news/press-releases/2015/five-consumer-trends-shaping-the-future-of-the-food-and-foodservice-industries/. Published May 7, 2015. Accessed March 1, 2016.

      7. Food with integrity. https://www.chipotle.com/food-with-integrity. Published 2015. Accessed March 1, 2016.

      8. Panera Bread’s food policy statement. https://www.panerabread.com/content/dam/panerabread/documents/nutrition/panera-bread-food-policy.pdf. Published June 3, 2014. Accessed March 1, 2016.

      9. General Electric Company. Category segments. http://gerestaurantreview.com/category-segments/. Published 2015. Accessed March 8, 2016.

        • Wu H.W.
        • Sturm R.
        What's on the menu? A review of the energy and nutritional content of US chain restaurant menus.
        Public Health Nutr. 2013; 16: 87-96
      10. New York City Department of Health and Mental Hygiene. Menustat methods. http://menustat.org/methods-for-researchers/. Published 2015. Accessed March 1, 2016.

      11. Code of Federal Regulations. Title 45, Public Welfare, Department of Health and Human Services, Part 46: Protection of Human Subjects; 2009. http://www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.html#46.101. Accessed March 5, 2016.

        • Su L.J.
        • Arab L.
        Salad and raw vegetable consumption and nutritional status in the adult US population: Results from the Third National Health and Nutrition Examination Survey.
        J Am Diet Assoc. 2006; 106: 1394-1404
      12. Ranch number one dressing flavor shipped to u.s. foodservice outlets, Reports SupplyTrack. https://www.npd.com/wps/portal/npd/us/news/press-releases/ranch-number-one-dressing-flavor-shipped-to-us-foodservice-outlets-reports-supplytrack/. Published April 1, 2014. Accessed March 5, 2016.

        • Bleich S.N.
        • Wolfson J.A.
        • Jarlenski M.P.
        Calorie changes in chain restaurant menu items: Implications for obesity and evaluations of menu labeling.
        Am J Prev Med. 2015; 48: 70-75
        • Bleich S.N.
        • Wolfson J.A.
        • Jarlenski M.P.
        Calorie changes in large chain restaurants: Declines in New menu items but room for improvement.
        Am J Prev Med. 2016; 50: e1-e8
        • French S.A.
        • Story M.
        • Neumark-Sztainer D.
        • Fulkerson J.A.
        • Hannan P.
        Fast food restaurant use among adolescents: Associations with nutrient intake, food choices and behavioral and psychosocial variables.
        Int J Obes Relat Metab Disord. 2001; 25: 1823-1833
        • Befort C.
        • Kaur H.
        • Nollen N.
        • et al.
        Fruit, vegetable, and fat intake among non-Hispanic black and non-Hispanic white adolescents: Associations with home availability and food consumption settings.
        J Acad Nutr Diet. 2006; 106: 367-373
        • Thompson O.M.
        • Ballew C.
        • Resnicow K.
        • et al.
        Food purchased away from home as a predictor of change in BMI z-score among girls.
        Int J Obes Relat Metab Disord. 2004; 28: 282-289
        • Poti J.M.
        • Duffey K.J.
        • Popkin B.M.
        The association of fast food consumption with poor dietary outcomes and obesity among children: Is it the fast food or the remainder of the diet?.
        Am J Clin Nutr. 2014; 99: 162-171
        • Fox M.
        New menu labeling requirements: Academy advocacy expands opportunities.
        J Acad Nutr Diet. 2015; 115: 707-708
      13. Federal Drug Administration. Overview of FDA labeling requirements for restaurants, similar retail food establishments and vending machines. http://www.fda.gov/food/ingredientspackaginglabeling/labelingnutrition/ucm248732.htm. Published July 9, 2015. Revised July 9, 2015. Accessed March 8, 2016.

        • Dumanovsky T.
        • Huang C.Y.
        • Nonas C.A.
        • Matte T.D.
        • Bassett M.T.
        • Silver L.D.
        Changes in energy content of lunchtime purchases from fast food restaurants after introduction of calorie labelling: Cross sectional customer surveys.
        BMJ. 2011; 343: d4464
        • Wethington H.
        • Maynard L.M.
        • Haltiwanger C.
        • Blanck H.M.
        Use of calorie information at fast-food and chain restaurants among US Adults, 2009.
        J Public Health (Oxf). 2014; 36: 490-496
        • Krieger J.W.
        • Chan N.L.
        • Saelens B.E.
        • Ta M.L.
        • Solet D.
        • Fleming D.W.
        Menu labeling regulations and calories purchased at chain restaurants.
        Am J Prev Med. 2013; 44: 595-604
        • Sinclair S.E.
        • Cooper M.
        • Mansfield E.D.
        The influence of menu labeling on calories selected or consumed: A systematic review and meta-analysis.
        J Am Diet Assoc. 2014; 114: 1375-1388
        • Dumanovsky T.
        • Nonas C.A.
        • Huang C.Y.
        • Silver L.D.
        • Bassett M.T.
        What people buy from fast-food restaurants: Caloric content and menu item selection, New York City 2007.
        Obesity (Silver Spring). 2009; 17: 1369-1374
        • Kirkpatrick S.I.
        • Reedy J.
        • Kahle L.L.
        • Harris J.L.
        • Ohri-Vachaspati P.
        • Krebs-Smith S.M.
        Fast-food menu offerings vary in dietary quality, but are consistently poor.
        Public Health Nutr. 2014; 17: 924-931
        • Rosenheck R.
        Fast food consumption and increased caloric intake: A systematic review of a trajectory towards weight gain and obesity risk.
        Obes Rev. 2008; 9: 535-547
        • Anzman-Frasca S.
        • Mueller M.P.
        • Sliwa S.
        • et al.
        Changes in children's meal orders following healthy menu modifications at a regional U.S. restaurant chain.
        Obesity (Silver Spring). 2015; 23: 1055-1062
        • Wansink B.
        • Love K.
        Slim by design: Menu strategies for promoting high-margin, healthy foods.
        Int J Hosp Manag. 2014; 42: 137-143
      14. About: The Little Beet. https://www.thelittlebeet.com/about/. Accessed March 5, 2016.

      15. Our Story: Sweetgreen. http://sweetgreen.com/our-story/. Accessed March 5, 2016.

      16. The QSR 50: The top 50 brands in quick service and fast casual. https://www.qsrmagazine.com/reports/qsr50-2015-top-50-chart. August 2015. Accessed March 5, 2016.

      Biography

      D. E. Schoffman is a doctoral student, Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia.

      Biography

      C. R. Davidson is a doctoral student, Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia.

      Biography

      S. B. Hales is a doctoral student, Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia.

      Biography

      A. E. Crimarco is a doctoral student, Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia.

      Biography

      A. A. Dahl is a doctoral student, Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia.

      Biography

      G. M. Turner-McGrievy is an assistant professor, Department of Health Promotion, Education, and Behavior, an affiliate, Center for Research in Nutrition and Health Disparities, and an affiliate, Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia.