Fast Food: Cheeseburger Versus Salad

I admit it. I watched part of The Doctors television show the other day. I caught a segment on how Americans eat and one of the doctors was working at a fast food drive-through window attempting to get customers to choose a healthy meal over the unhealthy meal they were ordering. It did not go that well for him. Only one person on the segment out of four changed their meal after he told them how unhealthy their selection was in terms of calories, fat, and sodium levels. 

What stuck with me was that one woman said that a cheeseburger was kind of like a salad. Her point was that salads have vegetables and cheeseburgers have vegetables. Therefore, they are similar. The audience laughed good-heartedly and I groaned and laughed.

Then I got to thinking… Is a fast-food salad really that much better of an option than a fast-food cheeseburger? I turned to the restaurant’s Web sites to make some comparisons.

Let me start by saying that there are other choices than what I have compared below. If the Wendy’s Garden Side Salad with no croutons and low-fat dressing (70 calories, 0 g fat, 190 mg sodium) or the ¾-pound Dave’s Hot ‘N Juicy Triple Burger (1060 calories, 67 g fat, 2020 mg sodium) are your choices then yes, the salad is much healthier. However, I have tried to pick middle of the road choices that I think people would make in these examples.

 First, I compared a regular McDonald’s Cheeseburger to their Premium Southwest Salad with Grilled Chicken (with and without the creamy southwest dressing). As the table below shows, the salad with dressing, which is how most people would order it, has 90 more calories, 2 more grams of fat, and 240 more milligrams of sodium than the cheeseburger. If you can forego the dressing for the salad, you are only saving 10 calories, 4 grams of fat, and 100 milligrams of sodium versus the cheeseburger. That is not a huge difference.

Food	Calories	Fat	Sodium
Cheeseburger	300	12	750
Salad	290	8	650
Salad with dressing	390	14	990

Next, I moved to Wendy’s to compare the Jr. Cheeseburger Deluxe to their Apple Pecan Chicken Salad (with and without the pomegranate vinaigrette dressing). Again, the cheeseburger is the healthiest option in terms of calories, fat, and sodium. The salad with dressing has 210 more calories, 8 more grams of fat, and nearly 700 more milligrams of sodium. If you can go without the dressing, you will still have 100 more calories and 3 more grams of fat than the cheeseburger; but you will save almost 300 milligrams of sodium.

Food	Calories	Fat	Sodium
Jr. Cheeseburger Deluxe	350	19	850
Salad	450	21	580
Salad with dressing	560	27	1540

I could continue; but I think the pattern is clear. The salad is not always the healthier choice at a fast food restaurant. We are still operating under the assumption that the salad is always healthier, or at least that audience and I were, and that is just not true! Now, there is a lot to consider when deciding which choice is healthier, such as the types of fats, cholesterol, and other nutrients such as the vitamins and minerals. But if I included all of that, you would have stopped reading by now…

My advice?

·         Avoid the fast food places altogether. You can make a yummy salad or a healthier cheeseburger at home using a small portion of lean beef, low-fat cheese, and lots of vegetables.

·          If you cannot avoid the fast food restaurant, ask for the nutrition information before you order (many have handouts) or look at their Web site before you go. Most importantly, make your choice before you order at the register (where you can see the pictures and smell the food).  

·         Realize that what you think may be an unhealthy choice, may not be the unhealthiest choice on the menu. Sometimes, the cheeseburger may be better than the salad.

As always – enjoy your food!

How To Be A Healthy Snacker

I am a snacker. I typically do not leave the house without two things: a snack and my water bottle. Snacking used to have a bad reputation. The standard American diet consisted of three square meals a day, not snacks. Snacking was linked in people’s minds with overeating and weight gain. It was a bad thing to do.

Oh how things have changed. Snacking is no longer the exception, it is now the norm and it may help people to lose or maintain their weight.

I got to thinking about this because I came across an article entitled “Frequent Snacking Linked to Healthier Diet” (1). This article reports on a five-year study of over 11,000 people aged 20 and over which found that snackers consume more healthy foods such as whole grains, fruits, and milk products and less high-sodium foods. Well, it sounds like snackers do have healthier diets! As one reads on, the study also reported that snackers also consumed more sugar, solid fats, and alcohol along with fewer vegetables. Hmmm. Finally, the article reports on another study in a younger population (teenagers) that found that teen snackers also consumed more fruit and dairy products.

Another study on snacking from the November 2011 issue of the Journal of the American Dietetic Association (2) looked at women in the 30-60 age range and grouped them by BMI. The study found that normal weight women had the highest number of snacks (2.3 snacks/day), followed by those who had lost weight and were maintaining that loss (1.9 snacks/day), followed by those who were overweight (1.5 snacks/day).

This all seems to point to the fact that snacking may actually be beneficial in terms of BMI as long as we choose healthy snacks.  

But is there a downside?

Let’s say that we eat a snack that includes carbohydrate-containing foods, such as fruit, milk, or grains. For most people, it takes 1 to 2 hours for all consumed food to move through the stomach and reach the small intestine where nutrients are absorbed. Absorption of glucose (blood sugar) from the carbohydrate-containing foods triggers the hormone insulin, which is needed move glucose into our cells for use.

If we graze all day or have large snacks of carbohydrate-containing foods in between meals, we are asking our bodies to continue to release insulin and our insulin levels do not have time to go back down in between meals. On the flip side, if we eat three big meals a day, we see a big spike of glucose after that big meal and we may overload insulin’s ability to be effective. Both overloading our insulin with high levels of glucose at one time and having constantly elevated insulin levels can lead to insulin resistance and potentially to type 2 diabetes. Insulin also promotes energy storage – in other words, it makes our bodies store fat.

What’s a snacker to do?

It sounds like moderation and balance are the keys. I think we have heard that somewhere before. Here are some guidelines to help you keep your snacking healthy.

·         Respect your body and eat when you are physically hungry. If your stomach is grumbling and you have been drinking your water, then it is time to eat something.

·         Pick your snacks wisely. Focus on healthy foods such as fruits and vegetables, low-fat dairy, whole grains, and lean proteins. If you decide to have a “fun food” for a snack, then pay attention to the next point!

·         Watch your portion size.  A snack should not be the same as a meal in size or calories.

As always – enjoy your food!

 References

1.       Frequent Snacking Linked to Healthier Diet. Today Health Web site. Available at: http://today.msnbc.msn.com/id/45307103/ns/today-today_health/t/frequent-snacking-linked-healthier-diet/

2.       Bachman et al. Eating Frequency is Higher in Weight Loss Maintainers and Normal-Weight Individuals than in Overweight Individuals. Available at: http://www.adajournal.org/article/S0002-8223(11)01376-9/abstract