Life seems to be tough for dieters eating out these days.
A new study published in the Journal of the American Medical Association (JAMA) this week showed the accuracy of caloric counts from restaurants is unknown. On the same day, the Center for Science in the Public Interest released its annual Xtreme Eating Awards to eight menu items which may strike fear into the hearts of calorie-counters.
Susan Roberts of Tufts University and her co-authors studied 269 food items and 242 unique foods from 42 restaurants. The foods and restaurants were randomly selected from quick-serve and sit-down restaurants in Massachusetts, Arkansas and Indiana between January and June 2010.
While the researchers found that stated energy contents of restaurant foods were accurate overall, there was "substantial inaccuracy" for some individual foods, with understated energy contents for those with lower energy contents.
About 40 percent of the foods had more calories than what was listed on menus. Of the 269 food items, 50 (19 percent) contained measured energy contents of at least 100 calories or more than the stated menu contents.
Either aiding or aggravating dieters, the Center for Science in the Public Interest, an independent nonprofit consumer health group, has given chain restaurants its annual Xtreme Eating Awards since 2007. The list highlights the most calorie-heavy "dishonorees," which were unveiled in the current edition of the Center's Nutrition Action Healthletter.
Jayne Hurley, senior nutritionist at the Center for Science in the Public Interest, said restaurants are taking "over-the-top" to a new level. "These are yet more examples of how restaurants are making bad food even worse."
Hurley said she is seeing more of the "stacked, stuffed, and topped" phenomenon – taking food and layering more salt and fat already into high-calorie foods.
"We're hoping that if everything goes as planned in the healthcare legislation, these restaurants would be forced to put calories on the menu. If diners want it, it's there. If they don't, they can just ignore it," she said.
Judith Stern, professor of nutrition at UC Davis, also said she hopes caloric information about foods becomes more immeditely available. When she does know a menu item has too many calories for her liking, she said she often shares restaurant portions with her dining companions, or asks the kitchen to cut her order in half.
"If you want to have something extreme, you can make that decision," Stern said. "But it's really hard if you do it in a vacuum because then you overeat."
The 8 Xtreme Eating Awards were given to the following menu items:
Cold Stone Creamery: PB&C Shake
Saturated fat: 68 grams
A "Gotta Have It" PB&C Shake (peanut butter, chocolate, and milk) has a full day's calories and 3½ days' worth of sat fat into each 24 fl. oz. plastic cup, Hurley said.
But Stern cautioned that the 2,000 calorie recommended daily diet is just a guideline.
"Men in general typically need more, and forget about teenage boys," she said. "Women can do less than 2,000 calories if they're older. But all bets are off if you are active."
The Cheesecake Factory: Ultimate Red Velvet Cake Cheesecake
Saturated fat: 59 grams
Hurley said that each slice of cake, which the Center said averaged close to three-quarters of a pound, has three days' worth of saturated fat. Hurley said only the Reese's Peanut Butter Chocolate Cake Cheesecake has more calories (1,610), though its saturated fat falls 18 grams short of the Ultimate's.
The Cheesecake Factory: Farmhouse Cheeseburger
Saturated fat: 36 grams
Sodium: 3,210 milligrams
Stern said she was not surprised at The Cheesecake Factory's double awards this year.
"Their portions are absolutely absurd," she said.
Applebee's: Provolone-Stuffed Meatballs With Fettuccine and garlic bread
Saturated fat: 43 grams
Sodium: 3,700 milligrams
Hurley said each serving of this pasta was four cups at the Applebee's they visited. She said each serving includes 1½ teaspoons of sodium (3,700 milligrams), which is like eating two of Applebee's 12 oz. Ribeye Steaks plus a side of Garlic Mashed Potatoes.
The Great Steak: Extra-Large King Fries
Saturated Fat: 33 grams, with cheese, bacon and sour cream
Sodium: 4,980 milligrams
While the extra-large King Fries isn't available at all locations, those who do partake are eating the equivalent of three McDonald's Quarter Pounders with Cheese and two-thirds of a teaspoon of salt, said Hurley.
Morton's: 24 Oz. Porterhouse Steak
Saturated fat: 36 grams
Sodium: 1,200 milligrams
"Too, too much," Stern said. "The steaks are fine. They use excellent meat but that's over the top with the portion size. Bring four of your friends."
A side of mashed potatoes adds 850 calories, 34 grams of sat fat, and 1,300 mg of sodium. And half of Morton's "renowned" Creamed Spinach—the side serves two—tosses in 330 calories plus 15 grams of sat fat and 460 mg of sodium, Hurley said.
That grand total: 2,570 calories, 85 grams of sat fat, and 2,980 mg of sodium, which does not include complimentary bread and butter.
Denny's: Fried Cheese Melt
Saturated fat: 21 grams
Sodium: 3,010 milligrams
Denny's menu describes its Fried Cheese Melt as "four fried mozzarella sticks and melted American cheese grilled between two slices of sourdough bread." It is also "served with wavy-cut French fries and a side of marinara sauce."
Although without the side of fries and marinara sauce, Denny's Melt has 790 calories, 17 grams saturated fat and 2670 milligrams of sodium.
IHOP: Monster Bacon 'N Beef Cheeseburger
Saturated fat: 42 grams
Sodium: 1,590 milligrams
IHOP describes its cheeseburger as "Hickory-smoked bacon is blended right into the beef to make our burgers juicy and delicious with bacon flavor in every bite."
Hurley said the sides can range from fresh fruit (80 calories) to onion rings (620 calories).