Evidence map›Paper›PMID 33110191›Full record

ArticleEuropean journal of clinical nutrition2021

Trends in the healthiness of U.S. fast food meals, 2008-2017.

Eleanore Alexander, Lainie Rutkow, Kimberly A Gudzune, Joanna E Cohen, Emma E McGinty

Abstract read
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Article in European journal of clinical nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Trends in Hypertension Prevalence and Control in the United States Over 25 Years.Journal of clinical hypertension (Greenwich, Conn.) · 2026
    Article
  3. Article
  4. Cooking at Home, Fast Food, Meat Consumption, and Dietary Carbon Footprint among US Adults.International journal of environmental research and public health · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Eleanore AlexanderDepartment of Health Policy & Management, Department of Health & Public Policy, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Baltimore, MD, USA. Ealexa12@jhmi.edu.ORCID http://orcid.org/0000-0002-8998-4186
Lainie RutkowDepartment of Health Policy & Management, Department of Health & Public Policy, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Baltimore, MD, USA.
Kimberly A GudzuneDivision of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, 733 N Broadway, Baltimore, MD, 21205, USA.
Joanna E CohenDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Baltimore, MD, 21205, USA.
Emma E McGintyDepartment of Health Policy & Management, Department of Health & Public Policy, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to examine trends in the healthiness of U.S. fast food restaurant meals from 2008 to 2017, using the American Heart Association's Heart-Check meal certification criteria.

methodsData were obtained from MenuStat, an online database of the leading 100 U.S. restaurant chains menu items, for the years 2008 and 2012 through 2017. All possible meal combinations (entrées + sides) were created at the 20 fast food restaurants that reported entrée and side calories, total fat, saturated fat, trans fat, cholesterol, sodium, protein, and fiber. Chi-square tests compared the percent of meals meeting each American Heart Association (AHA) nutrient criterion; and the number of AHA criteria met for each year, by menu focus type.

resultsCompared with 2008, significantly fewer fast food meals met the AHA calorie criterion in 2015, 2016, and 2017, and significantly fewer met the AHA total fat criterion in 2015 and 2016. Significantly more meals met the AHA trans fat criterion from 2012 to 2017, compared to 2008. There were no significant changes over time in the percent of meals meeting AHA criteria for saturated fat, cholesterol, or sodium.

conclusionsEfforts to improve the healthiness of fast food meals should focus on reducing calories, total fat, saturated fat, and sodium.

Indexed as

Fast FoodsFood LabelingEnergy IntakeHumansMealsNutritive ValueRestaurantsUnited States

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.