This document provides information on nutrition labels, daily macronutrient goals, fast food ingredients, and strategies for a healthy diet. It discusses guidelines for reading nutrition labels, recommended daily amounts of carbohydrates, proteins and fats. It analyzes the ingredients in several fast foods and points out non-food additives. Finally, it outlines a formula for a healthy diet that includes eating whole foods from all food groups, drinking water, balancing portions, and provides examples of serving sizes.
1. Marlee White, MPH, CHES
Health Educator
Amy Ringley
Clemson University Health Science Intern
Business Health & Group Services
Healthy
Made
Easy…
2. Today’s Discussion
• Nutrition Label Goals
• Daily Goals for Macronutrients
• What’s really in our fast food?
• Health Marketing
• Formula for a Healthy Diet
3.
4. Reading a Nutrition Label
Rule of 5 (per serving):
5g or less of saturated fat
5g or more fiber
5g or more protein
Sodium recommendations:
1,500 mg
(with hypertension)
2,300 mg
(normal bp)
< 600 mg per meal (i.e. frozen dinner)
< 200 mg per serving (i.e. cereal,
salad dressing, peanut butter)
0g of Trans Fat (No hydrogenated oils)
<10g of Sugar
1. Look at Serving Size
2. Work Your way through the label
Limited Ingredients
5. How many grams are
we looking for?
Carbohydrate Protein Fat
130-150 grams/day
30-45 grams/meal
15-20 grams/snack
100 grams/day
20 grams/meal
10 grams/snack
60 grams/day
15 grams/meal
5 grams/snack
6.
7. America’s Favorite Fries
• McDonald’s Fries show few
signs of aging due to heavy
servings of preservatives.
• Contains 17 ingredients
• How many ingredients does
it take to make homemade
French fries?
Small Fry:
230 calories
11 g fat
130 mg sodium
30 g carbs
Large Fry:
510 calories
24 g fat
290 mg sodium
67 g carbs
8. McDonald’s French Fries
United States United Kingdom
Ingredients:
Potatoes, Vegetable Oil (Canola
Oil, Soybean Oil, Hydrogenated
Soybean Oil, Natural Beef Flavor
[Wheat and Milk Derivatives]*,
Citric Acid [Preservative]),
Dextrose, Sodium Acid
Pyrophosphate (Maintain Color),
Salt.
Prepared in Vegetable Oil
(Canola Oil, Corn Oil, Soybean
Oil, Hydrogenated Soybean Oil)
with TBHQ and Citric Acid to
preserve freshness of the oil and
Dimethylpolysiloxane to reduce
oil splatter when cooking.
Potatoes, Vegetable Oil
(Sunflower, Rapeseed), Dextrose
(predominantly added at
beginning of the potato season).
Prepared in the restaurants using
a non-hydrogenated vegetable
oil.
Salt is added after cooking.
9. U.S.
100% BEEF PATTY
U.K.
100% BEEF PATTY
Ingredients: 100% Pure USDA Inspected Beef; No Fillers,
No Extenders.
Prepared with Grill Seasoning (Salt, Black Pepper).
Ingredients: 100% Pure Beef.
No additives, fillers, binders, preservatives or flavour enhancers.
Just pure forequarter and flank. A little salt and pepper is added
to season after cooking.
Cheddar Cheese Slice (processed) Cheddar Cheese Slice (processed)
Ingredients: Milk, Cream, Water, Cheese Culture, Sodium Citrate,
Contains 2% or Less of: Salt, Citric Acid, Sodium Phosphate,
Sorbic Acid (Preservative), Lactic Acid, Acetic Acid, Enzymes,
Sodium Pyrophosphate, Natural Flavor (Dairy Source), Color
Added, Soy Lecithin (Added for Slice Separation).
Ingredients: Vegetarian Cheddar (51%) (MILK), Water,
Vegetarian Cheese (9%) (MILK), Whey Powder (MILK), Butter
(MILK), Emulsifying Salts (Trisodium Citrate, Citric Acid), MILK
Proteins, Natural Cheese Flavouring (MILK), Salt, Colour (Beta
Carotene, Paprika Extract), Anti- Sticking Agent (Sunflower
Lecithin Oil).
Bun Bun
Ingredients: Enriched Unbleached Flour (Wheat Flour, Malted
Barley Flour, Niacin, Reduced Iron, Thiamin Mononitrate,
Riboflavin, Folic Acid), Water, High Fructose Corn Syrup, Yeast,
Soybean Oil, Contains 2% or Less: Salt, Wheat Gluten,
Leavening (Calcium Sulfate, Ammonium Sulfate), May Contain
One or More Dough Conditioners (Sodium Stearoyl Lactylate,
DATEM, Ascorbic Acid, Mono and Diglycerides, Monocalcium
Phosphate, Enzymes, Calcium Peroxide), Calcium Propionate
(Preservative).
WHEAT Flour (with Calcium, Iron, Niacin (B3), Thiamin (B1)),
Water, Sugar, Yeast, Rapeseed Oil, Salt, Emulsifiers (Mono- and
Diacetyl Tartaric Acid Esters of Mono- and Diglycerides of Fatty
Acids, Mono- and Diglycerides of Fatty Acids), WHEAT Fibre,
Preservative (Calcium Propionate), De-activated Yeast,
Antioxidant (Ascorbic Acid).
N.B. May contain traces of sesame, milk, rye and barley.
10. Egg Sandwich at Subway
• Contains eggs and “premium egg blend”.
• Some things in this special blend include
Glycerin, a solvent found in soap and shaving
cream; Dimethylpolysiloxane, a silicone that
is also found in Silly Putty; and Calcium
Silicate which is a sealant used on roofs and
concrete. Also, found in the McDonald’s fries
to “reduce oil splatter when cooking”.
Bacon egg and cheese:
410 calories
16 g fat
1050 mg sodium
45 g carbs
23 g protein
11. Chicken nuggets at
McDonald’s
Mechanically separated meat
• “Mechanically Separated
Meat” is a mixture created
when bones and carcass of
leftover chicken are mixed
together in a food processor.
This slime is then molded into
nugget shape, breaded, and
fried.
12. Beef Taco at Taco Bell
• “Meat in a bag”. Back in 2011 Taco Bell was under
fire about their meat only being 35% beef. The
other percentage comes from binders, phosphates,
and extenders.
• The meat from Taco Bell does not
meet the minimum requirements set
by the USDA, “Rather than Taco Bell
calling the meat ‘seasoned ground
beef’ they should refer to it as ‘mixed
meat’ and list the additional
ingredients so consumers can know
what they are putting into their
mouths.”
The meat has been improved, but would
still not be considered ‘quality meat’.
14. Wendy’s Chili
• Filled with sandy goodness…Silicone
Dioxide AKA Silica
• Product found in quartz or sand
• Serves as an “anti-caking” agent,
allowing the chili to stay looking
fresh.
15. Let’s look at the facts…
Bacon Clubhouse Grilled Chicken Sandwich
Calories: 610
Total Fat: 26
Sat Fat: 8g
Trans: 0.5g
Sodium: 1750mg
Total Carbs: 50g
Fiber: 3g
Sugar: 14g
Protein: 45g
Calories: 1050
Total Fat: 50g
Sat Fat: 16g
Trans: 0g
Sodium: 2290mg
Total Carbs: 115g
Fiber: 7g
Sugar: 18g
Protein: 35g
Big Breakfast with Hotcakes & Egg Whites (Large Biscuit)
6” Turkey Breast on 9-Grain Wheat Bread
Calories: 280
Total Fat: 3.5g
Sat Fat: 1g
Trans: 0g
Sodium: 760mg
Total Carbs: 46g
Fiber: 5g
Sugar: 7g
Protein: 18g
16. Let’s look at the facts…
Schlotzsky's Small Albuquerque Turkey Wrap
Calories: 690
Total Fat: 38
Sat Fat: 12g
Sodium: 2100mg
Total Carbs: 58g
Protein: 33g
Chicken Finger Plate
Calories: 1300
Total Fat: 74g
Sat Fat: 11g
Sodium: 3400mg
Total Carbs: 105g
Fiber: 9g
Sugar: 17g
Protein: 52g
Arby’s Market Fresh Turkey Ranch & Bacon Sandwich
Calories: 800
Total Fat: 35
Sat Fat: 9g
Trans Fat: 0.5g
Sodium:2250mg
Total Carbs: 76g
Fiber: 5g
Sugars: 18g
Protein: 48g
Do we think this total fat
is made up mostly of
good or bad fats?
17. Let’s look at the facts…
Calories: 310
Total Fat: 23g
Sat Fat: 9g
Trans: 1g
Sodium: 1280mg
Total Carbs: 11g
Fiber: 4g
Sugar: 6g
Protein: 15g
Subway Spicy Italian Chopped Salad
Zaxby’s Cobb Grilled (No Dressing)
Calories: 685
Total Fat: 35g
Sat Fat: 14.5g
Sodium: 1755mg
Total Carbs: 37g
Fiber: 3g
Sugar: 8g
Protein: 53g
McDonald’s Premium Bacon Ranch Salad with Grilled Chicken
Calories: 310
Total Fat: 14g
Sat Fat: 6g
Trans: 0g
Sodium: 1120mg
Total Carbs: 9g
Fiber: 3g
Sugar: 3g
Protein: 38g
Ranch Dressing
Calories: 160
Total Fat: 16g
Sat Fat: 3g
Sodium: 260mg
Total Carbs: 2g
Protein: 1g
18. Let’s look at the facts…
Strawberry McCafe Shake (Medium)
Calories: 690
Total Fat: 20g
Sat Fat: 13g
Trans: 1g
Sodium: 210mg
Total Carbs: 114g
Fiber: 0g
Sugar: 100g
Protein: 15g
Calories: 480
Total Fat: 17g
Sat Fat: 10g
Trans: 0.5g
Sodium: 270mg
Total Carbs: 66g
Fiber: 1g
Sugar: 50g
Protein: 12g
McCafe Caramel Mocha (Large)
Frozen Strawberry Lemonade (Large)
Calories: 290
Total Fat: 0g
Sat Fat: 0g
Trans: 0g
Sodium: 15mg
Total Carbs: 76g
Fiber: 1g
Sugar: 68g
Protein: 1g
Zaxby’s Banana Pudding Milkshake
Calories: 790
Total Fat: 36g
Sat Fat: 21g
Sodium: 260mg
Total Carbs: 102g
Fiber: 1g
Sugar: 89g
Protein: 12g
Chik-fil-a Cookies & Cream Milkshake
Calories: 660
Total Fat: 31g
Sat Fat: 15g
Sodium: 510mg
Total Carbs: 94g
Fiber: 1g
Sugar: 89g
Protein: 16g
Large Coke (Chik-Fil-A)
Calories: 250
Total Fat: 0g
Sat Fat: 0g
Sodium: 80mg
Total Carbs: 68g
Fiber: 0g
Sugar: 68g
Protein: 0g
19. Bagels
20 Years Ago
140 calories
3-inch diameter
Today
Panera’s Cinnamon Crunch Bagel
430 calories
6-inch diameter
Calorie Difference: 290 calories
Two Pepperoni Pizza Slices
20 Years Ago
210 calories
1.5 ounces
Today
Papa John's Large Original Crust
660 calories
6 ounces
Calorie Difference: 450 calories
Coffee
20 Years Ago
Coffee with 2 tbsp of whole milk
25 calories
12 ounces
Today
Starbucks' Venti Cinnamon Dolce Latte
(No Whipped Cream)
340 calories
20 ounces
Calorie Difference: 315 calories
20. Eating Out.. Look for the logo!
• When eating out look for American Heart Association Logo for a healthier
choice that has checked the following items and has passed the test!
• Nutrition requirements for certified meals include the following:
– Calories
– Total Fat
– Saturated Fat
– Cholesterol
– Trans Fat
– Sodium
– Beneficial Nutrients
24. Alternative Recipe:
Slow Cooker Beef and Broccoli
Serves 4. Prep: 15 minutes, Slow Cooker: 5 hours 30 minutes
Ingredients:
• 1 lb. boneless chuck roast, sliced into thin strips;
• 2 to 3 cups fresh broccoli florets;
• 1 apple, thinly sliced (optional);
• ½ cup low sodium beef stock;
• ⅓ cup low sodium soy sauce;
• ⅓ cup raw honey(optional);
• 3 cloves garlic, minced
Directions: Preparation
• In a slow cooker, combine together the beef stock, soy, honey, garlic, and sliced apple.
• Add the beef to the slow cooker and stir.
• Set slow cooker to low and cook for 4 to 5 hours.
• When the time is up, combine the tapioca starch with some of the liquid from the slow cooker in a small bowl. Pour it back into
the slow cooker and stir well.
• Add the broccoli and cook for another 30 min.
http://paleoleap.com/slow-cooked-beef-broccoli/
26. Alternative Recipe
Chicken and Asparagus Teriyaki Stir-Fry
Skinnytaste.com
Servings: 4 • Size: 1 1/2 cups • Points +: 7 • Smart Points: 5
Calories: 302 • Fat: 8 g • Carb: 15 g • Fiber: 2 g • Protein: 42 g
Sugar: 5 g • Sodium: 531 mg • Cholesterol: 125 mg
Ingredients:
• 3 tablespoons soy sauce or gluten-free soy sauce
• 2 tablespoons mirin (optional)
• 1/2 tablespoon honey
• 1/2 tablespoon fresh grated ginger
• 1 teaspoon cornstarch (optional)
• 1 1/2 pounds skinless chicken breast, cut into 1/2-inch cubes
• Kosher salt, to taste
• 1 tbsp canola or grapeseed oil, divided
• 12 oz asparagus, ends trimmed, cut into 2-inch pieces
• 4 cloves garlic, chopped
Directions:
Whisk the soy sauce, mirin, honey and ginger and cornstarch in a small bowl; set aside.
Lightly season the chicken with salt.
Heat a large non-stick wok over medium-high heat, when hot add 1 teaspoon of the oil, then add the asparagus and cook until
tender-crisp, about 6 to 7 minutes. Add the garlic and cook until golden, about 1 minute. Set aside on a dish.
Increase the heat to high, then add 1 teaspoon of oil and half of the chicken and cook until browned and cooked through, about 4
minutes on each side. Remove and set aside and repeat with the remaining oil and chicken. Place everything back into the wok, pour
the sauce over and cook stirring 30 to 60 seconds until the sauce thickens slightly.
35. How much per day?
Grains Fruits Vegetable Protein Dairy
5-6 servings 2-3 servings 3-4 servings 4-5 servings 3 servings
36. What is a serving?
Grains Fruits Vegetable Protein Dairy
5-6 servings 2-3 servings 3-4 servings 4-5 servings 3 servings
EXAMPLES OF 1 SERVING SIZE FOR EACH FOOD GROUP
• 1 c. dry cereal
• 1/3 c. cooked
pasta or rice
• ½ c. cooked
cereal
• 1 slice bread
• 6 inch tortilla
• ½ english
muffin
• 1 c. fresh/raw
fruit
• 1 small fruit
• ½ c. canned
fruit
• ½ c. juice
• ¼ c. dried fruit
• 1 c. fresh/raw
vegetable
• 1 small
vegetable
• ½ c. cooked
vegetables
• ½ c. starchy
vegetables
• 3 oz. meat
• 1 egg
• ¼ c. nuts or
seeds
• 2 Tbsp. nut
butter
• 1 c. milk
• 6 oz. yogurt
• ½ c. cottage
cheese
• 1 oz. cheese
Fats 3-4 servings
• 2 Tbsp salad dressing
• 1 Tbsp oil, jelly, or spread
37. 3) Drink Water
• Remember that added sugar in those fast
food drinks we talked about…Drink water
to: Save calories, sugar and preservatives
• Flavor your water to keep it interesting
• Calculate how much water you should be
drinking:
1) Divide Your Weight in pounds by 2.2 =
Your Weight in Kg
2) Multiply 30 x Your Weight in Kg
3) Take that number and divide by 240
4) This gives you the number of 8oz glasses
you need in a day
38. 4) Balance Your Portions
Lean Protein:
• Boneless, skinless chicken and
turkey
• Fish and seafood
• 93% lean ground turkey and
ground chicken
• 93% lean ground beef
• Pork tenderloin
• Boneless, trimmed pork chop
• Eggs
• Reduced fat cheese
• 1% - Skim milk
• Low fat Greek yogurt
40. Non-Starchy Vegetables and
Fruits:
• Asparagus
• Broccoli
• Brussels Sprouts
• Summer Squash and Zucchini
• Tomatoes
• Lettuce, Spinach, Kale
• Cucumbers
• Carrots
• Onions
• Mushrooms
• Berries
• Bananas
• Apple
• Orange
41. Final Thoughts
Keep cooking simple & eat things you like
Healthy Recipe Handout
Pick a day each week that you plan out meals and
snacks for the week
Take fast food out of the
equation
Look for healthier options
whenever you can
Editor's Notes
This is week 3 of your program-weeks 3 through 11 will include coaching, registered dietitian appointments, exercise, and much more
Today we will briefly discuss what the topics will be through the next few weeks, we will talk about your options to add to the program and what we expect from you
Refer to their calorie prescription since that is in gram format
Also state this is how it is read on the label
Carbs: 30-45 g per meal; 15 g at snack
Protein: about 20 g or more per meal; 10-20 g per snack or more
Fat: about 20 g per meal; Not really concerned with total fat more concerned with the type of fat which we will talk about in another class
1 serving= 15 grams carbohydrates
1 oz protein = 7 grams protein
Take a look at what’s really in fast food meal’s and see if they are what the marketing side has illustrated for you.
LIMITIED INGREDIENTS? (On checklist)….I think not.
McDonald’s Fries show few signs of aging due to heavy servings of preservatives. 1 week or 1 year
They have 17 ingredients in them….How many ingredients does it take to make homemade french fries?
Small Fry:
230 calories
11 g fat
130 mg sodium
30 g carbs
Large Fry:
510 calories
24 g fat
290 mg sodium
67 g carbs
Take away message: 17 ingredients compared to two ingredients for french fries. With you in control of fat, sodium, and carb intake.
Take a look at the difference between The U.S.’s McDonald’s and The U.K.’s ingredients for French fries. There is a huge difference!
Other countries have banned a lot of chemical preservatives that the U.S. still uses today. TBHQ is one that has been banned.
More than 3,000 food additives -- preservatives, flavorings, colors and other ingredients -- are added to U.S. foods. Many of these additives are banned in other countries.
Take out McDonald’s burger “if its been inspected by the USDA and it has no fillers or no extenders why does it still look like this over a time period of 2 months and some days.
Subway is known for “low fat” meals. Contains eggs and “premium egg blend”. Some things in this special blend include Glycerin, a solvent found in soap and shaving cream; Dimethylpolysiloxane, a silicone that is also found in Silly Putty; and Calcium Silicate which is a sealant used on roofs and concrete
Bacon egg and cheese:
410 calories
16 g fat
1050 mg sodium
45 g carbs
23 g protein
“Mechanically Separated Meat” is a mixture created when bones and carcass of leftover chicken are mixed together in a food processor. This slime is then molded into nugget shape, breaded, and fried.
A side note is McDonald’s website does not contain the ingredients for the nuggets. They have a two paragraph statement saying to visit their website their website for ingredient information which the link takes you directly back to the home page. So it takes you in a circle without saying the ingredients.
“Meat in a bag”. Back in 2011 Taco Bell was under fire about their meat only being 35% beef. The other percentage comes from binders, phosphates, and extenders.
The meat from Taco Bell does not meet the minimum requirements set by the USDA, she said.
“Rather than Taco Bell calling the meat ‘seasoned ground beef’ they should refer to it as ‘mixed meat’ and list the additional ingredients so consumers can know what they are putting into their mouths
Has been certified as vegetarian certified and now has options for vegetarians. As you can tell that wasn’t hard, with their meat only at 35% beef………….
Don’t worry, the breaks in the meat aren’t real bones!
Filled with sandy goodness.. It contains silicon dioxide in it. Also known as Silica, it can be found in quartz or sand. It also serves as an “anti-caking” agent, allowing the chili to stay looking fresh.
Website “every batch of Wendy's chili is slow-cooked in-store for 2 hours” Marketing that the chili is made fresh everyday, but all they do is heat it up.
Pull out your nutritional check list and lets compare the following meal items to the ranges.
Chicken finger plate includes fries, zax sauce, texas toast, 5 fingers and cole slaw
You go for a salad to be healthy and get your greens “fiber” and they are all below 5g. How much fiber do you need for a day? Eating a salad as a meal isn’t going to help you meet your nutritional content for the day. Also, see they sneak in the sodium in the salads and the Zaxbys salad with the dressing is reaching over 2,000 mg of sodium.
All of the drinks have really high calories and way too much sugar. And just think this isn't a meal, individuals drink these drinks for dessert on top of their meals.
In 2012 $4.6 Billion was spent on Advertisements of Fast Food opposed to only $116 million spent on advertisement for fruits and vegetables.
And you wonder why it’s hard to eat healthy… Well it’s 4.6 billion dollar answer……..
Our portion sizes have been enlarged over a two decades.
When eating out look for the American Heart Association logo. Choosing the item with the logo will be beneficial for you because it has passed the test for nutritional requirements in a quality range.
Subway
The limit is 5g per fat in a snack. Do you think a granola bar should have that many ingredients? Granola used to be just oatmeal, nuts, and honey.
It may be high in Protein for the portion but it contains a lot of sodium for one meal. Remember one meal aim to have less than 600 mg of sodium.
This alternative recipe is simple and is made in the crockpot and you have four servings per one pot. You can freeze the left overs into meal portions and eat for lunch or dinner when ever you please.
Apple is used instead of brown sugar (so your getting natural sugar from a serving of fruit)
It may be high protein and low carb but other nutrients are affected by the endless list of ingredients to alter the high quantities if protein and carbs. Another thing that stuck out to me was “raisin juice concentrate”?
This recipe is a healthier alternative to the Adkins Sesame Chicken Stir Fry.
Less Calories compared to 360 Calories
Less Fat compared to 23g of Fat
More Protein compared to 26g of Protein
Making your own meals you have the knowledge of what exactly is in it and not a long list of ingredients that you have never heard of or can pronounce. Also, you can add more vegetables to this dish or if you do not have a taste for asparagus try broccoli and peppers. You can make our meals a head of time and freeze them to fit it into your schedule.
Natural Tea has 10mg of Sodium
Diet Lemon Tea has 15 mg of Sodium
All natural you would think would be tea, and lemon juice That is not the case, Lemon isn't even listed on the ingredient list, just citric acid and sugar.
Diet Lemon Tea has Aspartame instead of sugar, and potassium citrate.
Ingredients are listed in the order of greatest to least.
Whole Grain is the first ingredient and it has more whole Grain than any other ingredient! This is a nutritional breakfast because it contains a lot of whole grain.
But what's the second ingredient? Sugar
Corn Syrup= artificial sugar or sweetener.
Take a look at the fiber- only 1g. You have more sugar than you do fiber, and protein.
Do you see the difference between the regular and reduced sugar. The sugar did go down (not by much), but can you point out what went up?
First ingredient is apple juice concentrate…. Why does a “mango” flavor shake have apple juice concentrate (sugar), carrot juice concentrate, orange juice concentrate, (mango is the fourth ingredient) you would think that it would be the first ingredient.
Only has 2g of fiber and the “fruit juice concentrate” is giving you the access amount of sugars.
Take time to plan out your meals a couple of times a week – we are giving you ideas
Take eating out out of the equation
1 cheese stick or 1 slice of cheese is about 1 ounce
Something to remember here is that we are all “re-learning” what a true serving size is. If you think about it, have we been getting the correct portion when we go out to eat? Or when we go to a friend/family members home, do we serve ourselves a correct portion? Most likely no. We have grown accustomed to a larger portion size and we consider that as “normal”. We are all learning what a correct serving size is so we can practice “portion control” when we are at home, out to eat, etc.
We have actually been giving other people control over our portions/serving sizes for a long time, since early childhood. Our parents served our food and then engrained in our heads “finish your plate”. When we are out to eat we order our entrée and the restaurant has given us their idea of a portion. Just because we were served that “portion” does not mean it is in the correct “serving size” and that we should finish it all. We have to stop letting other people have control over our diet in this way.
One way to regain control over your diet is to have a better understanding of what a true serving size is and that way you can learn to eat only that at a meal no matter where you are.