Reader beware: the 30 unhealthiest choices at fast food restaurant chains – and the healthier substitutions you can make to avoid the calorie bomb.
By Melissa Roth
In recent years, American restaurants have been piling on layers of fat, salt and sugar to their creations -- all of which tricks our brain into craving more food, says former FDA commissioner David Kessler, MD, in his book The End of Overeating. “Even lettuce has become a vehicle for fat,” he says, citing the cream-based dressings, cheese chunks, bacon bits, and oil-soaked croutons that turn many restaurants salads into health hazards.
That said, prepare yourself – and your gag reflex -- for some surprising calorie bombs (presented in no particular order)..

1760 calories
133 g fat
25 g saturated fat
200 mg cholesterol
2120 mg sodium
It looks so harmless: tuna salad, cheddar, lettuce, tomato.
But the combination of mayo, cheese and fatty tuna – not to mention the sheer size of this monster – adds up to more fat grams than four Big Macs, says Debi Silber, MS, RD, WHC, a Long Island, NY-based nutritionist and author of The Lifestyle Fitness Program.
Even the small sub contains more fat (55 grams!) than most of us should be consuming in an entire day.

Large size, with cheese and dressing:
1330 calories
68g fat
24.5g saturated fat
135mg cholesterol
3760mg sodium
This salami-pepperoni-capicola-ham combo comes with a light vinaigrette and still eats up nearly a day’s calories and two days worth of sodium.
If that’s not enough to scare you, "We have clear and convincing evidence that sodium is associated with high blood pressure, and high blood pressure is a major risk factor for stroke -- and it is pretty consistent across populations and ethnic groups," Dr. David Katz, a preventive medicine specialist at Yale University Medical School, told the Los Angeles Times in June. "It is unconscionable that a single meal would have 2,000 milligrams or more of sodium.”
“Meats like salami, pepperoni, capicola and ham are loaded in fat, saturated fat, cholesterol, sodium and calories,” adds Silber. “These foods are caloric time bombs -- offering little nutrient value for the amount of calories and fat they have.”

1070 calories
71g fat
13.5g saturated fat
135mg cholesterol
1770mg sodium
This salad looks healthy enough, with chicken breast, tomatoes and red onion. However, the biggest calorie culprit isn’t even the bacon in the salad – it’s the honey mustard dressing, which clocks in at 500 calories all on its own. And the skinny-sounding “flatbread”? That adds an additional 330 calories.

1910 calories
A “full rack” of baby back pork ribs – flinch-inducing on its own – is basted in the chain’s Jack Daniel's glaze, accompanied by “battered and fried shrimp” and fries. There are so many kinds of wrong here, someone oughta write a country-Western song about it.

1360 calories
Sure, there are good ingredients in here: pecans, chicken breast, dried cranberries. And the choice in dressing (balsamic vinaigrette) is wise.
But watch out for the word “glazed,” which just means the nuts are covered in sugar. And adding blue cheese to an already-dressed salad is yet another example of the “conditioned hyper-eating” referred to by Dr. Kessler.
1430 calories
Potato skins are nothing but “fat on fat on fat on fat, much of it loaded with salt,” as Dr. Kessler puts it -- and nowhere is this more evident than at Friday’s.
The hollowed-out skins are fried, giving the surface area extra “fat pickup” – which is then loaded up with bacon, cheese and sour cream.

2115 calories
If only they’d stopped at the shredded cabbage, grilled chicken, cucumbers, edamame, carrots, green onions and lime-cilantro dressing – this would be a healthy, crunchy salad. But the peanuts, crispy wontons, crispy rice sticks and peanut dressing (yes, again with the double dressings) turn this salad into three meals worth of calories.
Note: California Pizza Kitchen plans to reduce the calories of this salad down to 1253 by November 2009.

1180 calories
The avocado, chicken, tomato, and Monterey Jack cheese sounds good. But then you see the rest: bacon, deep fried wontons, and a double whammy that is the ranchito sauce and herb ranch dressing. You don’t even want one ranch, much less two.

1567 calories
Crab cakes are usually small enough to make for a reasonable lunch entrée. But not when they come extra-large, are served with remoulade sauce and an accompaniment of “spaghettini in a creamy lemon-caper sauce.”
Don’t let the word lemon fool you into thinking it’s light – this is what the Center for Science in the Public Interest would call “discomfort food.”
1940 calories
125g fat
23g saturated fat
100g cholesterol
3840mg sodium
“But they’re so cute!”
Not everything that comes in “mini” size is adorable. You’d be better off ordering the Fit Fare Boca burger (410 calories), or even their Classic Burger (770 calories) than this three-pack of mini cheeseburgers served with onion rings -- a frightening overdose of calories, saturated fat and sodium.

690 calories
12g fat
2 g saturated fat
20 mg cholesterol
430 mg sodium
A bowl of cereal that adds up to nearly half a day’s calories? And this is supposed to be a breakfast “side”?
Take heed: “People don’t realize there’s a ton of fat and sugar in granola, and restaurants serve oversized portions,” says New York-based nutritionist Richter, who tells her clients to avoid granola altogether, not just at Denny’s. “Opt for oatmeal instead – or Cheerios.”
1820 calories
46g saturated fat
4410 mg sodium
This new menu item stuffs a burger into an already stuffed bacon-cheddar-pepper Jack quesadilla, then adds a Mexi-ranch sauce.
With fries (440 calories), this full day’s worth of calories adds up to 46 grams of saturated fat – the equivalent of two jumbo steak burritos at Chipotle. And with 4,410 milligrams of sodium, the Center for Science in the Public Interest (CSPI) calls this one “a prime candidate for Applebee’s Don’t-Have-a-Stroke (on our property) Special.”
1790 calories
The Center for Science in the Public Interest (CSPI) once referred to fettuccine Alfredo as “heart attack on a plate." This entrée takes the heart attack and finishes it off with a bullet of highly-caloric pesto and high-cholesterol shrimp.
1590 calories
Even though it’s an appetizer, it still packs more punch than an entrée should. “’Spinach dip’ is a misnomer,” says Dr. Kessler, author of The End of Overeating.
“The spinach provides little more than color and a bit of appeal; a high-fat, high-salt dairy product is the main ingredient. It's a tasty dish of salt on fat.”
No, those numbers aren’t typos. Yes, this is all meant for one person.
Though fish is generally considered a healthy option, these three fish tacos stuffed with Dos XX beer-battered, golden fried fish, creamy red chili sauce, and cheese are far from that. What it all means, in plain English: fat on salt on fat on deep-fried-fat on alcohol and fat, in a fat-soaked shell…with a little bit of fish hidden inside it all.
In one single meal, you are getting 2 to 3 times the maximum daily dose of fat, saturated fat and sodium. “When our levels of sodium are too high, our blood volume increases which puts more pressure on the arteries and blood vessels,” says Silber. “This makes the heart work harder than it needs to.” The effects can be cumulative, and it’s worth noting that heart disease is the number one killer of women over 65.

1,680 calories
121 g fat
40 g saturated fat
2,660 mg sodium
This salad was chosen by Men’s Health as the Worst Salad in America in 2008 – perhaps because it contains “as much saturated fat as 40 strips of bacon and more calories than 11 Taco Bell Fresco Tacos.”
How’s that even possible? Watch out for the bowl -- it’s made of deep-fried tortilla. That’s fat-onto-fat-onto-fat, holding up a whole pile of fat.
The word “stuffed” is a big red flag, because not only is the Bordurrito filled to bursting, but you probably will be too after ingesting it.
In this case, it’s stuffed with fajita steak or chicken, Mexican rice, cheese, black beans, caramelized onions and red peppers, and sour cream sauce. Oh, wait, what’s that noise? Probably your digestive tract staging a pre-emptive rebellion.

1560 calories
This could be called “The Bloomin’ Butt.”
Outback representatives say this is meant to be shared with a group, but the onion – healthy and flavorful on its own -- provides a whole lot of surface area to absorb fat, Dr. Kessler explains. Here it’s fried in batter and topped with “spicy signature bloom sauce” – layering salt on sugar on fat.
2140 calories
Make sure there are at least 5 of you digging into this plate!
Cheese fries come under particular condemnation from Kessler. “The potato base is a simple carbohydrate, which quickly breaks down to sugar in the body. Once it's fried and layered with cheese, we're eating salt on fat on fat on sugar.” And that’s not even to mention the bacon and the ranch dressing.
2580 calories
Can you count the sins in here? A full rack of ribs smoked, grilled, coated in BBQ sauce, and served with Aussie fries. That’s what’s known as fat on fat on sugar on fat on fat.
1400 calories
770 g fat
38 g saturated fat
170 mg cholesterol
2350 mg sodium
More than half the calories in this entrée are from fat (770), and 38 grams of saturated fat is more than twice the maximum amount you want to be digesting in an entire day – much less in one meal.
The red flag here is the word “breaded” – and the irony is you’ll hardly taste it since the fish is buried in a cheesy quesadilla. Avoid this and your heart will pump with pride (and relief).
950 calories
34 g fat
17 g saturated fat
310 mg cholesterol
2320 g sodium
Enchilada Style: 1580 calories, 74 g fat, 36 g saturated fat, 385 mg cholesterol, 3770 mg sodium
Shrimp and black beans = good. This burrito = bad.
It’s the size of a linebacker, for one, and if you order the enticing “Enchilado Style” -- melted jack and cheddar on top of the cheese that’s already in the burrito, plus nachos and sour cream on the side -- you could find yourself consuming a day’s worth of calories (1580 calories), roughly two days worth of fat (74 grams) and enough sodium (3770 mg) to bloat you into the next dress size.
1230 calories
63 g fat
17 g saturated fat
140 mg cholesterol
2380 mg sodium
Be afraid of the word “tostada” – it involves a whole lot of surface area that’s deep fried into an edible shell, designed to be eaten after you consume the steak, cheese, sour cream and guacamole it will contain. The only actual salad ingredients you’ll find in here are some (buried) lettuce and tomato.
940 calories
68 g fat
10 g saturated fat
2225 mg sodium
According to the menu, this salad is simply grilled chicken with house greens tossed with the restaurant’s “signature ginger dressing.” But they add, “for a lighter touch, try it with our sesame vinaigrette dressing” and that should be your cue that their signature tosser is anything but light.
Eater beware: not all salads are made equal.
2110 calories
70 g fat
10 g saturated fat
1815 mg sodium
Though shrimp is relatively low in calories (three ounces contains around 90 calories), the two words “crispy” and “honey” spell bad news. This is the fat on sugar concept, and it works like crack. Remember, kids: just say no!
1968 calories
24 g fat
3 g saturated fat
1465 mg sodium
We’re used to seeing our lo mein noodles in a small, harmless-looking white cardboard box. This is something else entirely.
Intended to be shared by three people, a big pile of lo mein noodles are stir-fried in oil with large portions of beef, pork, chicken and shrimp. To avoid keeling over from cardiac arrest, ask for a “vegetable stock velveted” preparation to replace the oil, and remember to split this one!
930 calories
910 calories
28 g fat
12 g saturated fat
2970 mg sodium
Before you even add a tomato, you’re looking at nearly 1,000 calories and – gasp -- 2970 mg of sodium! The 12 grams of saturated fat also clogged our arteries just thinking about it.
1510 calories
87 g fat
37 g saturated fat
3100 g sodium
Milan may be the fashion capital of Italy, but you can be sure those runway models aren’t eating anything “Milanese”: pan-seared pork scaloppini covered in Italian herb breadcrumbs, accompanied by “asiago cheese-filled tortelloni pasta tossed in a garlic-butter sauce with fresh spinach.”
Step away from this entrée, and no one gets hurt.
1450 calories
74 g fat
33 g saturated fat
3830 mg sodium
For the indecisive hedonist, this entrée includes lasagna, “lightly breaded” chicken parmigiana and fettuccine Alfredo – all with a meat sauce made of beef and Italian sausage. In other words, your tour of Italy begins and ends with “The Last Supper.”
If you’re watching your calories - or your life expectancy - there are a few fast rules to follow if you eat out at a popular restaurant chain:
And remember, the average woman needs 1500 to 1800 calories a day to maintain weight (depending upon activity level and frequency), and the American Heart Association recommends limiting dietary fat to 30 percent of total calories.
All nutritional information is from the restaurants’ online menus, their respective publicists, and/or Men’s Health magazine (NYS ordinance/their NYC menu, and the Center for Science in Public Interest).
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