Table 3.
Adult menu items ordered before (PRE) and after (POST) the implementation of a healthier children’s menu.
| Item | PRE | POST |
|---|---|---|
| Food items sold (children’s and adults) | 9,515,446 | 9,634,257 |
| Adult entrée orders | ||
| Total adult entrée orders | 1,801,647 | 1,793,582 |
| Total healthier adult entrée orders | 160,948 | 187,229 |
| Breakfast adult entrée orders (%) | 50.5 | 52.3 |
| Most ordered adult entrée items (overall) | ||
| Build your own burger (%) | 7.0 | 6.4 |
| Buttermilk pancake and eggs (%) | 4.6 | 4.9 |
| The American favorite (%) | 4.5 | 4.6 |
| Belgian waffle and eggs (%) | 3.0 | 2.9 |
| Caramel French toast and eggs (%) | 2.4 | 2.5 |
| Most ordered healthier adult entrée items * | ||
| California omelet (%) a | 1.5 | 1.3 |
| Power breakfast (%) a | - | 1.3 |
| Baja fish tacos (%) a | 1.2 | 1.2 |
| Low fat vegetarian omelet (%) a | 1.1 | 1.1 |
| 600 calorie grilled salmon (%) a | 1.1 | 1.0 |
| 600 calorie mango vegetarian stir fry (%) a | 0.9 | - |
| Adult side orders | ||
| Total adult side orders | 2,119,791 | 2,292,409 |
| Total healthier adult side orders | 154,984 | 213,437 |
| Most ordered adult side items (overall) | ||
| Eggs (%) | 15.5 | 19.7 |
| Bacon (%) | 11.2 | 12.1 |
| Toast (%) | 8.2 | 7.5 |
| Sausage (%) | 6.8 | 7.1 |
| Burger (%) | 5.0 | 5.3 |
| French Fries (%) | 4.6 | 6.2 |
| Most ordered healthier adult side items * | ||
| Strawberries (%) a | 1.9 | 5.5 |
| Summer citrus salad (%) a | 0.9 | 0.9 |
| Cholesterol egg free substitutes or egg whites (%) a | 0.2 | 1.7 |
| SD veggie chili (%) a | 0.3 | 0.3 |
| Adult appetizer orders | ||
| Total adult appetizer orders | 83,101 | 68,889 |
| Total healthier adult appetizer orders | 21,229 | 18,934 |
| Most ordered adult appetizer items (overall) * | ||
| Buffalo wings (%) | 16.2 | 17.9 |
| Cheese fries (%) | 16.1 | 18.4 |
| Chicken tenders (%) | 9.6 | 11.6 |
| Most ordered healthier adult appetizer items * | ||
| Black bean quesadilla (%) a | 14.8 | 15.2 |
| Goat cheese bruschetta (%) a | 10.7 | 12.2 |
| Adult beverage orders | ||
| Total adult beverage orders | 1,394,021 | 1,351,398 |
| Most ordered adult beverage items (overall) * | ||
| Coffee (%) b | 31.9 | 33.3 |
| Juice (%) b | 23.6 | 20.3 |
| Soda (%) | 20.1 | 18.5 |
| Tea (%) b | 19.8 | 19.7 |
| Hot chocolate (%) b | 1.9 | 2.1 |
| Adult dessert orders | ||
| Total adult dessert orders | 521,585 | 507,531 |
| Percentage of entrée orders accompanied by a dessert | 29.0 | 28.3 |
Notes: The top five menu items ordered overall and for healthier options in each category are presented above. For appetizers and beverages, the most popular healthier items were also among the most popular items overall. Soda included fountain beverages such as sprite, coke, and fruit punch. The PRE period (before the healthier children’s menu was implemented) was September 2011 to March 2012. The POST period (after the healthier children’s menu was implemented) was September 2012 to March 2013. a healthier options were identified via a heart symbol for entrées, sides, and appetizers. b denotes the items were non-soda beverages (were not fountain beverages, fruit drinks, and/or lemonade). We did not evaluate alcoholic beverages. * denotes that PRE to POST differences in the combined percentage of the top entrée, side, appetizer, and beverage items designated as healthier options were statistically significant based on McNemar tests of paired proportions; asymptomatic p-values for all tests <0.0001.