Americans talk a good game about wanting to eat well. More than 75
percent claim they want to see more healthy options on restaurant
menus. But when it comes time to order, only about half say they
actually make nutritious choices, according to a recent survey.

Steakhouse portions often exceed the recommended five to seven ounces of animal protein per day.
On the other hand, 77 percent rank taste as the top priority for a
restaurant dinner, and 44 percent say satisfying hunger matters most,
according to the responses reported in June by Mintel, a market
research firm. Of 2,000 adults polled in February, 20 percent said food
health is an important factor when they order dinner.
Still, nutrition experts stress that it is possible to satisfy your taste buds and hunger while making nice to your heart.
"Eating out with friends and family is a pleasure you don't have to
give up when you're on a special diet," said Anne Cain, a registered
dietitian and senior editor at MyRecipes.com.
"You just need to arm yourself with information about heart-healthy
choices and not be afraid to ask questions about the menu and make
special requests." (MyRecipes.com is owned by Time Warner, the parent
company of CNN.)
Every person's needs are different when it comes to what he or she should eat, health experts say.
"There are some people that really have to worry about calories, there
are some people that really have to worry about sugar, some people that
really have to worry about salt. All of these bring in different kinds
of mandates for you," said Riska Platt, a registered dietitian and
spokeswoman for the American Heart Association.
Still, some foods are more likely than others to derail a heart-healthy diet. Here are some tips to help you eat for your heart when dining out.
Chinese
Instead of oil- and fat-laden dishes such as lo mein, egg rolls, kung
pao chicken or fried rice, try steamed chicken, seafood or tofu with
vegetables, and ask for sauce on the side.
"Chinese food can be a hidden salt mine,"said Sari Greaves, a registered dietitian and spokeswoman for the American Dietetic Association. Ordering it "as unadorned as possible" and with sauces on the side will help you control your sodium intake.
Soups such as egg-drop and hot-and-sour are low-calorie and low-fat,
but may also be "salt bombs," Greaves said. But despite the poor
reputation eggs have for their high-cholesterol properties, low-fat
dieters don't have to steer clear of egg-drop soup, she said: "It's
saturated fat and trans fat in your diet that raise your blood
cholesterol, more so than cholesterol in your diet."
Stir-fried
dishes are also a safe bet because they're generally cooked quickly and
with very little oil. On the other hand, watch out for foods designated
"crispy" or "double-sauteed," which indicate deep-fried dishes, said
Greaves.
Sandwich shop
Instead of a sandwich on
white bread, a white roll or white wrap and topped with mayonnaise or
cheese, try whole-grain bread options topped with vegetables, mustard
or olive oil, and little to no cheese.
Watch out for deli meats, which often contain a lot of salt, Platt said.
Hummus can be a good alternative to mayonnaise or cheese, as it
contains heart-healthy fat. Platt endorses hummus, which is made from
chickpeas, because it helps Americans fit legumes into their diet. Just
don't overload on it, because the calories can add up.
Platt
also suggests skipping oversized muffins. Even if they're bran muffins
and consequently high in fiber, they're full of fat, sugar and
calories. Breakfast wraps can also be detrimental to a heart-healthy
diet, especially when an entire salt- and fat-heavy meal of eggs,
cheese and bacon is packed into a compact package.
Italian
Instead of pasta topped or filled with cream, cheese or meat, try
grilled, broiled or poached seafood with a small order of pasta with
garlic and oil or tomato sauce.
Greaves suggests ordering
shellfish such as shrimp, mussels or clams at an Italian restaurant, as
long as they aren't deep-fried or cooked in butter. Although these
shellfish might be higher in cholesterol than salmon or tilapia, she
said, they're still very low in saturated fat.
If you do want
cheese in your meal, add a sprinkling of parmesan atop a dish instead
of gobs of cheese as the centerpiece of your meal.
And for an
appetizer, Greaves recommends skipping the meat- and cheese-heavy
antipasto salad in favor of shrimp cocktail, which is low in saturated
fat. Also, pair bread with heart-healthy olive oil, not butter. Oil is
rich in calories, though, so don't overdo it.
Japanese
Instead of tempura-style rolls or rolls with mayonnaise (think spicy
tuna), try fresher sushi with fish high in cardio-friendly omega-3
fatty acids, such as salmon, tuna, mackerel or halibut. The avocado in
California rolls also carries heart-healthy benefits.
Edamame,
which are green soybeans, may indirectly lower your blood cholesterol
and are a good source of fiber and omega-3s, Greaves said. But if
you're monitoring your sodium intake, request that the salt be omitted.
Be on the lookout for the word "kewpie," or Japanese mayonnaise, if you're trying to cut back on saturated fat.
Steakhouses
Instead of a full portion of steak, try limiting your meat intake by
ordering a beef kebab, or a chicken or seafood selection cooked without
butter or salt.
Choose lean cuts of beef such as round, sirloin,
chuck, flank steak or tenderloin. Remove any visible fat that may be
attached to the cooked meat, Cain said.
The American Heart Association
recommends eating five to seven ounces of animal protein per day, and a
12-ounce steak at a restaurant far exceeds that, Platt said. Split a
steak with one of your dining partners, or eat half and take the rest
home for another meal.
Steakhouses also offer deceptively
fattening sides, such as creamed spinach or fully loaded baked
potatoes. Swap out those fatty sides for steamed vegetables, and you'll
be in better shape.
Mexican
Instead of a cheese-filled burrito or taco, try a seafood, chicken or vegetable fajita.
The seafood or chicken will provide lean, healthy protein, while a
vegetable centerpiece will boost your fiber intake. If you get beans,
make sure they're not refried; black beans provide protein and fiber
without artery-clogging saturated fat, Greaves said.
You can
also cut down on saturated fat by opting for pico de gallo or salsa
instead of sour cream. Since it's made from heart-healthy avocados,
guacamole contains good fat that can lower bad LDL cholesterol while
raising good HDL cholesterol. Just limit your intake to about two
tablespoons, Greaves said, because it can carry a lot of calories.
Greaves also warns that you should watch out for salted rice and rice
with cheese -- no-no's for people on low-sodium or low-fat diets.
Courtesy of FitNation