More choices but no decline in calories at major fast food outlets

Although the number of lunch and dinner menu items offered by leading fast-food chain restaurants has increased by 53% between 1997 and 2010, there have been few changes in the energy content of these offerings, according to a new study published in the November issue of the American Journal of Preventive Medicine.  Despite efforts by the industry to promote more healthful choices, the major outlets have made limited changes in the energy content of fast-food offerings.