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Patient Perspective   Healthy Fast Foods    

Healthy Fast Foods
Eating right is important for everyone, but even more so for people who have had colorectal cancer or who have a strong family history of it. To reduce the risk of cancer, your daily diet should be high in fiber and low in fat. This means eating lots of fruits, vegetables and complex carbohydrates (whole grain/wheat breads and cereals, pasta, rice, lentils, beans); and less of fried foods and heavy sauces, which are typically loaded with fat. No problem when you’re at home. But what about when you have to eat on the run? You’ll be glad to hear that it is possible to eat healthy fast foods.

Get Your Fiber’s Worth
To increase your fiber intake, order sandwiches on whole wheat breads. Many pizza shops now offer whole wheat crust. Be careful though. The bread must be whole wheat, as opposed to refined wheat. Unlike refined grains, whole wheat grains have not been stripped of their outer covering, which is what gives the food its fiber.

Recognize Calorie Landmines
One way to make healthier choices at fast-food restaurants is to learn to recognize the landmines – those hidden sources of fats and calories: fried foods, cheeses, mayonnaise or butter toppings, and most salad dressings. For example, a chicken breast that is breaded and fried can have nearly five times the amount of fat and almost twice as many calories as one that is broiled (see Arby’s chart on page 5).

When you order a sandwich or burger, ask for extra tomatoes, lettuce and onion instead of sauces and cheese (mustard is OK). Instead of fries as a side dish, choose steamed vegetables or a salad with low-fat dressing. At deli restaurants, butter and mayonnaise are two often overlooked calorie sources and are routinely spread on all sandwiches. One tablespoon of mayonnaise (average amount on a deli sandwich) can be more than 20 grams of fat and 200 calories.

Below are partial menus from some popular fast-food restaurants. When you eat at a fast-food restaurant, try to limit fat to around 15 grams.

Nutrition in the Fast Lane

ARBY’S
lighter menu
calories
fat grams
Lt. Roast beef deluxe  
296
10
Lt. Roast chicken deluxe  
276
6
Cream of broccoli soup  
160
8
Roasted chicken salad  
149
2
Baked potato (plain)  
355
<1
Arby’s sauce  
15
<1
heavier menu  
Philly beef & Swiss sub  
755
47
Giant roast beef  
555
28
Breaded chicken fillet  
536
28
Beef ‘n cheddar  
487
28
Regular roast beef  
388
19
       
BOSTON MARKET
lighter menu
calories
fat grams
1/4 chicken dark, no skin  
210
10
1/4 chicken white, no skin  
160
4
Skinless rotisserie turkey breast  
170
1
Mashed potatoes  
180
8
Steamed vegetables  
35
<1
Fruit salad  
70
<1
Green been casserole  
90
5
BBQ Baked beans  
330
9
heavier menu  
Ham & turkey club sandwich
     with cheese & sauce
 
890
44
    (compare: no cheese or sauce)  
430
6
Chicken pot pie  
750
34
1/2 chicken with skin  
630
37
Caesar salad  
520
43
Creamed spinach  
300
24
Meatloaf & brown gravy  
390
22
BURGER KING
lighter menu
calories
fat grams
Hamburger  
330
15
Broiled chicken salad  
200
10
Garden salad with
Lite Italian dressing
 
115
6
heavier menu  
Whopper sandwich  
640
39
Chicken sandwich  
710
43
Medium french fries  
370
20
Cheeseburger  
380
19
Ranch salad dressing  
180
19
DOMINO’S PIZZA
lighter menu
calories
fat grams
Hand tossed:  
   Cheese (2 of 8 slices)  
347
11
   Veggie (2 of 8 slices)  
371
12
Thin crust:  
   Cheese (2 of 8 slices)  
271
12
   Veggie (2 of 8 slices)  
294
13
Bread sticks (1)  
78
3
heavier menu  
Deep dish:  
   Pepperoni (2 of 8 slices)  
525
27
   Italian sausage (2 of 8)  
522
26
   Cheese (one 6" pizza)  
58
727
   Pepperoni (one 6" pizza)  
637
32
SUBWAY
lighter menu (6" subs)*
calories
fat grams
Veggie delite  
222
3
Turkey sub  
289
4
Roast beef  
288
5
Subway club  
297
5
Roasted chicken  
332
6
BLT  
311
10
Steak & cheese  
383
10
*includes standard toppings  
heavier menu  
Tuna with mayo  
532
32
Spicy Italian  
467
24
Pizza sub  
448
22
Seafood & crab with mayo  
430
19
WENDY’S
lighter menu
calories
fat grams
Grilled chicken sandwich  
290
7
Grilled chicken salad  
200
8
Jr. Hamburger  
270
9
Chili, small  
210
7
Baked potato (plain)  
310
0
   with sour cream & chives  
380
6
All salad bar items are 0 to 7 fat grams for an average single serving size.
heavier menu        
Single with everything  
440
23
Plain single  
360
16
Big bacon classic  
640
36
Breaded chicken sandwich  
450
20
Fresh stuffed Greek pita with dressing  
440
20

The above information is from the booklet Nutrition in the Fast Lane provided by the Cleveland Clinic’s Department of Nutrition Therapy. This booklet lists the nutritional content of each food item at 40 fast-food restaurants. For a copy ($5), please call 216/445-1144 or 800/223-2273, ext. 51144.

Two great Internet websites for nutritional information are The American Dietetic Association and Tufts Nutrition Navigator.

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