OREANDA-NEWS Placemats at restaurants—known mostly for quirky games and local business advertisements—could be a way to get kids to choose healthier menu options, a new study suggests.

While most of the 4- to 8-year-old participants still picked hot dogs and chicken tenders, the placemats did convince some children to choose healthier options such as turkey on whole wheat bread (“Gobble-Me-Up Turkey Sandwich”) or a peanut butter and banana sandwich (“The Nutty Monkey”).

Children who saw the placemats before ordering were more likely to choose healthier food options compared to a control group.

“Many families eat food from restaurants on a regular basis, with research suggesting that children tend to consume less healthy foods in these settings compared to home,” says lead author Stephanie Anzman-Frasca, assistant professor of pediatrics at the University at Buffalo.

“In this study, our goal was to feature healthier children’s meal options prominently to see whether this could affect children’s orders and intake.”

For the study, researchers recruited 58 children (and their parents) within one location of Anderson’s Frozen Custard, a quick-service restaurant chain in the Buffalo Niagara region, in the fall of 2016. The families each received a voucher to return to the restaurant once during a randomly assigned two-week period.

Upon returning to the restaurant, half of the children received a placemat promoting two healthier children’s meals as “Meals of the Day.” The meals were listed alongside fun names and images, as well as activities such as a word search. The rest of the children were in a control group and received no placemats.

Children who were exposed to the placemats before ordering were significantly more likely to order healthier food options. Eighteen percent of the children in the placemat group ordered one of the featured healthier entrées, compared to 7 percent in the control group.

The groups did not differ in the likelihood of ordering dessert or healthier beverages.

The children who ordered the healthier entrées consumed less saturated fat across the total meal compared to those who did not.

“These results suggest that restaurants can help promote healthier eating among children by featuring healthier items more prominently on materials that are viewed prior to ordering,” Anzman-Frasca says.

“Making healthy options appealing and easy to choose offers the potential to increase children’s acceptance of them in restaurants. At the same time, there is room for future efforts to build on the current results, aiming to normalize healthy options in restaurants further and nudge even more children toward healthier choices.”

The findings were presented this week at the Society for the Study of Ingestive Behavior conference in Montreal.