Abstract: | Abstract Nutritional choices play an important role in the increasing prevalence of overweight and obese adults and children. American consumers are pressuring restaurant companies to offer healthier restaurant menu options. The current study uses a content analysis of the literature to explain consumers' attitudes toward nutrition and healthy eating and a repeated measures ANOVA of key menu items from 31 quick service hamburger restaurants to analyze actual consumer eating behavior. Based on the content analysis, it was determined that consumer attitudes regarding healthy eating have declined in the last twenty years. The statistical analysis of the data found a significant increase in the amount of “healthy” menu items purchased and a statistically significant decrease in the number of side items purchased over the past three years. The number of regular entrée menu items purchased did not change. Implications for practice in the restaurant industry and suggestions for future research are discussed. |