5 of the Worst Fast Foods for Your Health — and 5 That Aren’t so Terrible

Five Guys Burgers and Fries
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We all know fast food is bad for our health. Alas, many of us love it anyway.

If you simply can’t kick your fast-food habit, you can at least make it more healthful. Recently, telehealth platform PlushCare looked at five fast-food items at 24 chains and determined which restaurants offer the best option for your health — and the worst.

They rated each product based on its values for:

  • Calories
  • Sugar
  • Saturated fat
  • Sodium

PlushCare then scored the items based on the U.K. Department of Health’s nutrient profiling method. After adding up each product’s total “unhealthiness score” at each fast-food chain, the products were ranked across the restaurants.

Here are the worst fast-foods for your health — followed by a few that aren’t so bad.

The worst cheeseburger

Workers at Five Guys in London
Kauka Jarvi / Shutterstock.com

Worst in class: Five Guys Cheeseburger

Unhealthiness Score: 50 points

Five Guys makes this burger with American-style cheese that is melted between two patties. It is placed on a toasted sesame seed bun and comes with as many toppings as you choose.

The worst chicken sandwich

Popeyes chicken sandwich
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Worst in class: Popeyes Classic Chicken Sandwich

Unhealthiness Score: 39

Popeyes says this sandwich is marinated in seasonings and hand-battered and breaded using the restaurant’s buttermilk system. It is then fried until it’s golden brown. Two buttery toasted brioche buns cover the meat, and the sandwich also gets a dollop of classic mayo.

The worst chicken nuggets

Popeyes
Ken Wolter / Shutterstock.com

Worst in class: Popeyes Nuggets (eight-piece)

Unhealthiness Score: 30

Although PlushCare refers to them as “nuggets,” it appears they are describing Popeyes eight-piece Classic Signature Chicken Box. This chicken is marinated for 12 hours in herbs and seasonings before being battered and fried.

The worst fries

Five Guys Burgers and Fries
Ian Dewar Photography / Shutterstock.com

Worst in class: Regular Five Guys Style Fries

Unhealthiness Score: 28

Five Guys says these are boardwalk-style fries that are cooked twice in pure, cholesterol-free, 100% peanut oil. Cooking them twice leaves them firm on the outside and like a mashed potato on the inside, it says.

The worst vanilla shake

Fatburger
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Worst in class: Fatburger Vanilla Milkshake

Unhealthiness Score: 63

Fatburger describes this beverage as “very vanilla and naturally thick.” It’s made with hand-scooped ice cream.

Healthier fast foods

cheeseburger
Jason Stitt / Shutterstock.com

If you are looking for better fast-food alternatives, the following might fit the bill. It would probably be wrong to call them “healthy,” but they can at least be considered the best choices in a bad bunch.

The best cheeseburger

Culver's restaurant
Jeff Bukowski / Shutterstock.com

Best in class: Culver’s ButterBurger

Unhealthiness Score: 17

Culver’s says this family specialty is made with fresh beef that is seared on a grill once you order. It is covered in a lightly buttered and toasted bun.

The best chicken sandwich

McDonald's
Patcharaporn Puttipon 636 / Shutterstock.com

Best in class: McDonald’s McChicken

Unhealthiness Score: 14

McDonald’s tops this sandwich’s chicken patty with shredded lettuce and “just the right amount of creamy mayonnaise.” It is served on a toasted bun.

The best chicken nuggets

McDonald's Chicken McNuggets
Cik Tiey / Shutterstock.com

Best in class: McDonald’s Chicken McNuggets (10-piece)

Unhealthiness Score: 18

McDonald’s famously pairs its McNuggets with a variety of dipping sauces. McDonald’s says the McNuggets are made with “all white meat chicken and no artificial colors, flavors, or preservatives.”

The best fries

KK Stock / Shutterstock.com

Best in class: In-N-Out Burger French Fries

Unhealthiness Score: 6

In-N-Out Burger says its fries come from the freshest potatoes and are cut individually in their stores. Fries are then cooked in 100% sunflower oil.

The best vanilla shake

McDonald's Vanilla Shake
rzoze19 / Shutterstock.com

Best in class: McDonald’s Vanilla Shake

Unhealthiness Score: 26

This McDonald’s shake combines vanilla soft serve with whipped light cream. The ice cream itself is reduced fat.

 

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