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McDonald's offering the skinny on low-calorie items

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"A lot of people still think of McDonald's as fast food, and they are doing their part to provide the right items … to create balance and variety," Tristano said. The underlying strategy is to get very health-oriented consumers to recognize McDonald's as a good-for-you restaurant and to go with frequency, he added.

Still, most consumers have no idea how many calories are in their food choices when they dine in restaurants, nor do all want that, experts say.

When consumers eat out, they want to indulge and leave concerns about which foods are low fat, low calorie and low sodium at home, Riggs said.

A study last year by NPD Group found that 9 percent of consumers look for healthy, light options when eating out at restaurants, and that number has remained flat, Riggs said.

"When (consumers) go out to eat, they give themselves more leeway," she said.

And in tough economic times, price concerns outweigh health concerns when it comes to eating out, Riggs said.

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