Even though children's nutrition has received lots of attention the past few years, you're still more likely to find chicken fingers and fries on kids' menus than wraps and salads.
Ninety-seven percent of major restaurant-chain children's meals were deemed unhealthful in a recent report by the Center for Science in the Public Interest, a consumer-advocacy group.
"I think what most restaurants have done is just add one or two meals that meet nutrition standards and left the rest of the menu very unhealthy," said Margo Wootan, nutrition policy director for the Washington-based organization.
With Americans spending nearly half of their food budgets on eating out, restaurants have been under increasing pressure from government and health advocates to make meals more healthful, especially for youngsters. Restaurants say they are making steady progress.
But kids are growing out of these meals earlier, and many parents aren't exactly clamoring for fewer calories, less salt and more vegetables. That's why many restaurants are making token changes rather than substantial ones, some experts say.
Last year, Chick-fil-A introduced grilled chicken nuggets and it offers a variety of sides for children, including applesauce and fresh fruit.
The chain's fried nuggets, though, are still more popular than the grilled ones, which last year made up just 0.5 percent of Chick-fil-A's overall sales.
The healthier nuggets were never meant to generate blockbuster sales, spokesman Mark Baldwin said in an email, but "we felt it was our responsibility to offer a grilled version of our nuggets as a healthier alternative for our nutrition-minded customers."
Wootan suggested chains should put more energy into making healthier fare "something more interesting than a plain grilled piece of chicken."
Her group's study looked at entrees, sides and drinks for America's biggest chains. It looked at how many items met the standards established by a panel of nutritionists for the study, and at how many met less-stringent standards in a restaurant-industry program called Kids LiveWell.
CSPI's criteria included having no more than 430 calories, 35 percent of them from fat and 770 mg of salt. It also docked meal combinations with sugar-sweetened drinks. Kids LiveWell standards are similar but allow 600 calories.
Three percent of restaurants' meals met CSPI's standards. Fewer than 1 out of 10 met the KidsLive Well Standards.
Nutritionists who work with the industry acknowledge changes seem slow, but say it takes time to test products, find affordable sources of healthy foods and consider things such as choking hazards.