Plenty of restaurants have been advertising their efforts to offer healthful choices, and it’s possible to eat carefully just about anywhere. But researchers say nearly all the entrees they reviewed at 245 U.S. chains fail to meet federal guidelines.

Think about it, and you can figure out some likely culprits: burgers with cheese, bacon and sauce; pastas with four cheeses and sausages; outsize servings of meat; salads covered in fatty, salty dressings.

For a study published online in the journal Public Health Nutrition, researchers looked at the nutritional content of 30,923 menu items, including those from children’s menus, from 245 brands of restaurants. They found that 96% of them failed to meet recommendations for the combination of calories, sodium, fat and saturated fat set by the U.S. Department of Agriculture.

The restaurants included fast-food, buffet, takeout, family style and upscale restaurants, said Helen Wu, one of the authors and an assistant policy analyst at the Rand Corp. in Santa Monica. The study was supported by the Robert Wood Johnson Foundation.

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