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What is unhealthy about mac and cheese? Unpacking the nutritional facts

4 min read

According to one study, the highly-processed cheese powders in boxed mac and cheese mixes often contain high levels of phthalates, a group of chemicals linked to hormonal disruption. This highlights that what is unhealthy about mac and cheese extends beyond just calories, involving issues with processed ingredients, high sodium, and saturated fat.

Quick Summary

Classic and boxed mac and cheese are often laden with high levels of saturated fat, sodium, and refined carbohydrates. Processed versions also contain additives like emulsifiers, artificial colors, and potentially harmful phthalates. The dish is calorically dense and lacks fiber and nutrients, contributing to health risks when consumed regularly.

Key Points

  • High Saturated Fat: Classic and restaurant-style mac and cheese contain high levels of saturated fat from cheese, butter, and cream, which can negatively impact cholesterol and heart health.

  • Excessive Sodium: Many boxed and frozen mac and cheese products are loaded with sodium, contributing significantly to daily intake and increasing the risk of high blood pressure.

  • Refined Carbohydrates: Most mac and cheese uses refined white pasta, which is low in fiber and can cause blood sugar spikes and contribute to weight gain.

  • Processed Additives: Boxed versions contain emulsifiers, artificial colors (like Yellow 5 and Yellow 6), and preservatives. These ingredients are used for shelf life and texture but offer no nutritional benefit.

  • Chemical Contaminants: Studies have detected phthalates, endocrine-disrupting chemicals, in the cheese powder of boxed mac and cheese, which have been linked to developmental issues.

  • Calorie Density: Due to its rich ingredients, mac and cheese is a high-calorie dish. Large portions can easily lead to excess calorie consumption and weight gain.

  • Low in Fiber and Micronutrients: Traditional mac and cheese lacks fiber and a variety of essential vitamins and minerals, unlike dishes featuring vegetables and whole grains.

In This Article

The core issues with mac and cheese

While delicious and comforting, mac and cheese is typically high in several components that make it nutritionally unbalanced. Whether homemade or from a box, the primary issues stem from its high content of saturated fat, sodium, and refined carbohydrates, along with the additives present in processed versions. For most people, a balanced diet recommends moderation or, ideally, healthy modifications to this classic dish.

High saturated fat and its effect on cholesterol

One of the main reasons mac and cheese is considered unhealthy is its high saturated fat content, especially in traditional and frozen varieties. Saturated fat stimulates the liver to produce more low-density lipoprotein (LDL), often called 'bad' cholesterol. Elevated LDL levels can contribute to the formation of arterial plaque, a condition known as atherosclerosis, which increases the risk of heart disease and stroke. While boxed mixes may contain less saturated fat, homemade recipes often use large quantities of butter, cream, and full-fat cheese, which significantly drives up the saturated fat content. For instance, a single cup of some rich, homemade versions can provide as much as 70-80% of the daily recommended saturated fat intake.

Excessive sodium content

Another significant concern is the sodium level. Most boxed mixes and frozen mac and cheese products are notoriously high in sodium, with some containing a third or more of the recommended daily maximum per serving. A high-sodium diet is linked to high blood pressure, increasing the risk of heart disease and chronic kidney disease. While homemade versions allow for better control, many recipes still rely on generous amounts of salt and cheese, which is naturally high in sodium, to enhance flavor. Using bold-flavored cheeses like sharp cheddar or Gruyère can help reduce the need for excessive salt without sacrificing taste.

Refined carbohydrates and low fiber

Traditional mac and cheese uses refined white pasta, which is low in dietary fiber and many essential nutrients compared to whole-wheat pasta. Refined carbs are digested quickly, causing a rapid spike in blood sugar levels, which is particularly problematic for individuals with diabetes. A diet high in refined carbs can also lead to weight gain over time, especially when combined with high-calorie additions. Swapping to whole-grain or legume-based pasta can significantly increase the fiber and protein content, slowing digestion and promoting a longer-lasting feeling of fullness.

Processed ingredients and additives in boxed versions

Boxed mac and cheese mixes use processed cheese powder containing various additives and preservatives to ensure a long shelf life and consistent texture. These can include:

  • Emulsifiers: Ingredients like sodium phosphate or sodium citrate prevent the cheese sauce from separating.
  • Artificial Colors: Some mixes contain artificial colors like Yellow 5 (Tartrazine) and Yellow 6, which are banned in certain countries due to potential side effects.
  • Preservatives: Acids like citric acid are used to help preserve the cheese powder.
  • Phthalates: Studies have found chemicals called phthalates in the cheese powders of many boxed mixes. These endocrine-disrupting chemicals can leach into food from packaging and manufacturing equipment and are linked to developmental and hormonal issues.

Comparison of different mac and cheese types

Nutritional Aspect High-End Homemade (Rich) Boxed Mix (Classic) Healthier Homemade (Modified)
Calories Often over 500 per serving Typically 350-400 per serving As low as 300 per serving
Saturated Fat Very high (15-20g+) Lower (3-7g) Significantly reduced (4-5g)
Sodium Variable, often high (600-800mg+) Very high (600-900mg+) Controlled (350-450mg)
Refined Carbs High, from white pasta High, from white pasta Lower, using whole-wheat or legume pasta
Additives Generally none Contains emulsifiers, colors, preservatives Generally none
Fiber Low Low Higher, with whole-grain pasta and veggies

Tips for making mac and cheese healthier

If you want to indulge in mac and cheese more mindfully, several simple swaps can drastically improve its nutritional profile without sacrificing flavor:

  1. Choose whole-grain or legume-based pasta: This increases fiber and protein content, promoting better digestion and prolonged fullness.
  2. Add vegetables: Bulk up your mac and cheese with fiber-rich and nutrient-dense additions. Steamed broccoli florets, cauliflower, spinach, or frozen peas work well. You can even puree cooked vegetables like butternut squash or cauliflower into the cheese sauce.
  3. Adjust the cheese sauce: Reduce the amount of high-fat dairy by using lower-fat milk (like 2% or skim) or incorporating plain Greek yogurt or cottage cheese for a creamy, high-protein base.
  4. Boost flavor with spices: Use bold seasonings like smoked paprika, garlic powder, onion powder, and a touch of mustard powder to reduce the reliance on excessive salt and fat for flavor.
  5. Watch portion sizes: Even with healthier versions, mac and cheese is a calorie-dense dish. Be mindful of serving sizes to keep calorie intake in check.

Conclusion

Mac and cheese, particularly the processed, boxed variety and rich, homemade versions, carries several nutritional downsides, including high levels of sodium, saturated fat, refined carbohydrates, and potentially concerning additives. Regular consumption can lead to health issues such as high cholesterol, weight gain, and an increased risk of heart disease. However, by making informed choices about ingredients and preparation methods, it is possible to create a significantly healthier and more balanced version of this beloved comfort food. Prioritizing moderation and intelligent substitutions allows one to enjoy mac and cheese as an occasional, more nutrient-rich treat within a well-rounded diet.

For more great tips on healthy eating, check out the resources from reputable health organizations. Learn more about healthy eating on Healthline.

Note: Specific nutritional information can vary widely depending on the brand, recipe, and portion size. It's always best to check nutritional labels and consider ingredients for a more accurate assessment.


Frequently Asked Questions

Processed boxed mac and cheese often contains more artificial additives, emulsifiers, preservatives, and potential contaminants like phthalates, though some versions may have slightly less saturated fat than very rich homemade recipes. Homemade versions allow you to control ingredients and can be made healthier, but traditional recipes with excessive butter and cheese can be very high in saturated fat and calories.

Regular, high consumption of traditional or processed mac and cheese can lead to several health risks, including weight gain, high LDL ('bad') cholesterol, high blood pressure due to excessive sodium, digestive issues, and an increased risk of heart disease.

Yes, you can significantly improve the nutritional value of mac and cheese by making simple substitutions. Using whole-wheat or legume-based pasta, adding plenty of vegetables like broccoli or spinach, and reducing high-fat dairy with low-fat alternatives like Greek yogurt or cottage cheese can create a healthier dish.

Phthalates are chemicals used to soften plastics. Studies have found them in the processed cheese powders of boxed mac and cheese, where they may leach from the packaging or equipment during manufacturing. Phthalates are known endocrine disruptors linked to potential hormonal and developmental problems.

For similar comfort food satisfaction with better nutrition, consider alternatives like creamy pasta made with pureed cauliflower or butternut squash, baked cauliflower 'mac' and cheese, or using high-protein, legume-based pastas with a lighter cheese sauce.

To reduce sodium, choose homemade versions where you can control the salt. Use less salt during cooking, opt for lower-sodium broth, and use strongly flavored, reduced-fat cheeses to boost taste without adding excess sodium. Adding flavorful herbs and spices also helps reduce the need for salt.

The key to incorporating mac and cheese into a balanced diet is moderation and mindful preparation. Enjoy it as an occasional treat in a smaller portion size. Pair it with a large salad or roasted vegetables to add fiber and nutrients, making it a more complete meal.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.