By Annie Gasparro 

McDonald's Corp. said its sales continue to struggle as new Chief Executive Steve Easterbrook rolls out his effort to win back customers in the U.S.-a task he says won't be easy.

The Oak Brook, Ill. burger giant is off to a rough start this year, reporting on Wednesday that its U.S. same-store sales fell 2.6% in the first quarter, including a 3.9% decline in March--worse than analysts expected. Total profit for the quarter also fell by a steeper-than-expected 32%, in part because of changes in foreign-exchange rates.

McDonald's, which is battling changes in Americans' eating habits and food-safety issues in Asia, said it expects that same-store sales--a key metric covering restaurants open at least 13 months--to be negative again for April.

"As you go through turnarounds...they are a little bumpy by nature," Mr. Easterbrook said on a conference call. "And that does require some bold and decisive decision-making."

McDonald's said it would shutter 700 underperforming restaurants this year, primarily in the U.S., China and Japan-twice as many as it had previously planned to close and about 2% of its 36,000 restaurants world-wide.

McDonald's is nearly two months into its turnaround effort under Mr. Easterbrook, who became CEO on March 1. On Wednesday, he said he would host an investor presentation May 4 to detail his initial steps to make McDonald's a "modern and progressive burger company."

The British-born CEO already has announced major changes, with McDonald's in the U.S. unveiling plans in recent weeks to raise wages for restaurant workers, curb antibiotic use in its chicken, and test an all-day breakfast menu.

"We need to act now, and where we need to make an impact, I'm not looking for incremental steps," Mr. Easterbrook said on Wednesday. Given McDonald's 60-year history, there is conservatism in the corporate culture, he said, but "we're challenging some of the conventional thinking on multiple fronts."

Shares rose 2% Wednesday afternoon, leaving them up 9% since Mr. Easterbrook's appointment as CEO was announced in late January.

Janney Capital Markets analyst Mark Kalinowski said investors were likely pinning their hopes on Mr. Easterbrook sparking some "pizazz" at his May 4 presentation, though he said that will be hard since McDonald's has already made several significant announcements.

Some of Mr. Easterbrook's efforts have drawn ire among the franchisees who run the vast majority of McDonald's restaurants. Some franchisees said they fear the cost of proposed changes and feel betrayed by the company's actions.

For instance, McDonald's added new premium chicken sandwiches and sirloin burgers to the menu, while in the midst of an effort to simplify it to be more efficient and shorten wait times.

Mr. Easterbrook said necessary change sometimes causes friction. "There are things we can learn from one or two decisions we've made. It doesn't mean the decisions are wrong," he said.

Overall, McDonald's reported a profit of $811.5 million, or 84 cents a share, for the latest quarter, down from $1.2 billion, or $1.21 a share, a year earlier. The results included 17 cents per share related to write-offs and restructuring and 9 cents a share related to foreign currency. Analysts polled by Thomson Reuters had expected earnings of $1.06 a share.

Revenue fell 11% to $5.96 billion, in-line with Wall Street expectations.

Global same-store sales for the quarter fell 2.3%, including an 8.3% drop in the Asia-Pacific division, where it is struggling with perception issues after food-safety scares in China and Japan.

Chelsey Dulaney contributed to this article.

Write to Annie Gasparro at annie.gasparro@wsj.com

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