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Trapp GSA, Pulker CE, Hurworth M, Law KK, Brinkman S, Pollard CM, Harray AJ, Sambell R, Mandzufas J, Anzman-Frasca S, Hickling S. The Nutritional Quality of Kids’ Menus from Cafés and Restaurants: An Australian Cross-Sectional Study. Nutrients 2022; 14:nu14132741. [PMID: 35807919 PMCID: PMC9269398 DOI: 10.3390/nu14132741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Revised: 06/28/2022] [Accepted: 06/29/2022] [Indexed: 12/04/2022] Open
Abstract
Australian families increasingly rely on eating foods from outside the home, which increases intake of energy-dense nutrient-poor foods. ‘Kids’ Menus’ are designed to appeal to families and typically lack healthy options. However, the nutritional quality of Kids’ Menus from cafes and full-service restaurants (as opposed to fast-food outlets) has not been investigated in Australia. The aim of this study was to evaluate the nutritional quality of Kids’ Menus in restaurants and cafés in metropolitan Perth, Western Australia. All 787 cafes and restaurants located within the East Metropolitan Health Service area were contacted and 33% had a separate Kids’ Menu. The validated Kids’ Menu Healthy Score (KIMEHS) was used to assess the nutritional quality of the Kids’ Menus. Almost all Kids’ Menus (99%) were rated ‘unhealthy’ using KIMEHS. The mean KIMEHS score for all restaurants and cafés was −8.5 (range −14.5 to +3.5) which was lower (i.e., more unhealthy) than the mean KIMEHS score for the top 10 most frequented chain fast-food outlets (mean −3.5, range −6.5 to +3). The findings highlight the need for additional supports to make improvements in the nutritional quality of Kids’ Menus. Local Government Public Health Plans provide an opportunity for policy interventions, using locally relevant tools to guide decision making.
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Affiliation(s)
- Gina S. A. Trapp
- Telethon Kids Institute, The University of Western Australia, P.O. Box 855, West Perth, Perth, WA 6872, Australia; (M.H.); (S.B.); (A.J.H.); (J.M.)
- Correspondence: ; Tel.: +61-410-589-374
| | - Claire E. Pulker
- East Metropolitan Health Service, Kirkman House, 20 Murray Street, East Perth, Perth, WA 6004, Australia; (C.E.P.); (K.K.L.)
- School of Population Health, Curtin University, Kent Street, GPO Box U1987, Perth, WA 6845, Australia;
| | - Miriam Hurworth
- Telethon Kids Institute, The University of Western Australia, P.O. Box 855, West Perth, Perth, WA 6872, Australia; (M.H.); (S.B.); (A.J.H.); (J.M.)
| | - Kristy K. Law
- East Metropolitan Health Service, Kirkman House, 20 Murray Street, East Perth, Perth, WA 6004, Australia; (C.E.P.); (K.K.L.)
| | - Sally Brinkman
- Telethon Kids Institute, The University of Western Australia, P.O. Box 855, West Perth, Perth, WA 6872, Australia; (M.H.); (S.B.); (A.J.H.); (J.M.)
| | - Christina M. Pollard
- School of Population Health, Curtin University, Kent Street, GPO Box U1987, Perth, WA 6845, Australia;
| | - Amelia J. Harray
- Telethon Kids Institute, The University of Western Australia, P.O. Box 855, West Perth, Perth, WA 6872, Australia; (M.H.); (S.B.); (A.J.H.); (J.M.)
- School of Population Health, Curtin University, Kent Street, GPO Box U1987, Perth, WA 6845, Australia;
| | - Ros Sambell
- Institute of Nutrition Research, School of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Drive, Joondalup, WA 6027, Australia;
| | - Joelie Mandzufas
- Telethon Kids Institute, The University of Western Australia, P.O. Box 855, West Perth, Perth, WA 6872, Australia; (M.H.); (S.B.); (A.J.H.); (J.M.)
- School of Population and Global Health, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009, Australia;
| | - Stephanie Anzman-Frasca
- Department of Pediatrics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 12 Capen Hall, Buffalo, NY 14260-1660, USA;
| | - Siobhan Hickling
- School of Population and Global Health, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009, Australia;
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Alturki HA, Brookes DSK, Davies PSW. Comparative evidence of the consumption from fast-food restaurants between normal-weight and obese Saudi schoolchildren. Public Health Nutr 2018; 21:2280-2290. [PMID: 29623870 PMCID: PMC11106023 DOI: 10.1017/s1368980018000757] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2017] [Revised: 02/23/2018] [Accepted: 03/02/2018] [Indexed: 01/07/2023]
Abstract
OBJECTIVE To provide an in-depth analysis of the relationship between obesity and fast-food consumption by comparing urban obese and normal-weight Saudi Arabian children. DESIGN A multicentre cross-sectional study was conducted from December 2015 to March 2016. Participants were divided into two groups (normal weight and obese) and further stratified by sex. Groups were randomly selected using a multistage stratified cluster-sampling technique. A self-paced questionnaire was used to collect data relating to food consumption. Weight height and waist circumference were measured and bioelectrical impedance analysis was performed in all children. SETTING Capital of Saudi Arabia, Riyadh. SUBJECTS Children aged 9·00-11·99 years (n 1023). RESULTS Compared with normal-weight groups, intake frequency of fast food/week was higher among the obese groups (P<0·001), irrespective of fast-food consumption outside (P<0·001) or inside (P<0·001) the home; and larger portion sizes were preferred in obese groups (P<0·001). Families eating fast-food meals together was a protective factor against obesity (OR; 95 % CI: 2·67; 1·44, 4·96, P<0·001), with similar results for families ordering from a 'healthy meals menu' for their children (1·90; 1·24, 2·90, P=0·002). Taste of fast foods (P=0·021), child-friendly menu (P=0·020) and meal cost (P<0·001) were identified as main reasons why parents took their children to fast-food restaurants; these data were replicated for parents with obese boys, but not girls. CONCLUSIONS Development of effective interventions to reduce fast-food consumption in Saudi Arabian schoolchildren requires greater research-based evidence of fast-food consumption habits and practices associated with increased childhood obesity.
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Affiliation(s)
- Hmidan A Alturki
- Children’s Nutrition Research Centre, Child Health Research Centre, Centre for Children’s Health Research, University of Queensland, Level 6/62 Graham Street, South Brisbane, QLD 4101, Australia
- King Abdulaziz City for Science and Technology, PO Box 6086, Riyadh 11442, Kingdom of Saudi Arabia
| | - Denise SK Brookes
- Children’s Nutrition Research Centre, Child Health Research Centre, Centre for Children’s Health Research, University of Queensland, Level 6/62 Graham Street, South Brisbane, QLD 4101, Australia
| | - Peter SW Davies
- Children’s Nutrition Research Centre, Child Health Research Centre, Centre for Children’s Health Research, University of Queensland, Level 6/62 Graham Street, South Brisbane, QLD 4101, Australia
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