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- Determinantes das escolhas alimentares infantis em restaurantes de fast-foodPublication . Rocha, Ada; Viegas, Cláudia; Peixoto, CláudiaNos últimos anos, verificou-se uma alteração no ritmo de vida da população, que se traduziu numa mudança dos hábitos de consumo, com um aumento do consumo de refeições fora de casa, incluindo pelas crianças. Na maioria das vezes, os locais escolhidos para realizar as refeições são os restaurantes de fast-food. Geralmente as refeições preparadas neste tipo de restaurantes, incluindo as refeições infantis, têm uma qualidade nutricional muito baixa. O comportamento das crianças em relação às suas escolhas alimentares, é afetado por vários determinantes de consumo, pelo que o principal objetivo deste estudo foi identificar os determinantes das escolhas alimentares infantis em restaurantes de fast-food. De forma a atingir este objetivo, foi elaborado um questionário, disponibilizado online dirigido a pais de crianças com idades compreendidas entre os 6 e os 12 anos. Observou-se que para as crianças, os fatores determinantes na escolha do restaurante de fast-food e da refeição consumida, foram, por ordem de importância: a oferta de um brinquedo colecionável/promocional, as opções disponíveis e o sabor agradável da refeição. Para os pais, os fatores mais relevantes no momento da escolha do restaurante de fast-food e da refeição infantil consumida, foram a conveniência do local, o preço acessível, o sabor agradável e as preocupações com a saúde, respetivamente. Os resultados deste estudo evidenciam a necessidade de reformular e desenvolver refeições infantis equilibradas sem comprometer a palatabilidade, associando a estas opções equilibradas a oferta de brindes colecionáveis.
- KIMEHS – Proposal of an index for qualitative evaluation of children’s menus: a pilot studyPublication . Rocha, Ada; Viegas, CláudiaConsidering the importance of the food environments for health promotion, and the lack of simple, easy-to-use, low-cost measures of the quality of meals, the authors developed a qualitative menu index (KIMEHS-Kids' Menu Healthy Score), tailored to children's menu evaluation. Development of the tool was based on the Mediterranean food pattern. It includes 18 components, divided into seven main groups that reflect key aspects of menu quality, including protein source, side dishes, vegetables, dessert and beverages, and also allergens and nutritional information. The index was analysed for content and construct validity, as well as inter-rater reliability, and was applied to a sample of menus from restaurants in shopping centres in the Lisbon region. Possible index point ranges from -17 to 17, with a higher score indicating greater compliance with the recommendations. A value of 5.5 is obtained if all KIMEHS items are available, considering healthy and non-healthy options. The inter-rater reliability was assessed and values above 0.80 were obtained for Alpha Cronbach, as well as agreement % rate >75%. Agreement percentage is above 75% for all the components. Evaluated restaurants scored from -14 to 7, with an average KIMEHS of -6.15. Only four restaurants scored positive values, ranging from 0.25 to 7. KIMEHS was considered to be an adequate index to evaluate children's menus, from the menu information displayed on restaurant websites and/or on restaurant displays or table menus. It is a simple, low-cost tool that may be used as a reference for health professionals as an objective measure to evaluate the food environment. Stakeholders could also be involved in their own assessment to help educate consumers about healthy food choices, strengthening the efforts to promote an adequate food pattern and health, contributing to the fight against obesity.
- Development of a tool to assess the compliance of canteen menus with the Mediterranean dietPublication . Neto, B.; Ferreira, L.; Rocha, Ada; Viegas, CláudiaThe Mediterranean Diet (MD) is one of the healthiest food patterns associated with important health benefits. Acknowledging this, it’s important to understand how the dietary patterns of the consumers align with the MD. Over time, different authors have formulated several indexes for this purpose. However, current indexes lack standardization, and they only evaluate the quality of the diet of individuals to be used by health professionals and political decision-makers. Although there are indexes to assess the food options at the restaurants, none of them assess the menu compliance with the MD. Due to the importance of food services in the food choices and dietary patterns of the consumers, this research developed an index to assess the alignment of food availability with the MD key points. To address this gap, after reviewing the existing indexes in the literature, the authors created a tool that assesses the degree of compliance of menus with the MD - MedCIn. This index is divided into 4 dimensions, the first one assesses the availability (part A) and variety (part B) of the food/food groups. The second dimension assesses the nutritional quality of the menus based on the nutritional declaration, the third dimension assesses the food portions and culinary options, and the fourth dimension allows the verification of the previous information on site. Although the use of all dimensions allows for a more comprehensive menu evaluation, dimension one can be used as a first approach to MD compliance. The index is meant to be applied in a 4-week cycle, though it can be adapted for each food service. Validation of this tool included construct validity, internal consistency, and inter-rater reliability, all of which returned high values (alpha-Cronbach¼0.88; Cohens Kappa¼0.92). The researchers consider this a reliable tool to easily assess compliance of menus with MD key points, allowing for the identification of issues to be addressed and improved.
- Quality of kids’ meals in fast-food restaurants: the nutritional content is not enough for an informed choicePublication . Pinto, Daniela Costa; Viegas, Cláudia; Rocha, AdaObjective: Eating out in restaurants is a common family behavior, but it has been persistently associated with unbalanced nutrient intakes, contributing to create and reinforce unhealthy food habits among children. The purpose of this study was to evaluate the kids’ meals from three common well-known restaurant chains in Portugal. Methods: The nutritional composition (total fat, carbohydrates, protein, and sodium content) of the menus was analyzed bromatologicaly, and food portions were also examined. The assessment was carried out according to the European Food Safety Authority recommendations. Results: Analyses of the menus from the two points of view revealed that the evaluations for macronutrients and food portions may return contradictory results. Protein, carbohydrates, and fats are compliant with the requirements for most meals. The analysis from the food portion perspective exceeds the requirements for the meat, fish, and eggs groups, as well as for fats and oils. Fruits, vegetables, and pulses are not present in the menus. Despite the balance associated with the macronutrients, the salt content exceeds the recommendations for most of the meals. Conclusions: Popular fast-food chain restaurants have already adapted to comply with nutritional recommendations, whilst neglecting important recommended foods such as fruit, pulses, and vegetables. This study points not only to the need of investing in the improvement of the offerings but also to the importance of fighting the tendency to reduce the perception of food quality to its nutritional content, leading consumers to believe that the meals offered are balanced when they are not.
- Challenges of food service towards sustainability beyond food wastePublication . Rocha, Ada; Viegas, CláudiaFood service comprises the production of meals consumed outside the home, including consumers from all age groups and in different sectors, such as schools (from kindergarten to university), public and private companies, the health sector (from hospitals to elderly care institutions), military, sports facilities and restaurants (from fine dining to fast-food). Food service units (FSU) achieved importance and responsibility not only for feeding the population but also as an important setting for public health interventions, potentially educating consumers and modulating behaviors through the meals provided. In addition to its socioeconomic impact, the food service industry has a strong environmental impact. More sustainable food service starts with the basics: minimizing environmental impact by reducing carbon footprint. The food service industry is being encouraged to make choices that positively impact the environment. Nevertheless, most of the efforts and research made in the last years have been focused on evaluating and reducing food waste. This article focuses on strategies that could be implemented beyond food waste, and act on changing the food offered towards health and sustainability while promoting consumer behavior change.
- Caracterização e avaliação qualitativa da oferta alimentar dirigida a estudantes em estabelecimentos de restauração pública na proximidade de instituições de ensinoPublication . Campos, Mariana; Teixeira, Beatriz; Poínhos, Rui; Rocha, Ada; Viegas, Cláudia; Afonso, CláudiaIntrodução: O consumo alimentar fora de casa é um importante determinante da saúde da população no geral e dos estudantes em particular, que recorrem com frequência à restauração pública existente nas imediações dos estabelecimentos de ensino. Objetivos: Caraterizar a oferta alimentar incluída nos menus para estudantes em estabelecimentos de restauração pública portugueses. Metodologia: Trata-se de um estudo observacional transversal realizado em estabelecimentos de restauração pública portugueses. Recolheram-se informações sobre a composição de alimentos e bebidas que compõem os menus para estudantes. Resultados: Analisaram-se 138 menus com uma média de 3,4 opções por menu (desvio-padrão = 3). Apenas 10% dos menus incluem sopa e nenhum inclui fruta. A opção vegetariana é escassa (11%) e apenas 20% dos menus oferecem pescado, contrastando com 35% de opções de carne branca e 73% de carne vermelha. Em 68% das opções são servidas batatas fritas como acompanhamento. Relativamente à bebida, 31% dos menus incluem bebidas açucaradas e 42% incluem água. Os alergénios são apresentados somente em 3,6% dos menus. Conclusões: Os menus para estudantes analisados refletem que a oferta alimentar é desadequada e pouco variada, destacando--se a falta de hortofrutícolas e opções vegetarianas e o excesso de carne vermelha e bebidas açucaradas. É relevante adotar estratégias nacionais que promovam hábitos alimentares mais saudáveis na população jovem, considerando a oferta existente na proximidade dos estabelecimentos de ensino.
- Children’s menus in shopping centre restaurants: a multicentric studyPublication . Viegas, Cláudia; Lima, João; Afonso, Cláudia; Toth, András Jozsef; Bálint Illés, Csaba; Bittsánszky, András; Šatalić, Zvonimir; Vidaček Filipec, Sanja; Fabijanic, Valeria; Duran, Samuel; Torres, Jairo Alonso; Spinelli, Monica; Matias, Andrea; Souza Pinto, Ana Maria; Rocha, AdaPurpose – The aim of this study is to identify and characterize kids’ menu offers in fast-food and traditional restaurants located in shopping centers in five different countries. Design/methodology/approach – An observational cross-sectional study is carried out, though a study was performed in all restaurants located in shopping centers from main cities, in five countries: Brazil, Chile, Croatia, Hungary, and Portugal. A tool for assessing the quality of menus is used for the analysis (Kids Menu Healthy Score (KIMEHS)). Menu prices between countries were compared. Findings – A total of 192 kids’ menus were collected, 44 in Portugal, 57 in Brazil, 66 in Chile, 15 in Hungary, and 10 in Croatia. All the countries have average negative KIMEHS values for the menus, indicating that the offer is generally poor in terms of healthy options. The cost of children’s menus in European countries is generally low. In Brazil, the price is significantly more expensive, which may limit the accessibility by social economically deprived populations. No significant differences were found in the average cost of meals from different restaurants typology. Traditional/Western restaurants present the highest price. Practical implications – Globally, kids’ menus are composed of unhealthy food items, pointing to the need for improvements in food availability, aiming to promote healthy food habits among children. Originality/value – This study presents innovative data on children’s menus, allowing for characterization of meals offered to children and comparison between different countries.