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Development of a tool to assess the compliance of cafeteria menus with the Mediterranean Diet

2024-12Journal article Open access
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dc.contributor.authorSilva, S. S.
dc.contributor.authorRocha, A.
dc.contributor.authorFerreira, L.
dc.contributor.authorNeto, Beatriz
dc.contributor.authorDikmen, D.
dc.contributor.authorFilipec, S. Vidacek
dc.contributor.authorSatalic, Z.
dc.contributor.authorViegas, Cláudia
dc.date.accessioned2024-12-23T15:06:30Z
dc.date.available2024-12-23T15:06:30Z
dc.date.issued2024-12
dc.descriptionThis research was funded by PRIMA – a partnership for research and innovation in the Mediterranean Area, which is supported by Horizon 2020, the European Union’s Framework Programme for Research and Innovation. PRIMA internal reference – 1925. This research was supported by PRIMA/0008/2022, PRIMA/0009/2022, and FCT/MCTES UIDB/05608/2020, UIDP/05608/2020, UIDB/05748/2020 and UIDP/05748/2020.pt_PT
dc.description.abstractBackground: The Mediterranean diet (MD) has been considered one of the healthiest dietary patterns, and an excellent model of sustainability. Higher Education food services present an excellent scenario to encourage students healthy eating habits and modulate food choices. The purpose of this work was to develop an index to evaluate MD compliance with cafeteria menus. Methods: Three major axes were considered: MD key points, existing indexes on individual adherence to the MD, and existing indexes on menu assessment. The index includes four levels: (I) assesses the availability (IA), variety, and frequency (IB) of food; (II) evaluates the menu's nutritional quality; (III) assesses the menu's quality through information provided in the dishes' technical specifications and (IV) allows a more detailed evaluation through on-site visits and documentation consultation. The components receive a score between - 2 and 3, according to the given answers. The final score may vary between - 33.5 and 41.5 points depending on the degree of compliance with the MD key points. The index was applied to 60 menus from different contexts using complete assessments of each menu, performed independently by 3 researchers, using the same pre-prepared Microsoft Excel® spreadsheet. Inter-rater reliability was assessed using Cohen's Kappa and internal consistency with Cronbach's alpha. Results: Assessment for level I) returned a Cohen's Kappa coefficient of 0.92 (p < 0.05) and a Cronbach's alpha coefficient of 0.88. Dimension I is mostly influenced by subdimension IB (r = 0,97). The availability of non-starchy vegetables and fresh fruits has a stronger correlation with IA (availability of foods), and the higher availability of fish, pulses, and fruit has a strong positive correlation with IB (variety and frequency of foods). Conclusion: Researchers believe that the index is a useful tool to assess compliance of menus to the MD and help identify the key points that need to be addressed and improved in cafeterias.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSilva SS, Rocha A, Ferreira L, Neto B, Dikmen D, Viegas C, et al. Development of a tool to assess the compliance of cafeteria menus with the Mediterranean Diet. BMC Nutr. 2024;10(1):163.pt_PT
dc.identifier.doi10.1186/s40795-024-00975-2pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/18069
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.relation.publisherversionhttps://pmc.ncbi.nlm.nih.gov/articles/PMC11656561/pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectNutritionpt_PT
dc.subjectMediterranean dietpt_PT
dc.subjectIndexpt_PT
dc.subjectCafeteria menuspt_PT
dc.subjectFCT_UIDB/05608/2020pt_PT
dc.subjectFCT_UIDP/05608/2020pt_PT
dc.titleDevelopment of a tool to assess the compliance of cafeteria menus with the Mediterranean Dietpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.startPage163pt_PT
oaire.citation.titleBMC Nutritionpt_PT
oaire.citation.volume10pt_PT
person.familyNameCOLAÇO LOURENÇO VIEGAS
person.givenNameCLÁUDIA ALEXANDRA
person.identifier.ciencia-id1E1E-A95A-5A71
person.identifier.orcid0000-0001-6051-7317
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication2539f10d-3879-4cc7-b781-9d03f8a68db2
relation.isAuthorOfPublication.latestForDiscovery2539f10d-3879-4cc7-b781-9d03f8a68db2

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