目标:食品服务指南(FSG)政策可能会影响出售或提供给政府雇员的数百万餐的营养质量,市民在公共场所,或制度化的人。这项研究检查了2015年1月1日至2019年4月1日通过的州FSG政策,并使用FSG分类工具(FSG工具)来量化与公共卫生影响的营养建议的一致性。
方法:定量含量分析。
方法:州政府工作场所和设施。
方法:美国50个州和哥伦比亚特区(D.C.)。
方法:策略的频率和与FSG工具的对齐百分比。
方法:使用法律数据库确定FSG政策,以评估州法规,法规,和行政命令。内容分析和编码确定了跨4个FSG工具域的策略属性,(1)参考营养标准;(2)行为设计策略,鼓励选择更健康的产品;(3)设施效率和环境可持续性;(4)FSG实施支持。
结果:从2015年至2019年,5项FSG政策符合研究纳入标准。通过参考与美国人饮食指南(DGA)一致的营养标准,五分之四的政策获得了完美的营养评分(100%),并在食品服务场所使用。5项政策中有4项包括至少1项实施支持条款,比如命名一个执行机构,和2包括鼓励当地食品采购的规定。
结论:从2015年到2019年,FSG政策综合得分从24%到73%不等,大多数政策都参考了与国家营养建议相一致的食品和营养标准。公共卫生从业人员可以教育决策者FSG政策对饮食相关健康结果和相关成本节约的潜在影响,以及支持本地种植产品和环境可持续性实践的其他重要共同利益。
Food service
guidelines (FSG) policies can impact the nutritional quality of millions of meals sold or served to government employees, citizens in public places, or institutionalized persons. This study examines state FSG policies adopted January 1, 2015 to April 1, 2019, and uses a FSG Classification Tool (FSG Tool) to quantify alignment with nutrition recommendations for public health impact.
Quantitative Content Analysis.
State Government Worksites and Facilities.
50 states and District of Columbia (D.C.) in the United States.
Frequency of policies and percent alignment to FSG tool.
FSG policies were identified using legal databases to assess state statutes, regulations, and executive orders. Content analysis and coding determined attributes of policies across 4 FSG Tool domains, (1) nutrition standards referenced; (2) behavioral design strategies encouraging selection of healthier offerings; (3) facility efficiency and environmental sustainability; and (4) FSG implementation supports.
From 2015-2019, 5 FSG policies met study inclusion criteria. Four out of 5 policies earned a perfect nutrition score (100%) by referencing nutrition standards that align with the Dietary
Guidelines for Americans (DGA) and are operationalized for use in food service venues. Four out of 5 policies included at least 1 implementation supports provision, such as naming an implementing agency, and 2 included provisions that encourage local food sourcing.
From 2015-2019, overall FSG policy comprehensiveness scores ranged from 24% to 73%, with most policies referencing food and nutrition standards that align to national nutrition recommendations. Public health practitioners can educate decision makers on the potential impact of FSG policies on diet-related health outcomes and associated cost savings, as well as other important co-benefits that support locally grown products and environmental sustainability practices.