Orders Of Healthier Children’s Items Remain High More Than Two Years After Menu Changes At A Regional Restaurant Chain

Anzman‐Frasca, Stephanie; Mueller, Megan P.; Lynskey, Vanessa M.; Harelick, Linda; Economos, Christina D.

doi:10.1377/hlthaff.2015.0651

Cited by 29 publications

(40 citation statements)

References 35 publications

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“…These classes were also more likely to include orders that met calorie recommendations compared with the healthy meals, add‐ons; unhealthy sides; healthy substitutions, add‐ons; and unhealthy substitution classes. Healthier meal patterns (meals in the healthy meals and healthy substitutions classes) made up a substantial percentage of the total meal orders (57.9%), consistent with our previous research highlighting the overall success of healthy menu modifications in encouraging healthier ordering patterns among those ordering off the children's menu in this restaurant .…”

Section: Discussionsupporting

confidence: 88%

“…This study adds to our previous work by examining classes of ordering patterns to better understand variability among patrons ordering from the healthy children's menu . The approach taken here also allowed us to inductively determine these groupings, thereby accounting for the many ways an individual can achieve a healthy meal .…”

Section: Discussionmentioning

confidence: 97%

“…A secondary analysis was conducted using itemized receipt (i.e., individual check; referred to herein as check) data from 13 outlets of the Silver Diner, a regional, full‐service restaurant chain serving more than 4 million customers annually. More detailed information about the restaurant, menu changes, and order data can be found in Anzman‐Frasca et al . Briefly, the restaurant introduced a healthier menu in April 2012 for children ages 12 and under which featured: more children's meals meeting KLW nutrition standards (from 22% to 59% of offerings); healthy, KLW side dishes bundled with all children's meals by default (strawberries, mixed vegetables, or salad); and the removal of French fries and home fries (referred to herein as French fries) and fountain drinks (including soda and lemonade, referred to herein as soda), which could still be substituted at no charge.…”

Section: Methodsmentioning

confidence: 99%

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Ordering patterns following the implementation of a healthier children's restaurant menu: A latent class analysis

Mueller

Anzman‐Frasca

Blakeley

et al. 2016

Obesity

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Objective: Identify ordering patterns following implementation of a healthier children's menu. Methods: A healthier children's menu was introduced in 2012 at a regional restaurant chain, featuring more meals meeting Kids LiveWell (KLW) nutrition standards, KLW side dishes bundled with meals, and the removal of French fries and soda. Latent class analysis was conducted on child meal orders placed after menu implementation (n 5 8,611). The average calorie content and proportion of orders meeting calorie recommendations (600 kcal) in each class were evaluated. Results: The best-fitting model contained six latent classes representing different ordering patterns: "healthy meals" (27.0%), "healthy meals, add-ons" (9.6%), "unhealthy sides" (9.2%), "healthy substitutions" (30.9%), "healthy substitutions, add-ons" (1.0%), and "unhealthy substitutions" (22.4%). Classes denoted as "healthy" were likely to contain meals with KLW items. Orders in the healthy meals class contained fewer calories than orders in all other classes (P < 0.0001). The majority of orders meeting calorie recommendations were in the healthy meals (59.4%) and healthy substitutions (27.1%) classes. Conclusions: Ordering patterns consistent with the healthier menu were common and more likely to meet calorie recommendations. Ordering patterns inconsistent with menu changes also emerged and can inform intervention efforts to reach patrons who may reject or compensate for healthier items.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 97%

Section: Methodsmentioning

confidence: 99%

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Ordering patterns following the implementation of a healthier children's restaurant menu: A latent class analysis

Mueller

Anzman‐Frasca

Blakeley

et al. 2016

Obesity

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“…Changes in those environmental aspects (nudges) were found to provide potential to unconsciously take influence on decisions without impeding the process of free choice (Thaler & Sunstein, ). The evaluation of specific food choice options before and after decision and hence choices and consumption accordingly have found being dependent on various environmental factors such as the availability of alternatives and their characteristics (Anzman‐Frasca, Mueller, Lynskey, Harelick, & Economos, ; Bandoni, Sarno, & Jaime, ), the design of choice settings (Dayan & Bar‐Hillel, ) as well as of food environments (Edwards, Meiselman, Edwards, & Lesher, ; García‐Segovia, Harrington, & Seo, ; Thiagarajah & Getty, ) and the presentation of food options such as portion sizes and forms of preparation (Piqueras‐Fiszman, Harrar, Alcaide, & Spence, ; Suh & Jung, ; Zellner et al, ). Factors of physical environments for the out‐of‐home food consumption that were specifically considered in the reviewed papers compose of the availability and portion size of specific foods, the design of service systems, eating atmospherics and time constraints for meals.…”

Section: Resultsmentioning

confidence: 99%

Determinants of how individuals choose, eat and waste: Providing common ground to enhance sustainable food consumption out‐of‐home

Lorenz

Langen

2017

Int J Consumer Studies

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The transformation of food consumption in wealthy economies is regarded as an essential measure to reach global sustainability goals. However, existing policies and research activities to change food consumption in the increasingly relevant out-of-home sector relate to a wide set of options on how to influence behaviours and may be criticized to lack a general focus. Against this background, our study provides a structured review of the existing research body on the determinants of individuals' food choices and food consumption out-of-home. It structures the various research approaches and findings for 110 selected papers according to a general ecological framework where personal, social and environmental determinants for food behaviours are considered. By providing a collective overview and linking results for different behavioural aspects and settings, this study supports a more general understanding of consumer food behaviour in out-of-home settings. Consequently, it also provides a means to identify research gaps and to suggest relevant aspects for future research to draw from the combination of findings and to enhance sustainability in food consumption. K E Y W O R D Seating behaviour, ecological framework, food choice, literature review, out-of-home consumption, sustainable consumption | I NTR OD U CTI ONThe United Nations' Sustainable Development Goals provide a central agenda for improving sustainability at a global level. One of the 17 goals addresses more sustainable consumption and production patterns in order to '(. . .) reduce future economic, environmental and social costs (. . .)' and specifically focuses on food consumption and the dietary choices and habits of individuals (United Nations, 2016). Accordingly, the FAO (2016a) names lifestyles (e.g., symbolized by eating out-of-home) and diets (following trends) as two important aspects that have to be considered for improving sustainability at a global level.On the international level, many different activities and events for more sustainable consumption patterns take place [see the Sustainable Food Systems Programme (SFSP), established by FAO and UNEP in 2011]. Single policies within the European Union (EU) have been or recently are concerned with aspects of sustainable food consumption of individuals such as health (i.e., the third Health Program, European Commission, 2016) or the responsible use of scarce resources (i.e., the 'Stop Food Waste' initiative, European Union, 2016). These policies however also need to consider ongoing trends of lower relative overall household expenditures for food along with an increasing share of food consumed in out-of-home settings compared to in-home consumption (European Commission, 2011;Gracia & Albisu, 2001;Paddock, Warde, & Whillans, 2017). Therefore, the out-of-home consumption sector and especially group catering, which provides food to individuals on a more regular basis than individual gastronomy, should be considered as a relevant setting in which interventions with the aim to facilitate and...

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“…170 In a follow-up study, changes were sustainable. 171 Other initiatives have shown similar success. 172,173 However, few such intervention studies have been published.…”

Section: Support Significant Increases In Excise Taxes On Ssbsmentioning

confidence: 90%

Evidence-Based Policy Making: Assessment of the American Heart Association’s Strategic Policy Portfolio

Goldstein¹,

Antman²,

Arnett³

et al. 2016

Circulation

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Background-American Heart Association (AHA) public policy advocacy strategies are based on its Strategic Impact Goals.The writing group appraised the evidence behind AHA's policies to determine how well they address the association's 2020 cardiovascular health (CVH) metrics and cardiovascular disease (CVD) management indicators and identified research needed to fill gaps in policy and support further policy development. Methods and Results-The AHA policy research department first identified current AHA policies specific to each CVH metric and CVD management indicator and the evidence underlying each policy. Writing group members then reviewed each policy and the related metrics and indicators. The results of each review were summarized, and topic-specific priorities and overarching themes for future policy research were proposed. There was generally close alignment between current AHA policies and the 2020 CVH metrics and CVD management indicators; however, certain specific policies still lack a robust evidence base. For CVH metrics, the distinction between policies for adults (age ≥20 years) and children (<20 years) was often not considered, although policy approaches may differ importantly by age. Inclusion of all those <20 years of age as a single group also ignores important differences in policy needs for infants, children, adolescents, and young adults. For CVD management indicators, specific quantitative targets analogous to criteria for ideal, intermediate, and poor CVH are lacking but needed to assess progress toward the 2020 goal to reduce deaths from CVDs and stroke. New research in support of current policies needs to focus on the evaluation of their translation and implementation through expanded application of implementation science. Focused basic, clinical, and population research is required to expand and strengthen the evidence base for the development of new policies. Evaluation of the impact of targeted © 2016 American Heart Association, Inc.Circulation is available at http://circ.ahajournals.org DOI: 10.1161/CIR.0000000000000410The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This policy statement was approved by the Advocacy Coordinating Committee February 23, 2016, and the American Heart Association Executive Committee on February 23, 2016. A copy of the document is available at http://professional.heart.org/statements by using either "Search for Guidelines & Statements" or the "Browse by Topic" area. To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@wolterskluwer.com.The American Heart Association requests that this document be cited as follows: Labarthe DR, Goldstein LB,...

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Orders Of Healthier Children’s Items Remain High More Than Two Years After Menu Changes At A Regional Restaurant Chain

Cited by 29 publications

References 35 publications

Ordering patterns following the implementation of a healthier children's restaurant menu: A latent class analysis

Ordering patterns following the implementation of a healthier children's restaurant menu: A latent class analysis

Determinants of how individuals choose, eat and waste: Providing common ground to enhance sustainable food consumption out‐of‐home

Evidence-Based Policy Making: Assessment of the American Heart Association’s Strategic Policy Portfolio

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