Quality of kids’ meals in fast-food restaurants: the nutritional content isnot enough for an informed choice

Autores

  • Daniela Costa PINTO Universidade do Porto
  • Cláudia Alexandra Colaço Lourenço VIEGAS Escola Superior de Tecnologia da Saúde de Lisboa
  • Ada Margarida Correia Nunes da ROCHA Universidade do Porto

Palavras-chave:

Child nutrition, Food composition, Menu planning, Nutritive Value

Resumo

Objective
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 of the 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.

Conclusion
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.

Referências

Soo J, Harris JL, Davison KK, Williams DR, Roberto CA. Changes in the nutritional quality of fast-food items marketed at restaurants in 2013 v.2010. Public Health Nutr. 2018;21(11):2117-27.

Jacob L, Stubbs B, Firth J, Smith L, Haro JM, Koyanagi A. Fast food consumption and suicide attempts among adolescents aged 12-15 years from 32 countries. J Affec Disor. 2020;266:63-70.

Uechi K. Nutritional quality of meals offered to children (kids’ meals) at chain restaurants in Japan. Public Health Nutr. 2018;21(17):310110.

Moran AJ, Block JP, Goshev SG, Bleich SN, Roberto CA. Trends in nutrient content of children’s menu items in U.S. chain restaurants. Am J Prev Med. 2017;52(3):284-91.

Lopes C, Torres D, Oliveira A, Severo M, Alarcão V, Guiomar S, et al. Inquérito alimentar nacional e de atividade física, IAN-AF 2015-2016. Porto: Universidade do Porto; 2018 [citado 2020 jul.];1-287. Disponível em: https://ian-af.up.pt/sites/default/files/IAN-AF%20Relatório%20Resultados_0.pdf

Anzman-Frasca S, Folta SC, Glenn ME, Jones-Mueller A, Lynskey VM, Patel AA, et al. Healthier children’s meals in restaurants: an exploratory study to inform approaches that are acceptable across stakeholders. J Nutr Educ Behav. 2017;49(4):285-95.

World Health Organization. Report of the Commission on Ending Childhood Obesity. Geneve: Organization; 2016. Available from: www.who.int/end-childhood-obesity/en

Larson N, Haynos AF, Roberto CA, Loth KA, Neumark-Sztainer D. Calorie labels on the restaurant menu: is the use of weight-control behaviors related to ordering decisions? J Acad Nutr Diet. 2018;118(3):1-10.

Deierlein AL, Peat K, Claudio L. Comparison of the nutrient content of children’s menu items at US restaurant chains, 2010-2014. Nutr J. 2015;14(1):1-7.

Wolfson JA, Leung CW, Gearhardt AN. Trends in the nutrition profile of menu items at large burger chain restaurants. Am J Prev Med. 2020;58(6):e171-9. https://doi.org/10.1016/j.amepre.2020.01.012

Ho DE, Mbonu O, McDonough A, Pottash R. Menu labeling, calories, and nutrient density: evidence from chain restaurants. Plos One. 2020;15(5):e0232656. doi: 10.1371/journal.pone.0232656

Murphy SA, Weippert MV, Dickinson KM, Scourboutakos MJ, L’Abbé MR. Cross-sectional analysis of calories and nutrients of concern in Canadian Chain restaurant menu items in 2016. Am J Prev Med. 2020; 59(4) E149-E159. https://doi.org/10.1016/j.amepre.2020.05.005

Viegas C, Afonso C, Lima JP, Mateus MP, Rocha A. Oferta alimentar de menus infantis em restaurantes de centros comerciais portugueses. Acta Port Nutr. 2020 [citado 2020 set.];21:10-14. Disponível em: https://actaportuguesadenutricao.pt/wp-content/uploads/2020/08/03_ARTIGO-ORIGINAL.pdf

Franchini B, Rodrigues S. A nova roda dos alimentos: um guia para a escolha alimentar diária [Internet]. 2015 [citado 2020 jul.]. Disponível em: http://www.fao.org/3/a-ax433o.pdf

Gomes S, Oliveira B, Franchini B, Ávila H. Capitações de géneros alimentícios para refeições em meio escolar. Porto; 2015 [citado 2020 jul.]. Disponível em: https://www.apn.org.pt/documentos/manuais/Manual_capitacoes_GA_refeicoes_em_ME.pdf

European Food Safety Authority. Dietary reference values for nutrients summary report, EFS3. EFSA. 2019;14(12):1133-98.

Cogswell ME, Gunn JP, Yuan K, Park S, Merritt R. Sodium and sugar in complementary infant and toddler foods sold in the United States. J Am Acad Pediatr. 2015;135(3):416-23.

Viegas CACL, Torgal J, Graça P, Martins MRO. Evaluation of salt content in school meals. Rev Nutr. 2015;28(2):165-74.

He FJ, Wu Y, Feng XX, Ma J, Ma Y, Wang H, et al. School based education programme to reduce salt intake in children and their families (School-EduSalt): cluster randomised controlled trial. Br Med J. 2015;350:h770. https://doi.org/10.1136/bmj.h770

Guenther PM, Reedy J, Krebs-Smith SM, Reeve BB. Evaluation of the healthy eating index-2005. J Am Diet Assoc. 2008;108(11):1854-64.

Guenther PM, Reedy J, Krebs-Smith SM. Development of the healthy eating index-2005. J Am Diet Assoc. 2008;108(11):1896-901.

Patrick H, Nicklas TA. A review of family and social determinants of children’s eating patterns and diet quality. J Am Coll Nutr. 2005;24(2):83-92.

Jackson JA, Smit E, Branscum A, Gunter K, Harvey M, Manore MM, et al. The family home environment, food insecurity, and body mass index in rural children. Health Educ Behav. 2017;44(4):648-57.

Snuggs S, Houston-Price C, Harvey K. Healthy eating interventions delivered in the family home: a systematic review. Appetite. 2019;140:114-33.

Jackson JA, Smit E, Manore MM, John D, Gunter K. The family-home nutrition environment and dietary intake in rural children. Nutrients. 2015;7(12):9707-20.

Williams JE, Helsel B, Griffin SF, Liang J. Associations between parental BMI and the family nutrition and physical activity environment in a community sample. J Comm Health. 2017;42(6):1233-9.

Cullen KW, Baranowski T, Owens E, Marsh T, Rittenberry L, Moor C. Availability, accessibility, and preferences for fruit, 100% fruit juice, and vegetables influence children’s dietary behavior. Health Educ Behav. 2003;30(5):615-26.

Evans A, Banks K, Jennings R, Nehme E, Nemec C, Sharma S, et al. Increasing access to healthful foods: a qualitative study with residents of low-income communities. Int J Behav Nutr Phys Act. 2015;12(Suppl1):S5-12.

Rocha A, Viegas C, KIMEHS: proposal of an Index for Qualitative Evaluation of Children’s Menus: a pilot study. Foods. 2020;9(11):1618. https://doi.org/10.3390/foods9111618

Downloads

Publicado

22-06-2022

Como Citar

Costa PINTO, D., Colaço Lourenço VIEGAS, C. A., & Correia Nunes da ROCHA, A. M. (2022). Quality of kids’ meals in fast-food restaurants: the nutritional content isnot enough for an informed choice. Revista De Nutrição, 34, 1–9. Recuperado de https://periodicos.puc-campinas.edu.br/nutricao/article/view/6022

Edição

Seção

ARTIGOS ORIGINAIS