The Children's Menu Assessment: Development, Evaluation, and Relevance of a Tool for Evaluating Children's Menus
The Children's Menu Assessment: Development, Evaluation, and Relevance of a Tool for Evaluating Children's Menus
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DOI：
10.1016/j.jada.2011.03.018
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发表时间：
2011-06-01
影响因子：
--
通讯作者：
West, Delia Smith
中科院分区：
文献类型：
--
作者：
Krukowski, Rebecca A.;Eddings, Kenya;West, Delia Smith
餐厅食物占儿童膳食摄入量的很大一部分，而外出消费食物被证明是导致过度肥胖的原因之一。这项描述性研究旨在试行测试和建立标准化和综合评估工具--儿童菜单评估--的可靠性，用于评估儿童餐厅的食物环境。该工具是营养环境措施调查-餐厅的扩展。在2009-2010年间，从阿肯色州小石城20英里范围内随机抽取了130家当地和连锁餐厅，以检查儿童菜单的可用性，并对儿童菜单评估工具进行初步校准(最终样本：N=46)。独立评分员完成了儿童菜单评估，以确定评分员之间的可靠性。同时对重测信度进行了检验。评分者之间的可信度很高：百分比一致性为97%，Spearman相关系数为0.90。测试重测也很高：符合率为91%，Spearman相关系数为0.96%。儿童菜单评估平均完成时间为14分56秒+/-10分21秒。对儿童菜单评估结果的分析表明，儿童菜单上提供的更健康的选项很少，而且大多数菜单没有为父母提供做出健康选择的信息，包括营养信息或确定更健康的选项。儿童菜单评估工具允许对儿童餐厅的食物环境进行全面、快速的测量，评分员之间具有很高的可靠性。这一工具有可能有助于公共卫生努力，以制定和评估关于餐厅食品的有针对性的环境干预措施和/或政策变化。美国饮食协会。2011；111：884-888。
Restaurant foods represent a substantial portion of children's dietary intake, and consumption of foods away from home has been shown to contribute to excess adiposity. This descriptive study aimed to pilot-test and establish the reliability of a standardized and comprehensive assessment tool, the Children's Menu Assessment, for evaluating the restaurant food environment for children. The tool is an expansion of the Nutrition Environment Measures Survey-Restaurant. In 2009-2010, a randomly selected sample of 130 local and chain restaurants were chosen from within 20 miles of Little Rock, AR, to examine the availability of children's menus and to conduct initial calibration of the Children's Menu Assessment tool (final sample: n=46). Independent raters completed the Children's Menu Assessment in order to determine inter-rater reliability. Test retest reliability was also examined. Inter-rater reliability was high: percent agreement was 97% and Spearman correlation was 0.90. Test retest was also high: percent agreement was 91% and Spearman correlation was 0.96. Mean Children's Menu Assessment completion time was 14 minutes, 56 seconds +/- 10 minutes, 21 seconds. Analysis of Children's Menu Assessment findings revealed that few healthier options were available on children's menus, and most menus did not provide parents with information for making healthy choices, including nutrition information or identification of healthier options. The Children's Menu Assessment tool allows for comprehensive, rapid measurement of the restaurant food environment for children with high inter-rater reliability. This tool has the potential to contribute to public health efforts to develop and evaluate targeted environmental interventions and/or policy changes regarding restaurant foods. J Am Diet Assoc. 2011;111:884-888.