Family eating out-of-home: a review of nutrition and health policies

Childhood obesity is a growing problem worldwide. In recent years, out-of-home (OH) eating has been highlighted as one of the many factors contributing to the obesogenic environment. This review seeks to identify a range of existing guidelines for the provision of healthy food options for families w...

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Bibliographic Details
Published in:	Proceedings of the Nutrition Society 2013-02, Vol.72 (1), p.126-139
Main Authors:	McGuffin, L. E., Wallace, J. M. W., McCrorie, T. A., Price, R. K., Pourshahidi, L. K., Livingstone, M. B. E.
Format:	Article
Language:	eng
Subjects:	Australia Biological and medical sciences Canada Conference on ‘Translating nutrition: integrating research, practice and policy’ Diet - standards Europe Families & family life Family Feeding Behavior Feeding. Feeding behavior Food Food Labeling Food Services Fundamental and applied biological sciences. Psychology Guidelines as Topic Health Health care Health Promotion Humans Medical sciences Metabolic diseases Nutrition Nutrition Policy Obesity Postgraduate Symposium Program Evaluation Public health Schools Trends United States Vertebrates: anatomy and physiology, studies on body, several organs or systems
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Summary:	Childhood obesity is a growing problem worldwide. In recent years, out-of-home (OH) eating has been highlighted as one of the many factors contributing to the obesogenic environment. This review seeks to identify a range of existing guidelines for the provision of healthy food options for families who eat OH frequently. Nationally available nutrition policies were identified using targeted and untargeted searches of the internet to identify established strategies for providing food for children in the family eating out sector in America (US), Australia, Canada and the WHO's European Region (EUR). These were categorised on the basis of eleven pre-defined criteria including: family eating out sector included as stakeholder; inclusion of children's food OH; cost strategies for healthier food choices; provision of nutrition information for customers; nutrition training of catering staff; and monitoring and evaluation structures. Fifty-five policies were reviewed, of which 71% addressed children's food served OH, but principally only for food available in schools. Two voluntary programmes, from Colorado and Slovenia, were identified as possible best practice models as they met a majority of the evaluation criteria. The most frequently used strategy by policies to promote healthier eating OH was the provision of nutrition information on menus, while monitoring and evaluation plans were poorly incorporated into any OH strategies, thus raising issues about their effectiveness. This review has identified a range of initiatives that could be employed to make healthier eating OH more accessible for families. However, to establish best practice guidelines for healthier OH food choices further investigations are required.
ISSN:	0029-6651 1475-2719