Food-Away-From-Home Options in Local Military Nutrition Environments

Katie M. Kirkpatrick MS , Deborah J. Robinson MPH , Sarah J. Hinman MSPH , Jessica L. Kegel MA , Rachel A. Chamberlin PhD , Rory G. McCarthy PhD , Jonathan M. Scott PhD
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Abstract

Introduction

Americans have increased their intake of food away from home, which is lower in quality and higher in calories than food prepared at home. The increase of operations that serve food also impacts the military nutrition environment—including all foods, beverages, and dietary supplements available to the military community—and its role in nutritional fitness.

Methods

As part of a pilot study, 5 military installations used the online Military Nutrition Environment Assessment Tool to evaluate their local food landscape. Each site then developed an intervention to address a specific venue (e.g., dining facility, express) and a key category (food policy, food availability, or behavioral design) through a targeted intervention.

Results

Site teams conducted assessments on a total of 103 venues across 9 venue types. Scores varied widely among and within installations. The overall average Military Nutrition Environment Assessment Tool score was 52%, with individual installation scores ranging from 39% to 69%. The most commonly targeted facility for intervention was the dining facility. In-person feedback sessions revealed that leadership awareness and support are key facilitators to improving the local food environment. Most users agreed or strongly agreed that the Military Nutrition Environment Assessment Tool application was easy to navigate.

Conclusions

Similar to trends in the general public, the military community has more ways to purchase food away from home, so improving food-away-from-home quality in military settings can have a major impact. A review of local military food environments showed areas of success and opportunities for improvement. Given the prevalence of food away from home, providing and promoting nutritious options can help optimize Service Member nutritional fitness.

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地方军事营养环境中的食物选择。
导读:美国人在外面吃的食物越来越多,这些食物的质量比在家做的食物低,热量也更高。提供食品的行动的增加也影响了军队的营养环境——包括军队社区可获得的所有食品、饮料和膳食补充剂——及其在营养健康方面的作用。方法:作为试点研究的一部分,5个军事设施使用在线军事营养环境评估工具评估其当地的食物景观。然后,每个站点通过有针对性的干预制定了针对特定场所(例如,餐饮设施,快递)和关键类别(食品政策,食品供应或行为设计)的干预措施。结果:现场小组对9种场地类型共103个场地进行了评估。不同装置之间和装置内部的分数差异很大。总体平均军事营养环境评估工具得分为52%,个别安装得分从39%到69%不等。最常见的干预目标是餐饮设施。面对面的反馈会议显示,领导的意识和支持是改善当地食品环境的关键因素。大多数用户同意或强烈同意军事营养环境评估工具应用程序易于导航。结论:与一般公众的趋势类似,军队社区有更多的方式购买离家在外的食物,因此提高军队环境中的离家在外的食物质量可以产生重大影响。对当地军事食品环境的审查显示了成功的领域和改进的机会。鉴于外出就餐的流行,提供和推广营养选择可以帮助优化服务成员的营养健康。
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AJPM focus
AJPM focus Health, Public Health and Health Policy
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