Gerritsen Sarah, Dean Brianna, Morton Susan M B, Wall Clare R
School of Population Health, University of Auckland, New Zealand.
Nutrition Department, University of Auckland, New Zealand.
Aust N Z J Public Health. 2017 Aug;41(4):345-351. doi: 10.1111/1753-6405.12667. Epub 2017 Jun 14.
To describe food provision and evaluate menus in New Zealand childcare services, determining associations with service characteristics and/or cost of menu.
Licensed services in three regions of New Zealand participated in an online survey, uploading a weekly menu where applicable. Menus were scored for compliance with guidelines on quantity, variety and quality of foods served. Bivariate and multivariate associations between menu score and service characteristics were analysed.
A total of 257 services participated (30% of 847 services invited). Food was provided daily in 56%, with 34% providing lunch and snacks daily. Of the 57 full menus analysed, only three (5%) met all 10 scoring criteria (mean score of 6.8/10). Higher menu scores were statistically associated with employing a cook, high and low (not medium) neighbourhood deprivation, the Heart Foundation's Healthy Heart Award program; there was no association with food costs. The Healthy Heart Award remained statistically associated with higher menu score after adjustment for other service characteristics.
Most menus did not meet current nutrition guidelines for quantity, variety, and limiting 'sometimes' and 'occasional' foods. Implications for public health: This study provides a baseline for monitoring menu compliance in New Zealand and evidence for nutrition promotion and menu improvement programmes in early education.
描述新西兰儿童保育服务中的食物供应情况并评估菜单，确定其与服务特征和/或菜单成本之间的关联。
新西兰三个地区的持牌服务机构参与了一项在线调查，并在适用时上传每周菜单。根据所提供食物的数量、种类和质量指南对菜单进行评分。分析了菜单得分与服务特征之间的双变量和多变量关联。
共有257家服务机构参与（占847家受邀服务机构的30%）。56%的机构每天提供食物，34%的机构每天提供午餐和小吃。在分析的57份完整菜单中，只有三份（5%）符合所有10项评分标准（平均得分为6.8/10）。较高的菜单得分在统计学上与雇佣厨师、邻里贫富程度高和低（而非中等）、心脏基金会的健康心脏奖计划相关；与食物成本无关。在对其他服务特征进行调整后，健康心脏奖在统计学上仍与较高的菜单得分相关。
大多数菜单不符合当前关于食物数量、种类以及限制“有时”和“偶尔”食用食物的营养指南。对公共卫生的影响：本研究为监测新西兰菜单的合规情况提供了基线，并为早期教育中的营养促进和菜单改进计划提供了证据。
