Monroy-Parada Doris Xiomara, Jácome-González María Luisa, Moya-Geromini María Ángeles, Rodríguez-Artalejo Fernando, Royo-Bordonada Miguel Ángel
National School of Health, Carlos III Institute of Health, Madrid, Spain; Service of Preventive Medicine and Public Health, Albacete University Teaching Hospital Complex, Albacete, Spain.
National School of Health, Carlos III Institute of Health, Madrid, Spain.
Gac Sanit. 2018 Sep-Oct;32(5):459-465. doi: 10.1016/j.gaceta.2017.05.006. Epub 2017 Jul 13.
To describe the nutritional content of products offered in food and drink vending machines at secondary schools in the Madrid Autonomous Community (Spain), and to evaluate these items' adherence to the nutritional recommendations of the National Health System Consensus Document on School Food.
Cross-sectional study of a sample of 330 secondary schools in Madrid across the period 2014-2015. Secondary school vending machines were identified by telephone interview. The products offered in a representative sample of six machines were identified by inspection in situ, and their nutritional composition was obtained from the labelling.
A total of 94.5% of the 55 products on offer failed to comply with at least one nutritional criterion of the Consensus Document on School Food. The recommendation relating to sugar content registered the highest level of non-compliance, with 52.7% of products, followed by the recommendations relating to energy (47.3%) and fats (45.5%). The mean number of unmet criteria was 2.2, with this figure being higher in foods than in drinks (2.8 versus 1; p <0.01).
Almost all the products on display in secondary school vending machines in Madrid were in breach of the Consensus Document on School Food, mainly due to an excess of calories, sugars and fats. Compulsory nutritional criteria and a procedure for monitoring adherence should be established, specifying those responsible for performing this task and the corrective measures to be applied in the event of non-compliance.
描述西班牙马德里自治区中学食品和饮料自动售货机所售产品的营养成分，并评估这些产品是否符合国家卫生系统学校食品共识文件的营养建议。
对2014 - 2015年期间马德里330所中学的样本进行横断面研究。通过电话访谈确定中学自动售货机。通过现场检查确定六台具有代表性的自动售货机所售产品，并从标签中获取其营养成分。
在售的55种产品中，共有94.5%不符合学校食品共识文件的至少一项营养标准。关于糖含量的建议不符合率最高，为52.7%的产品，其次是关于能量（47.3%）和脂肪（45.5%）的建议。未满足标准的平均数量为2.2，食品中的这一数字高于饮料（2.8对1；p<0.01）。
马德里中学自动售货机上展示的几乎所有产品都违反了学校食品共识文件，主要原因是热量、糖和脂肪过量。应制定强制性营养标准和监测遵守情况的程序，明确负责执行此项任务的人员以及不遵守规定时应采取的纠正措施。
