1Department of Family Medicine and Community Health,Program in Health Disparities Research,University of Minnesota,717 Delaware Street SE,Minneapolis,MN 55414,USA.
2Biostatistical Design and Analysis Center,University of Minnesota,Minneapolis,MN,USA.
Public Health Nutr. 2018 Oct;21(14):2548-2557. doi: 10.1017/S1368980018001362. Epub 2018 May 29.
Hunger relief agencies have a limited capacity to monitor the nutritional quality of their food. Validated measures of food environments, such as the Healthy Eating Index-2010 (HEI-2010), are challenging to use due to their time intensity and requirement for precise nutrient information. A previous study used out-of-sample predictions to demonstrate that an alternative measure correlated well with the HEI-2010. The present study revised the Food Assortment Scoring Tool (FAST) to facilitate implementation and tested the tool's performance in a real-world food pantry setting.
We developed a FAST measure with thirteen scored categories and thirty-one sub-categories. FAST scores were generated by sorting and weighing foods in categories, multiplying each category's weight share by a healthfulness parameter and summing the categories (range 0-100). FAST was implemented by recording all food products moved over five days. Researchers collected FAST and HEI-2010 scores for food availability and foods selected by clients, to calculate correlations.
Five food pantries in greater Minneapolis/St. Paul, Minnesota, USA.
Food carts of sixty food pantry clients.
The thirteen-category FAST correlated well with the HEI-2010 in prediction models (r = 0·68). FAST scores averaged 61·5 for food products moved, 63·8 for availability and 62·5 for client carts. As implemented in the real world, FAST demonstrated good correlation with the HEI-2010 (r = 0·66).
The FAST is a flexible, valid tool to monitor the nutritional quality of food in pantries. Future studies are needed to test its use in monitoring improvements in food pantry nutritional quality over time.
饥饿救济机构的监测能力有限，无法对其食品的营养质量进行监测。由于耗时且需要精确的营养信息，验证食品环境的有效措施，如 2010 年健康饮食指数（HEI-2010），使用起来具有挑战性。先前的一项研究使用样本外预测表明，替代措施与 HEI-2010 相关性很好。本研究修订了食品分类评分工具（FAST），以促进实施，并在现实世界的食品储藏室环境中测试了该工具的性能。
我们开发了一个具有十三个评分类别的 FAST 措施和三十一个子类别。FAST 得分是通过对类别的食物进行分类和加权、将每个类别的权重份额乘以健康参数并将类别相加（范围为 0-100）来生成的。FAST 通过记录五天内移动的所有食品产品来实施。研究人员收集了 FAST 和 HEI-2010 用于评估食品供应和客户选择的食品的分数，以计算相关性。
美国明尼苏达州明尼阿波利斯/圣保罗大都市区的五个食品储藏室。
六十名食品储藏室客户的食品推车。
十三项 FAST 与预测模型中的 HEI-2010 相关性良好（r = 0·68）。在实际实施中，FAST 与 HEI-2010 的相关性良好（r = 0·66）。
FAST 是一种灵活、有效的工具，可监测食品储藏室食品的营养质量。需要进一步的研究来测试其在监测食品储藏室营养质量随时间的改善方面的用途。
