Health and Wellness Department, University of North Carolina at Asheville, Rm 465, Sherrill Center, 1 University Heights, Asheville, NC28804, USA.
CAN Community Health, Columbia, SC, USA.
Public Health Nutr. 2021 Aug;24(11):3437-3441. doi: 10.1017/S1368980021001646. Epub 2021 Apr 16.
To assess the frequency with which soft drinks and premiums are available with children's meals marketed on the top restaurant chains' websites worldwide.
Cross-sectional structured observational assessment of secondary information about top international restaurant chain children's meals.
Websites of top restaurant chains for 193 countries and five regions of the United Nations.
Top restaurant chains (including McDonald's, Subway, Burger King and KFC) across 193 countries. Children's meal images and descriptions were reviewed to determine if the meal was marketed with a soft drink as a beverage option and whether the meal offered a premium.
Children's meals were marketed online on restaurant websites by at least one of the four chains in a total of seventy eight of the 193 countries (40·4 %). Overall, 56·3 % of countries with any online children's meal marketing by the four chains included at least one chain that marketed soft drinks and 92·3 % marketed premiums with the meal.
Every region in the world includes marketing of children's meals on the websites of the top restaurant chains. The high prevalence of premiums marketed online with children's meals is of concern. Similarly, with over 50 % of countries with online children's meal marketing having at least one chain that offers soft drinks as part of the meals, additional regulation and education may be warranted.
评估全球顶级连锁餐厅网站上销售的儿童餐搭配软饮料和赠品的频率。
对全球顶级国际连锁餐厅儿童餐的次要信息进行横断面结构观察评估。
193 个国家和联合国五个地区的顶级连锁餐厅网站。
全球 193 个国家的顶级连锁餐厅（包括麦当劳、赛百味、汉堡王和肯德基）。审查儿童餐的图像和描述，以确定该餐是否搭配软饮料作为饮料选择，以及该餐是否提供赠品。
在总共 193 个国家中的 78 个国家中，至少有一家连锁餐厅在餐厅网站上在线销售儿童餐（40.4%）。总体而言，在有任何四家连锁餐厅在线销售儿童餐的国家中，有 56.3%的国家至少有一家连锁餐厅销售软饮料，92.3%的国家销售赠品。
世界上每个地区都在顶级连锁餐厅的网站上销售儿童餐。网上销售儿童餐搭配赠品的高流行率令人担忧。同样，在有在线儿童餐营销的国家中，有超过 50%的国家至少有一家连锁餐厅提供软饮料作为套餐的一部分，因此可能需要额外的监管和教育。
