Human Nutrition Research Centre, Population Health Sciences Institute, Faculty of Medical Sciences, M1.151 William Leech Building, Newcastle University, Framlington Place, Newcastle NE2 4HH, UK.
Nutrients. 2022 Apr 9;14(8):1566. doi: 10.3390/nu14081566.
The aims of this systematic review are to determine the availability of healthy food and beverages in hospitals and identify interventions that positively influence the hospital food environment, thereby improving the dietary intake of employees and visitors. Embase, Medline, APA PsycInfo, Scopus, Google Scholar and Google were used to identify publications. Publications relating to the wider hospital food environment in the UK and USA were considered eligible, while those regarding food available to in-patients were excluded. Eligible publications ( = 40) were explored using a narrative synthesis. Risk of bias and research quality were assessed using the Quality Criteria Checklist for Primary Research. Although limited by the heterogeneity of study designs, this review concludes that the overall quality of hospital food environments varies. Educational, labelling, financial and choice architecture interventions were shown to improve the hospital food environment and/or dietary intake of consumers. Implementing pre-existing initiatives improved food environments, but multi-component interventions had some undesirable effects, such as reduced fruit and vegetable intake.
本系统评价的目的是确定医院内提供健康食品和饮料的情况，并确定积极影响医院食品环境的干预措施，从而改善员工和访客的饮食摄入。使用了 Embase、Medline、APA PsycInfo、Scopus、Google Scholar 和 Google 来确定出版物。考虑了英国和美国更广泛的医院食品环境相关的出版物，而排除了与住院病人可获得的食物相关的出版物。使用叙述性综合方法探讨了符合条件的出版物（= 40）。使用主要研究质量标准检查表评估了偏倚风险和研究质量。尽管受到研究设计异质性的限制，但本综述得出的结论是，医院食品环境的整体质量存在差异。教育、标签、财务和选择架构干预措施被证明可以改善医院食品环境和/或消费者的饮食摄入。实施现有的举措可以改善食品环境，但多组分干预措施有一些不良影响，例如减少水果和蔬菜的摄入。
