Department of Nutritional Sciences, Faculty of Health & Medical Sciences, University of Surrey, Guildford GU2 7XH, UK.
School of Psychology, Faculty of Health & Medical Sciences, University of Surrey, Guildford GU2 7XH, UK.
Nutrients. 2023 Jul 14;15(14):3149. doi: 10.3390/nu15143149.
The Childhood Obesity Plan aimed to reduce sugar and energy in foods through a voluntary sugar-reduction programme. Our primary objective was to determine whether this implementation strategy had been successful, focusing on the out-of-home sector. We used a repeated cross-sectional design to evaluate nutritional changes in desserts served by leading chain restaurants. We extracted nutrition information from online menus in autumn/winter 2020, for comparison with baseline (2017) and interim (2018) values extracted from third-party datasets. We assessed compliance with the 20% sugar-reduction target and category-specific energy targets by product category and for pooled desserts. Overall, sugar/portion and energy/portion decreased by 11% and 4%, respectively. Policy targets were achieved in one of five categories (ice-cream: -38% sugar, < 0.001; -30% energy, < 0.001). Secondary outcomes were analysed for subgroups with the necessary data. Few chains significantly reduced sugar and/or energy across their dessert range. Energy/portion was positively associated with portion weight and sugar/portion but not with sugar/100 g. More than half of adults' desserts contained excessive sugar and/or saturated fat compared with dietary guidelines. Children's desserts less frequently exceeded guidelines. These results demonstrate that voluntary measures can drive substantial change when technical, commercial, and operational barriers can be overcome.
儿童肥胖计划旨在通过自愿的减糖计划减少食品中的糖和能量。我们的主要目标是确定这种实施策略是否成功，重点关注非家庭部门。我们使用重复的横断面设计来评估领先连锁餐厅提供的甜点中的营养变化。我们从 2020 年秋季/冬季的在线菜单中提取营养信息，与基线（2017 年）和中期（2018 年）从第三方数据集提取的值进行比较。我们根据产品类别和汇总的甜点评估了每种产品类别对 20%的减糖目标和特定类别能量目标的遵守情况。总体而言，糖/份和能量/份分别减少了 11%和 4%。在五个类别中的一个类别（冰淇淋：-38%的糖，<0.001；-30%的能量，<0.001）达到了政策目标。对具有必要数据的亚组进行了次要结果分析。很少有连锁店在其甜点系列中显著降低了糖和/或能量。能量/份与份量重量和糖/份呈正相关，但与每 100 克糖的含量无关。与饮食指南相比，超过一半的成年人的甜点含有过多的糖和/或饱和脂肪。儿童的甜点很少超过指南。这些结果表明，当可以克服技术、商业和运营障碍时，自愿措施可以推动重大变革。
