Author, as appears in the article.: Mandracchia F; Tarro L; Llauradó E; Valls RM; Solà R

Department: Medicina i Cirurgia

URV's Author/s: Llauradó Ribé, Elisabet / Mandracchia, Floriana / Solà Alberich, Rosa Maria / Tarro Sánchez, Lucía / Valls Zamora, Rosa Maria

Project code: Grant agreement No. 713679

Keywords: Restaurant-based interventions Restaurant Randomized controlled-trial Physical-activity Out-of-home eating Nutrition intervention Menu choice Implementation Impact Food-service Food choices Food behavior Family Dietary-intake Consumption Child-care centers Availability

Abstract: Out-of-home eating is increasing, but evidence about its healthiness is limited. The present systematic review and meta-analysis aimed to elucidate the effectiveness of full-service restaurant and canteen-based interventions in increasing the dietary intake, food availability, and food purchase of healthy meals. Studies from 2000–2020 were searched in Medline, Scopus, and Cochrane Library using the PRISMA checklist. A total of 35 randomized controlled trials (RCTs) and 6 non-RCTs were included in the systematic review and analyzed by outcome, intervention strategies, and settings (school, community, workplace). The meta-analysis included 16 RCTs (excluding non-RCTs for higher quality). For dietary intake, the included RCTs increased healthy foods (+0.20 servings/day; 0.12 to 0.29; p < 0.001) and decreased fat intake (−9.90 g/day; −12.61 to −7.19; p < 0.001), favoring the intervention group. For food availability, intervention schools reduced the risk of offering unhealthy menu items by 47% (RR 0.53; 0.34 to 0.85; p = 0.008). For food purchases, a systematic review showed that interventions could be partially effective in improving healthy foods. Lastly, restaurant-and canteen-based interventions improved the dietary intake of healthy foods, reduced fat intake, and increased the availability of healthy menus, mainly in schools. Higher-quality RCTs are needed to strengthen the results. Moreover, from our results, intervention strategy recommendations are provided.

Thematic Areas: Zootecnia / recursos pesqueiros Saúde coletiva Química Psicología Planejamento urbano e regional / demografia Nutrition and dietetics Nutrition & dietetics Nutrição Medicina veterinaria Medicina iii Medicina ii Medicina i Interdisciplinar Food science Farmacia Engenharias iv Engenharias ii Enfermagem Educação física Economia Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências agrárias i Ciência de alimentos Biotecnología

licence for use: https://creativecommons.org/licenses/by/3.0/es/

Author's mail: elisabet.llaurado@urv.cat lucia.tarro@urv.cat rosa.sola@urv.cat rosamaria.valls@urv.cat floriana.mandracchia@estudiants.urv.cat floriana.mandracchia@estudiants.urv.cat

Author identifier: 0000-0002-7439-9531 0000-0002-8323-3576 0000-0002-8359-235X 0000-0002-3351-0942 0000-0001-5360-1721 0000-0001-5360-1721

Record's date: 2023-03-06

Papper version: info:eu-repo/semantics/publishedVersion

Link to the original source: https://www.mdpi.com/2072-6643/13/4/1350

Funding program: Marie Skłodowska-Curie Actions - European Union's Horizon 2020 research and innovation programme

Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/

Papper original source: Nutrients. 13 (4):

APA: Mandracchia F; Tarro L; Llauradó E; Valls RM; Solà R (2021). Interventions to promote healthy meals in full-service restaurants and canteens: A systematic review and meta-analysis. Nutrients, 13(4), -. DOI: 10.3390/nu13041350

Acronym: MFP

Article's DOI: 10.3390/nu13041350

Entity: Universitat Rovira i Virgili

Journal publication year: 2021

Funding program action: Martí i Franquès COFUND Doctoral Programme

Publication Type: Journal Publications