Cited by 135Consumer Attitudes and Food LabelingGlobal Public Health Policies and EpidemiologyNutrition, Health and Food Behavior

Energy, Saturated Fat, and Sodium Were Lower in Entrées at Chain Restaurants at 18 Months Compared with 6 Months Following the Implementation of Mandatory Menu Labeling Regulation in King County, Washington

Bruemmer, Barbara, Krieger, Jim, Saelens, Brian E., Chan, Nadine·2012·Journal of the Academy of Nutrition and Dietetics

Abstract

Background Policies on menu labeling have been proposed as a method to improve the food environment. However, there is little information on the nutrient content of chain restaurant menu items and changes over time.Objective To evaluate the energy, saturated fat, and sodium content of entrées 6 and 18 months post-implementation of restaurant menu labeling in King County of Washington State for items that were on the menu at both time periods, and across all items at 6 and 18 months and to compare energy content to recommendations provided by the 2005 Dietary Guidelines for Americans.Setting Eligible restaurants included sit-down and quick-service chains (eg, burgers, pizza, sandwiches/subs, and Tex-Mex) subject to King County regulations with four or more establishments. One establishment per chain was audited at each time period.Statistical analyses Hypothesis one examined entrées that were on the menu at both time periods using a paired t test and hypothesis two compared quartiles at 6 months to the distribution at 18 months using a Mantel-Haentzel odds ratios and 95% CIs, and a Cochrane-Armitage test for trend. The content of entrées at 18 months was compared with one-third (assuming three meals per day) of the nutrient intake recommendations for adults provided by the 2005 Dietary Guidelines for Americans.Results The audit included 37 eligible chains of 92 regulated chains. Energy contents were lower (all chains -41, sit down -73, and quick service -19; paired t tests P<0.0001) for entrées that were on the menu at both time periods. There was a significant trend across quartiles for a decrease in energy, saturated fat, and sodium for all entrées at sit-down chains only. At 18 months entrées not designated for children exceeded 56%, 77%, and 89% of the energy, saturated fat, and sodium guidelines, respectively.Conclusions Modest improvements in the nutrient content of sit-down and quick-service restaurant entrées occurred but overall levels for energy, saturated fat, and sodium are excessive.

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Crossref · 10.1016/j.jand.2012.04.019

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  • In a study of changes in nutrient content of adult entrees at sit-down and quick-service restaurant chains in the 18 months following jurisdiction-mandated menu labeling in King County, Washington, only very modest improvements were observed and levels of energy, saturated fat, and sodium remained excessive.

    “In a study of changes in the nutrient content of adult entrees at sit-down and quick-service restaurant chains in the 18 months following jurisdiction-mandated menu labeling in King County, Washington, only very modest improvements were observed and levels of energy, saturated fat, and sodium remained excessive [8].”

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Authors
Bruemmer, B., Krieger, J., Saelens, B. E., & Chan, N.
Affiliations
  • University of Washington (US)
  • Seattle Children's Hospital (US)
Corresponding author
Bruemmer, Barbara
Venue
Journal of the Academy of Nutrition and Dietetics
Publisher
Elsevier BV
Published
2012-08
Volume
112
Issue
8
Pages
1169-1176
ISSN
2212-2672 (ISSN-L)
OpenAlex
W1986539145
Cited by
135
References
26
Citations by year
2026: 2 · 2025: 4 · 2024: 2 · 2023: 7 · 2022: 2 · 2021: 14 · 2020: 12 · 2019: 9 · 2018: 4 · 2017: 15 · 2016: 11 · 2015: 15 · 2014: 17 · 2013: 17 · 2012: 4
FWCI
16.35
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of the Academy of Nutrition and Dietetics (publishedVersion)
  • PubMed (publishedVersion)
Funders
Washington State University
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Consumer Attitudes and Food Labeling
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
menu labeling, nutrient content, energy content, saturated fat, sodium, sit-down restaurants, fast food restaurants, food environment, Dietary Guidelines for Americans, King County, Washington, food policy
MeSH terms
Energy Intake, Dietary Fats, Food Analysis, Food Labeling, Humans, Menu Planning, Nutritive Value, Restaurants, Sodium, Dietary, Time Factors, Washington, Nutrition Policy, Guideline Adherence

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