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
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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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].”
From Comparison of the nutrient content of children’s menu items at US restaurant chains, 2010–2014 (2015) · cites this paper as [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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