|Subjective and objective assessments of the food environment in concessions|
|Adoption status||Franchised concession: adopter||Franchised concession: non-adopter||Local concession: non-adopter||Pool café: non-adopter||Arena concession: non-adopter|
|Facility ANGCY adoption score||82% Very high||0% No formal policies||0% No formal policies|
|ANGCY implementation score||75% High||66% High||69% High||75% High||47% Moderate|
|Availability of CMO items:|
|Overall||16% Very limited||22% Limited||11% Very limited||17% Very limited||11% Very limited|
|Main dish and side items||23%||32%||14%||12%||0%|
|Snacks and desserts||7%||0%||0%||10%||0%|
|NEMS-R1||+28 Healthy food environment||Healthy food environment2||+ 12 Moderately healthy food environment||+ 18 Moderately healthy food environment||+ 3 Limited healthy aspects of food environment|
|Managers’ perceptions of the concession food environment||“My preference would be that we don’t have the poutine and the real unhealthy stuff here… I would like to [have] a different vendor… that doesn’t even have a deep fryer.”||“[We] didn’t have to have a discussion with the [franchised concession]… They don’t have any junk.”||“We think it would be great if they had more of a deli sandwich approach, you know, fresher, more healthy, instead of the focus on the usual high fat [items].”||“I think that what we do is pretty healthy… I mean when we make our muffins and stuff, we always try to make like a healthier option. But then there’s always the… kind of unhealthy option, sort of thing. But they’re both there.”||“We try to use 100% real beef and you know, we try to – we use a healthier oil and just things like that. I mean, I know that it’s still junk food but it’s kind of, it’s the healthier junk food… People always think a hamburger’s not healthy for you but…it’s beef… it’s got lettuce and tomato and cheese on it, you know? So it’s a burger. But it’s still got the protein…”|
|Managers’ perception of the proportion of items that are healthy||Not available||100%||10%||90%||60%|
ANGCY: Alberta Nutrition Guidelines for Children and Youth; CMO: choose most often; NEMS-R: Nutrition Environment Measures Survey in Restaurants.
1The range of possible scores was −27 to +63.
2Given the non-traditional menu in this concession, a modified NEMS-R was completed and the range of possible scores for this facility was −27 to + 51. This facility scored +30 using the modified NEMS-R, which corresponded with the “healthy” quintile on a modified scale.
Olstad et al.
Olstad et al. BMC Public Health 2012 12:376 doi:10.1186/1471-2458-12-376