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Wellard-Cole L, Davies A, Chen J, Jung J, Bente KB, Kay J, Watson WL, Hughes C, Rangan A, Yacef K, Koprinska I, Chapman K, Wong NT, Gemming L, Ni Mhurchu C, Bauman A, Allman-Farinelli M. The Contribution of Foods Prepared Outside the Home to the Diets of 18- to 30-Year-Old Australians: The MYMeals Study. Nutrients 2021; 13:nu13061761. [PMID: 34064220 PMCID: PMC8224325 DOI: 10.3390/nu13061761] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 05/15/2021] [Accepted: 05/18/2021] [Indexed: 01/21/2023] Open
Abstract
Young adults are the highest consumers of food prepared outside home (FOH) and gain most weight among Australian adults. One strategy to address the obesogenic food environment is menu labelling legislation whereby outlets with >20 stores in one state and >50 Australia-wide must display energy content in kJ. The aim of this study was to assess the contribution of FOH to the energy and macronutrients, saturated fat, total sugars and sodium intakes of young Australians. One thousand and one 18 to 30-year-olds (57% female) residing in Australia’s most populous state recorded all foods and beverages consumed and the location of preparation for three consecutive days using a purpose-designed smartphone application. Group means for the daily consumption of energy, percentage energy (%E) for protein, carbohydrate, total sugars, total and saturated fats, and sodium density (mg/1000 kJ) and proportions of nutrients from FOH from menu labelling and independent outlets were compared. Overall, participants consumed 42.4% of their energy intake from FOH with other nutrients ranging from 39.8% (sugars) to 47.3% (sodium). Independent outlets not required to label menus, contributed a greater percentage of energy (23.6%) than menu labelling outlets (18.7%, p < 0.001). Public health policy responses such as public education campaigns, extended menu labelling, more detailed nutrition information and reformulation targets are suggested to facilitate healthier choices.
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Affiliation(s)
- Lyndal Wellard-Cole
- Charles Perkins Centre, Nutrition and Dietetics Group, School of Life and Environmental Sciences, The University of Sydney, Sydney, NSW 2006, Australia; (A.D.); (J.C.); (A.R.); (N.T.W.); (L.G.); (M.A.-F.)
- Cancer Prevention and Advocacy Division, Cancer Council NSW, Sydney, NSW 2011, Australia; (W.L.W.); (C.H.)
- Correspondence: ; Tel.: +61-2-9334-1771
| | - Alyse Davies
- Charles Perkins Centre, Nutrition and Dietetics Group, School of Life and Environmental Sciences, The University of Sydney, Sydney, NSW 2006, Australia; (A.D.); (J.C.); (A.R.); (N.T.W.); (L.G.); (M.A.-F.)
| | - Juliana Chen
- Charles Perkins Centre, Nutrition and Dietetics Group, School of Life and Environmental Sciences, The University of Sydney, Sydney, NSW 2006, Australia; (A.D.); (J.C.); (A.R.); (N.T.W.); (L.G.); (M.A.-F.)
| | - Jisu Jung
- School of Computer Science, The University of Sydney, Sydney, NSW 2006, Australia; (J.J.); (K.B.B.); (J.K.); (K.Y.); (I.K.)
| | - Kim B. Bente
- School of Computer Science, The University of Sydney, Sydney, NSW 2006, Australia; (J.J.); (K.B.B.); (J.K.); (K.Y.); (I.K.)
| | - Judy Kay
- School of Computer Science, The University of Sydney, Sydney, NSW 2006, Australia; (J.J.); (K.B.B.); (J.K.); (K.Y.); (I.K.)
| | - Wendy L. Watson
- Cancer Prevention and Advocacy Division, Cancer Council NSW, Sydney, NSW 2011, Australia; (W.L.W.); (C.H.)
| | - Clare Hughes
- Cancer Prevention and Advocacy Division, Cancer Council NSW, Sydney, NSW 2011, Australia; (W.L.W.); (C.H.)
| | - Anna Rangan
- Charles Perkins Centre, Nutrition and Dietetics Group, School of Life and Environmental Sciences, The University of Sydney, Sydney, NSW 2006, Australia; (A.D.); (J.C.); (A.R.); (N.T.W.); (L.G.); (M.A.-F.)
| | - Kalina Yacef
- School of Computer Science, The University of Sydney, Sydney, NSW 2006, Australia; (J.J.); (K.B.B.); (J.K.); (K.Y.); (I.K.)
| | - Irena Koprinska
- School of Computer Science, The University of Sydney, Sydney, NSW 2006, Australia; (J.J.); (K.B.B.); (J.K.); (K.Y.); (I.K.)
| | - Kathy Chapman
- Heart Foundation of Australia, Sydney, NSW 2011, Australia;
| | - Nim Ting Wong
- Charles Perkins Centre, Nutrition and Dietetics Group, School of Life and Environmental Sciences, The University of Sydney, Sydney, NSW 2006, Australia; (A.D.); (J.C.); (A.R.); (N.T.W.); (L.G.); (M.A.-F.)
| | - Luke Gemming
- Charles Perkins Centre, Nutrition and Dietetics Group, School of Life and Environmental Sciences, The University of Sydney, Sydney, NSW 2006, Australia; (A.D.); (J.C.); (A.R.); (N.T.W.); (L.G.); (M.A.-F.)
| | - Cliona Ni Mhurchu
- National Institute for Health Innovation, The University of Auckland, Auckland 1023, New Zealand;
- The George Institute for Global Health, Newtown, NSW 2042, Australia
- The University of New South Wales, Kensington, NSW 2052, Australia
| | - Adrian Bauman
- Prevention Research Centre, School of Public Health, The University of Sydney, Sydney, NSW 2006, Australia;
| | - Margaret Allman-Farinelli
- Charles Perkins Centre, Nutrition and Dietetics Group, School of Life and Environmental Sciences, The University of Sydney, Sydney, NSW 2006, Australia; (A.D.); (J.C.); (A.R.); (N.T.W.); (L.G.); (M.A.-F.)
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Abstract
A monitoring programme to systematically evaluate and decrease wastage of intravenous (i.v.) solutions was developed. Documentation of type and quantity of wasted solutions can help identify potential causes of waste. Subsequent systems changes intended to decrease waste can then be evaluated. Pharmacy technicians daily recorded the number, identity and locations of discarded i.v. solutions. A computer spreadsheet application was developed and used to produce a monthly summary identifying the number, drug cost and solutions wasted by hospital unit, thus establishing specific areas to target for i.v. wastage control. Investigators conducted a 12-month retrospective evaluation of i.v. wastage, revealing that over 14,000 i.v. preparations were destroyed at an estimated $US90,000 in drug costs. This equates to 2.5% of total drug costs wasted in small volume parenterals. Target programmes were implemented for drugs that were frequently wasted and systems changes implemented that decreased overall wastage of i.v. solutions.
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Affiliation(s)
- K M Uchida
- UCI Medical Center, Orange, California, USA
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