Journal of Urban Health

, Volume 89, Issue 4, pp 587–597 | Cite as

Calorie Postings in Chain Restaurants in a Low-Income Urban Neighborhood: Measuring Practical Utility and Policy Compliance

  • Elizabeth Gross Cohn
  • Elaine L. Larson
  • Christina Araujo
  • Vanessa Sawyer
  • Olajide Williams
Article

Abstract

Current strategies for combating obesity include recent federal legislation mandating calorie count postings in chain restaurants. This study describes the current practice of menu board calorie postings in a low-income urban neighborhood, identifies the extent to which current practice complies with existing policy, and evaluates the practical utility of menu boards to consumers. We conclude that although most postings were legally compliant, they did not demonstrate utility. Menu postings for individual servings are easily understood, but complex math skills are needed to interpret meals designed to serve more than one person. In some items, calories doubled depending on flavor and the calorie posting did not give enough information to make healthier selections. We identified specific strategies to improve practical utility and provide recommendations for policy implementation.

Keywords

Legislative health policy Obesity Point-of-purchase calorie postings Fast-food 

References

  1. 1.
    Dietary Guidelines for Americans. 7th ed. Washington, DC: U.S. Government Printing Office; 2010.Google Scholar
  2. 2.
    Elbel B, Kersh R, Brescoll VL, Dixon LB. Calorie labeling and food choices: a first look at the effects on low-income people in New York City. Health Aff (Millwood). 2009; 28(6): w1110–w1121.CrossRefGoogle Scholar
  3. 3.
    Fraz E ed. Nutrient contribution of food away from home. In: Lin B-H, Guthrie, J, Fraz E, eds. America’s Eating Habits: Changes and Consequences. Washington, DC: US Department of Agriculture; 1999. Agriculture Information Bulletin No. AIB-750.Google Scholar
  4. 4.
    Keystone center backgrounder—Keystone forum on away-from-home foods: opportunities for prevention weight gain and obesity report. 2006. http://www.ers.usda.gov/Briefing/CPIFoodAndExpenditures/Data. Accessed February 18, 2011.
  5. 5.
    Burton S, Creyer EH. What consumers don’t know can hurt them: consumer evaluations and disease risk perceptions of restaurant menu items. J Consum Aff. 2004; 38: 121–145.CrossRefGoogle Scholar
  6. 6.
    Peterson S, Duncan DP, Null DB, Roth SL, Gill L. Positive changes in perceptions and selections of healthful foods by college students after a short-term point-of-selection intervention at a dining hall. J Am Coll Health. 2010; 58(5): 425–431.PubMedCrossRefGoogle Scholar
  7. 7.
    Chu YH, Frongillo EA, Jones SJ, Kaye GL. Improving patrons’ meal selections through the use of point-of-selection nutrition labels. Am J Public Health. 2009; 99(11): 2001–2005.PubMedCrossRefGoogle Scholar
  8. 8.
    Dumanovsky T, Huang CY, Bassett MT, Silver LD. Consumer awareness of fast-food calorie information in New York City after implementation of a menu labeling regulation. Am J Public Health. 2010; 100(12): 2520–2525.PubMedCrossRefGoogle Scholar
  9. 9.
    Ernst ND, Wu M, Frommer P, et al. Nutrition education at the point of purchase: the foods for health project evaluated. Prev Med. 1986; 15(1): 60–73.PubMedCrossRefGoogle Scholar
  10. 10.
    Albright CL, Flora JA, Fortmann SP. Restaurant menu labeling: impact of nutrition information on entree sales and patron attitudes. Health Educ Q. 1990; 17(2): 157–167.PubMedCrossRefGoogle Scholar
  11. 11.
    Bleich SN, Pollack KM. The publics’ understanding of daily caloric recommendations and their perceptions of calorie posting in chain restaurants. BMC Public Health. 2010; 10: 121.PubMedCrossRefGoogle Scholar
  12. 12.
    Britt JW, Frandsen K, Leng K, Evans D, Pulos E. Feasibility of voluntary menu labeling among locally owned restaurants. Health Promot Pract. 2011; 12(1): 18–24.PubMedCrossRefGoogle Scholar
  13. 13.
    Finkelstein EA, Strombotne KL, Chan NL, Krieger J. Mandatory menu labeling in one fast-food chain in King County, Washington. Am J Prev Med. 2011; 40(2): 122–127.PubMedCrossRefGoogle Scholar
  14. 14.
    Harnack LJ, French SA. Effect of point-of-purchase calorie labeling on restaurant and cafeteria food choices: a review of the literature. Int J Behav Nutr Phys Act. 2008; 5: 51.PubMedCrossRefGoogle Scholar
  15. 15.
    Kuo T, Jarosz CJ, Simon P, Fielding JE. Menu labeling as a potential strategy for combating the obesity epidemic: a health impact assessment. Am J Public Health. 2009; 99(9): 1680–1686.PubMedCrossRefGoogle Scholar
  16. 16.
    Lando AM, Labiner-Wolfe J. Helping consumers make more healthful food choices: consumer views on modifying food labels and providing point-of-purchase nutrition information at quick-service restaurants. J Nutr Educ Behav. 2007; 39(3): 157–163.PubMedCrossRefGoogle Scholar
  17. 17.
    Pulos E, Leng K. Evaluation of a voluntary menu-labeling program in full-service restaurants. Am J Public Health. 2010; 100(6): 1035–1039.PubMedCrossRefGoogle Scholar
  18. 18.
    Roberto CA, Larsen PD, Agnew H, Baik J, Brownell KD. Evaluating the impact of menu labeling on food choices and intake. Am J Public Health. 2010; 100(2): 312–318.PubMedCrossRefGoogle Scholar
  19. 19.
    Department of Health and Human Services. Food labeling; nutrition labeling of standard menu items in restaurants and similar retail food establishments. Fed Regist. 2011; 76(66): 19191–19236Google Scholar
  20. 20.
  21. 21.
    Pope TP. Well Blogs. 2008. http://well.blogs.nytimes.com/2007/12/05/a-high-price-for-healthy-food. Accessed July 02, 2011.
  22. 22.
    Tandon PS, Wright J, Zhou C, Rogers CB, Christakis DA. Nutrition menu labeling may lead to lower-calorie restaurant meal choices for children. Pediatrics. 2010; 125(2): 244–248.PubMedCrossRefGoogle Scholar
  23. 23.
    Loewenstein G. Confronting reality: pitfalls of calorie posting. Am J Clin Nutr. 2011; 93(4): 679–680.PubMedCrossRefGoogle Scholar

Copyright information

© The New York Academy of Medicine 2012

Authors and Affiliations

  • Elizabeth Gross Cohn
    • 1
  • Elaine L. Larson
    • 1
  • Christina Araujo
    • 1
  • Vanessa Sawyer
    • 2
  • Olajide Williams
    • 3
  1. 1.School of NursingNew YorkUSA
  2. 2.Harlem Hospital CenterNew YorkUSA
  3. 3.Department of NeurologyNew YorkUSA

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