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Table 4 Subjective and objective assessments of the food environment in concessions

From: Adopting and implementing nutrition guidelines in recreational facilities: Public and private sector roles. A multiple case study

Case

Full adopter

Semi-adopter

Non-adopter

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%

Beverages

16%

20%

15%

40%

24%

NEMS-R 1

+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%

  1. ANGCY: Alberta Nutrition Guidelines for Children and Youth; CMO: choose most often; NEMS-R: Nutrition Environment Measures Survey in Restaurants.
  2. 1The range of possible scores was −27 to +63.
  3. 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.