Modest Changes in Military Dining Facilities Promoted Healthier Eating

Year-long study lowered fat intake and increased diner Satisfaction, according to Journal of the Academy of Nutrition and Dietetics report

 Philadelphia, PA, March 22, 2013 – The prevalence of obesity within the military is currently 13 percent. This rising epidemic, also rampant throughout the general population, could result in military career setbacks, negatively impact operational readiness, and jeopardize Department of Defense operations. To combat the epidemic, a team of researchers chose the military cafeteria as the venue to observe and evaluate eating behavior and the positive impact of modest changes to promote healthy eating and food selection. The results are captured in a new report published by the Journal of the Academy of Nutrition and Dietetics.

“Many studies have tested the effect of dietary, informational, and environmental interventions on the eating behaviors of customers in civilian worksite and university cafeterias,” says lead investigator Major Aaron Crombie, PhD, RD, Military Nutrition Division, US Army Research Institute of Environmental Medicine, Natick, MA. “However, studies to date testing such interventions in military dining facilities (DFACs) have been very limited and inconclusive. Our study aimed to address that information gap.” Nearly three-quarters of military personnel eat at least one meal a day in garrison dining facilities.

The study team from the US Army Research Institute of Environmental Medicine (www.usariem.army.mil) and the Pennington Biomedical Research Center (www.pbrc.edu) staged an intervention within five dining facilities on Fort Bragg, NC, that included the following actions consistent with 2005 Dietary Guidelines for Americans:

Five other dining facilities served as a control during the first half of this year-long study. Researchers collected data using a combination of survey questionnaires and digital photography of the diners’ plates before and after meals were consumed.

Food1

Caption: Digital photography of a study participant's tray before consuming the test meal. Digital photography was used as a tool for visual estimation of diner intakes. Credit: Pennington Biomedical Research Center

Food2

Caption: Photo of a study participant's tray after consuming the test meal. Photo stills were compared to both before meal photos and photos of reference portions to determine nutritional intake. Credit: Pennington Biomedical Research Center

Over time, investigators observed that minimal changes in food service practices and menus in DFACs produced significant improvement in soldiers’ nutritional intake, including decreases in fat. Customer satisfaction increased on four criteria – flavor and taste, available choices, low-fat food availability, and appropriate portion sizes. More favorable results were observed the longer the intervention lasted, indicating that the positive changes are sustainable over time.

Says Major Crombie, “The results of this study give credence to the idea that DFAC food service interventions can promote a healthy lifestyle and, in turn, optimize the health profile of warfighters. Although intakes of fruit, vegetables, and whole grains continue to be problematic, reductions in energy and fat intake may prove effective over the long term in combating the obesity problem.”

While the study was performed in army dining facilities, it has implications for the entire military family, since many meals are not taken in the DFAC, but at home. Further, the study team advocates that results can be easily applied to civilian settings.

# # #

Notes for Editors
“Effects of Modified Food Service Practices in Military Dining Facilities on Ad Libitum Nutritional Intake of US Army Soldiers,” MAJ Aaron P. Crombie, PhD, RD; LTC; LesLee K. Funderburk, PhD, RD; Tracey J. Smith, PhD, RD; Susan M. McGraw; Leila A. Walker, MS; Catherine M. Champagne, PhD, RD, LDN, FADA; H. Raymond Allen, PhD; Lee M. Margolis, MS, RD; Holly L. McClung, MS, RD; Andrew J. Young, PhD. Journal of the Academy of Nutrition and Dietetics, DOI: 10.1016/j.jand.2013.01.005, published by Elsevier. 

Full text of this article is available to credentialed journalists upon request. Contact Eileen Leahy at +1 732 238 3628 or andjrnlmedia@elsevier.com to obtain copies. Journalists wishing to set up interviews with the authors should contact Kelly Sullivan, Protocol/ Public Affairs Officer, USARIEM, at +1 508 233 5858, +1 774 270 1749 or Kelly.E.Sullivan@us.army.mil.

About The Journal of the Academy Of Nutrition and Dietetics
The official journal of the Academy of Nutrition and Dietetics (www.eatright.org), the Journal of the Academy of Nutrition and Dietetics (www.andjrnl.org) is the premier source for the practice and science of food, nutrition and dietetics. The monthly, peer-reviewed journal presents original articles prepared by scholars and practitioners and is the most widely read professional publication in the field. The Journal focuses on advancing professional knowledge across the range of research and practice issues such as: nutritional science, medical nutrition therapy, public health nutrition, food science and biotechnology, food service systems, leadership and management and dietetics education.

The Journal has a current Impact Factor of 3.586 in the Nutrition and Dietetics category of the 2011 Journal Citation Reports®, published by Thomson Reuters. It was previously published as the Journal of the American Dietetic Association.

About The Academy of Nutrition and Dietetics
The Academy of Nutrition and Dietetics (www.eatright.org), formerly the American Dietetic Association, is the world’s largest organization of food and nutrition professionals. The Academy is committed to improving the nation’s health and advancing the profession of dietetics through research, education and advocacy.

About Elsevier

Elsevier is a world-leading provider of information solutions that enhance the performance of science, health, and technology professionals, empowering them to make better decisions, deliver better care, and sometimes make groundbreaking discoveries that advance the boundaries of knowledge and human progress. Elsevier provides web-based, digital solutions — among them ScienceDirect, Scopus, Elsevier Research Intelligence, and ClinicalKey — and publishes nearly 2,200 journals, including The Lancet and Cell, and over 25,000 book titles, including a number of iconic reference works.

The company is part of Reed Elsevier Group PLC, a world leading provider of professional information solutions in the Science, Medical, Legal and Risk and Business sectors, which is jointly owned by Reed Elsevier PLC and Reed Elsevier NV. The ticker symbols are REN (Euronext Amsterdam), REL (London Stock Exchange), RUK and ENL (New York Stock Exchange).

Media contacts
Eileen Leahy
Elsevier
+1 73 238 3628
andjrnlmedia@elsevier.com

Ryan O’Malley
Academy of Nutrition and Dietetics
+1 800 877 1600, ext. 4769
media@eatright.org