ArticleAmerican journal of health promotion : AJHP2023
Advancing Healthy Food Service in the United States: State Food Service Guidelines Policy Adoption and Implementation Supports, 2015-2019.
Article in American journal of health promotion : AJHP, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Prevalence of Nutrition Standards Use by Municipalities in Government-Owned or Operated Properties, United States, 2021.Nutrients · 2026Article
- Assessment of the Presence, Content, and Gaps in Municipal Food Service Guidelines: An Analysis of Policies in the 20 Most Populous U.S. Cities, 2017-2023.American journal of health promotion : AJHP · 2026Article
- Healthy Food Service Guidelines for Worksites and Institutions: A Scoping Review.International journal of environmental research and public health · 2025Article
- An Inventory of Proposed and Enacted Sugar-Sweetened Beverage Policies at the State, Local, and Tribal Levels in the United States, 2014‒2023.American journal of public health · 2024Article
- Integrating Healthy Nutrition Standards and Practices Into Food Service Contracting in a Large US County Government.Preventing chronic disease · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
purposeFood service guidelines (FSG) policies can impact the nutritional quality of millions of meals sold or served to government employees, citizens in public places, or institutionalized persons. This study examines state FSG policies adopted January 1, 2015 to April 1, 2019, and uses a FSG Classification Tool (FSG Tool) to quantify alignment with nutrition recommendations for public health impact.
designQuantitative Content Analysis.
settingState Government Worksites and Facilities.
participants50 states and District of Columbia (D.C.) in the United States. MEASURES: Frequency of policies and percent alignment to FSG tool. ANALYSIS: FSG policies were identified using legal databases to assess state statutes, regulations, and executive orders. Content analysis and coding determined attributes of policies across 4 FSG Tool domains, (1) nutrition standards referenced; (2) behavioral design strategies encouraging selection of healthier offerings; (3) facility efficiency and environmental sustainability; and (4) FSG implementation supports.
resultsFrom 2015-2019, 5 FSG policies met study inclusion criteria. Four out of 5 policies earned a perfect nutrition score (100%) by referencing nutrition standards that align with the Dietary Guidelines for Americans (DGA) and are operationalized for use in food service venues. Four out of 5 policies included at least 1 implementation supports provision, such as naming an implementing agency, and 2 included provisions that encourage local food sourcing.
conclusionFrom 2015-2019, overall FSG policy comprehensiveness scores ranged from 24% to 73%, with most policies referencing food and nutrition standards that align to national nutrition recommendations. Public health practitioners can educate decision makers on the potential impact of FSG policies on diet-related health outcomes and associated cost savings, as well as other important co-benefits that support locally grown products and environmental sustainability practices.
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