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Performance Nutrition Dining Facility Intervention Improves Special Operations Soldiers' Diet Quality and Meal Satisfaction.

Abstract：

OBJECTIVE:To assess the impact of the Special Operations Forces Human Performance Program dining facility (DFAC) intervention on patron diet quality and meal satisfaction. DESIGN:Nonrandomized, controlled time series study using digital food photography and surveys pre-post intervention (0, 4, 8, and 12 months). SETTING:Two Fort Bragg, NC military installation DFACs. PARTICIPANTS:Volunteers (n = 688 total; n = 573 complete dataset) were US Army active duty soldiers. INTERVENTION:The DFAC intervention included food choice architecture, new performance-optimizing food recipes to increase nutrient density, revised menus to offer more performance foods daily, and nutrition labeling to influence food choice. MAIN OUTCOME MEASURES:Daily DFAC nutrient intake and Healthy Eating Index (HEI) 2010 scores. ANALYSIS:Descriptive and ANOVA statistical analyses were performed between control and intervention groups and from baseline to 4, 8, and 12 months postintervention (α = .05; 80% power). RESULTS:The intervention resulted in a higher posttest HEI score (60.1 ± 8.8 points; +3.4%; P = .005) and DFAC satisfaction compared with control (49.0 ± 10.4 points; P > .05). Improved intervention HEI scores were attributed to changes in citrus and melon fruit (+46%), red and orange vegetables (+35%), whole grains (+181%), legumes (65%), yogurt (+45%), oils (-26%), and solid fat (-18%) consumption (all P < .05). CONCLUSIONS AND IMPLICATIONS:These data illustrate that the Special Operations Forces Human Performance Program military DFAC nutrition intervention was feasible to implement and was associated with diet quality improvements. Access to high-quality ingredients and recipes may improve soldier meal quality and acceptance in other settings and warrants further investigation.

journal_name

J Nutr Educ Behav

journal_title

Journal of nutrition education and behavior

authors

Cole RE,Bukhari AS,Champagne CM,McGraw SM,Hatch AM,Montain SJ

doi

10.1016/j.jneb.2018.06.011

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

993-1004

issue

10

eissn

1499-4046

issn

1878-2620

pii

S1499-4046(18)30640-7

journal_volume

50

pub_type

临床试验,杂志文章

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