Feasibility and effectiveness of healthy menu changes for non-trainee military dining facilities

Doctor of PhilosophyDepartment of Hospitality Management and DieteticsJunehee KwonThe purpose of this study was to assess the food choices and consumption of soldiers and their satisfaction with current and initial military training (IMT) menu standards through a survey and analysis of food selection and consumption. Participants were recruited during lunch periods before and three weeks after implementing IMT menu standards, which are healthier than current menu standards, in an Army dining facility (DFAC). Direct observations, digital photography, and plate waste methods were used to assess soldiers’ food selection and consumption. A survey was also administered to determine soldiers’ attitudes toward health, nutrition knowledge, reported food selection and consumption behaviors, and overall satisfaction with meals served under the two menu standards. Food selection and consumption were evaluated using the Army’s Go for Green Nutrition Labeling Program and the Military Dietary Reference Intakes (MDRIs). Descriptive and inferential statistics were calculated to summarize and compare data, and to identify potential associations among variables. A total of 172 and 140 soldiers participated before and after the menu change, respectively. Soldiers’ food selection patterns were similar to the proportion of green-, yellow-, and red-labeled items offered in the DFAC under both menu standards and significantly improved after the intervention (p0.05). Nutrition knowledge significantly influenced some but not all aspects related to attitudes toward health. Perceived hunger levels were positively associated with intakes of calories, protein, total fat, sodium, and cholesterol (p