Vending Machines of Food and Beverages and Nutritional Profile of their Products at Schools in Madrid, Spain, 2014-2015.
BACKGROUND
Policies restricting access to sugary drinks and unhealthy foods in the school environment are associated with healthier consumption patterns. In 2010, Spain approved a Consensus Document regarding Food at Schools with nutritional criteria to improve the nutritional profile of foods and drinks served at schools. The objective of this study was to describe the frequency of food and drink vending machines at secondary schools in Madrid, the products offered at them and their nutritional profile.


METHODS
Cross-sectional study of a random sample of 330 secondary schools in Madrid in 2014-2015. The characteristics of the schools and the existence of vending machines were recorded through the internet and by telephone interview. The products offered in a representative sample of 6 vending machines were identified by in situ inspection, and its nutritional composition was taken from its labeling. Finally, the nutritional profile of each product was analyzed with the United Kingdom profile model, which classifies products as healthy and less healthy.


RESULTS
The prevalence of vending machines was 17.3%. Among the products offered, 80.5% were less healthy food and drinks (high in energy, fat or sugar and poor in nutrients) and 10.5% were healthy products.


CONCLUSIONS
Vending machines are common at secondary schools in Madrid. Most products are vending machines are still less healthy.
Complejo Hospitalario Universitario de Albacete. Albacete. España and Escuela Nacional de Sanidad. Instituto de Salud Carlos III. Madrid dorism@sescam.jccm.es; doxiomonpa1@gmail.com.
Doris Xiomara
DX
Monroy-Parada
Escuela Nacional de Sanidad. Instituto de Salud Carlos III. Madrid.
María
M
Ángeles Moya
Escuela Nacional de Sanidad. Instituto de Salud Carlos III. Madrid.
María
M
José Bosqued
Escuela Nacional de Sanidad. Instituto de Salud Carlos III. Madrid.
Lázaro
L
López
Departamento de Medicina Preventiva y Salud Pública. Facultad de Medicina. Universidad Autónoma de Madrid/IdiPaz and Ciberesp.
Fernando
F
Rodríguez-Artalejo
Escuela Nacional de Sanidad. Instituto de Salud Carlos III. Madrid.
Miguel Ángel
MÁ
Royo-Bordonada
D001628:Beverages / Q000600:supply & distribution*; D003430:Cross-Sectional Studies; D005502:Food; D005522:Food Services / Q000706:statistics & numerical data*; D005523:Food Supply / Q000706:statistics & numerical data*; D006801:Humans; D009753:Nutritive Value; D012574:Schools; D013030:Spain
Childhood Obesity; Diet, High-Fat; Dietary Guidelines; Food vending machines; Nutritive Value; Secondary School; Spain