title: Nutrition Standards for Food Service Guidelines for Foods Served or Sold in Municipal Government Buildings or Worksites, United States, 2014.
abstract: The Institute of Medicine and Centers for Disease Control and Prevention have recommended that government agencies use nutrition standards for foods and beverages sold and provided at their facilities. In this study, we examine written nutrition standards for foods sold or served in local government buildings or worksites among US municipalities.
  
  
  
  We used data from a 2014 national survey of 1,945 municipal governments serving populations of 1,000 or more to assess the presence of written nutrition standards, the food groups or nutrients addressed by standards, and the populations served by facilities where standards are applied. The prevalence of standards was estimated by municipality population size, rural-urban status, census region, poverty prevalence, education level, and racial/ethnic composition.
  
  
  
  Overall, 3.2% of US municipalities reported nutrition standards with greater prevalence observed among large municipalities (12.8% of municipalities with ≥50,000 people vs 2.2% of municipalities with <2,500 people, P < .001). Prevalence differed by region, and standards were most common in the West (6.6%) and least common in the Midwest (2.0%, P = .003).The most common nutrition topics addressed in standards were offering low-calorie beverages, fruits and vegetables, and free drinking water. Most standards applied to facilities serving government employees (67%) or the general public (66%), with fewer serving institutionalized populations (23%).
  
  
  
  Few municipal governments reported having written nutrition standards for foods and beverages sold in their facilities in 2014. Implementing nutrition standards for foods sold or served by local governments is a strategy for increasing access to healthier foods and beverages among municipal employees and local residents.
authors.affiliation: Centers for Disease Control and Prevention, Division of Nutrition, Physical Activity, and Obesity, Obesity Prevention and Control Branch, 4770 Buford Highway NE, Mail Stop F-77, Atlanta, GA 30341. Email: seo5@cdc.gov.
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Onufrak
authors.affiliation: Centers for Disease Control and Prevention, Division of Nutrition, Physical Activity and Obesity; Atlanta, GA 30341.
authors.forename: Hatidza
authors.initials: H
authors.lastname: Zaganjor
authors.affiliation: Centers for Disease Control and Prevention, Division of Nutrition, Physical Activity and Obesity; Atlanta, GA 30341.
authors.forename: Latetia V
authors.initials: LV
authors.lastname: Moore
authors.affiliation: Centers for Disease Control and Prevention, Division of Nutrition, Physical Activity and Obesity; Atlanta, GA 30341.
authors.forename: Susan
authors.initials: S
authors.lastname: Carlson
authors.affiliation: Centers for Disease Control and Prevention, Division of Nutrition, Physical Activity and Obesity; Atlanta, GA 30341.
authors.forename: Joel
authors.initials: J
authors.lastname: Kimmons
authors.affiliation: Centers for Disease Control and Prevention, Division of Nutrition, Physical Activity and Obesity; Atlanta, GA 30341.
authors.forename: Deborah
authors.initials: D
authors.lastname: Galuska
mesh_terms: D001628:Beverages; D003132:Commerce; D005522:Food Services / Q000592:standards*; D017408:Guidelines as Topic; D006801:Humans; D009111:Local Government; D016015:Logistic Models; D015999:Multivariate Analysis; D018673:Nutrition Policy / Q000331:legislation & jurisprudence*; D009752:Nutritional Status; D009753:Nutritive Value; D011795:Surveys and Questionnaires; D014481:United States; D017132:Workplace / Q000592:standards*