was observed that reflected a significant increase in calories consumed from away-from-home versus home-prepared food. A complete picture of fast food environment and the availability of healthier fast food options are essential to understand environmental influences on diet and health outcomes, and identify potential targets for intervention.īetween 19, a dramatic shift in food sources in the U.S. ConclusionĬonvenience stores and supermarkets/grocery stores more than double the potential access to fast foods in this rural area than traditional fast-food outlets alone however, traditional fast food outlets offer greater opportunity for healthier fast food options than convenience stores. Compared with convenience stores, supermarkets/grocery stores provided a greater variety of regular and healthier entrées and lunch/dinner side dishes. Although a s imilar variety of regular breakfast and lunch/dinner entrées were available in traditional fast-food outlets and convenience stores, the variety of healthier breakfast and lunch/dinner entrées was significantly greater in fast food outlets. Traditional fast-food outlets represented 84 (41%) of the 205 opportunities for procurement of fast food 109 (53.2%) were convenience stores and 12 (5.8%) supermarkets/grocery stores. Using all traditional and nontraditio nal fast-food outlets identified in six counties in rural Texas, the type and number of regular and healthiermenu options were surveyed using on-site observation in all food venues that were primarily fast food, supermarket/grocery store, and convenience store and compared with 2005 Dietary Guidelines. In rural areas, these nontraditional fast-food outlets may provide most of the opportunities for procurement of fast foods. Although national chain affiliated fast-food outlets are considered the main source for fast food, fast foods are increasingly available in convenience stores and supermarkets/grocery stores. Sales have been dominated by fast food outlets, where meals are purchased for dining away from home or in the home. Food prepared away from home has become increasingly popular to U.S.
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