Nutritional Quality Assessment and Dietary Diversity of Food in Collective Catering: A Study in Al Hoceima Province, Morocco
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Collective Catering, Food Evaluation, Dietary Diversity Score, Dietary Variety Score, Al Hoceima Province, Morocco
Abstract
Background: The escalating prevalence of food consumption within collective catering establishments in Morocco has been associated with unbalanced dietary patterns, thereby contributing an increased risk of various chronic and degenerative diseases.
Aims: The study aimed to assess the overall nutritional quality of the food provided in selective collective catering establishments (CCEs) located in the province of Al Hoceima, Northern Morocco.
Subjects and Methods: A descriptive cross-sectional survey was conducted; Data regarding food offerings and management practices in six CCEs were collected using a structured questionnaire, observations, and interviews with kitchen staff. Dietary diversity and variety were assessed using the Food Diversity Score (FDS) and Food Variety Score (FVS), respectively, calculated based on an examination of menus and information collected during observations and discussion with chefs.
Results: The average daily FDS was 7.29 ± 0.80 food groups (FGs). For the majority of dietary days (78.6%), foods belonged to 7 to 8 FGs, with only 4.8% achieving the maximum FDS of 9 FGs. Significant differences in both FDS and FVS were observed based on the kitchen management method (p = 0.004 for FDS; p < 0.001 for FVS) and the involvement of health personnel (HP) in menu development (p = 0.004 for FDS; p < 0.001 for FVS). The highest average FVS and FDS were recorded for meals offered by CCEs employing external kitchen management and incorporating health personnel in menu development. Furthermore, the FDS varied significantly across the days of the week (p = 0.015), with a higher average observed on Friday (FDS = 8.33 ± 0.52). Conversely, FVS fluctuations across the days of the week were not statistically significant (p = 0.324).
Conclusion: The findings indicate that the diet provided by the assessed CCEs is moderately diversified but demonstrates a low representation of key micronutrient-rich food groups. The study suggests that outsourcing kitchen management, involving health professionals in menu planning, and increasing the inclusion of micronutrient-rich food groups are recommended strategies to enhance the nutritional quality of meals offered by the CCE.
Keywords: Collective Catering, Food Evaluation, Dietary Diversity Score, Dietary Variety Score, Al Hoceima Province, Morocco.
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References
Anand, P., Kunnumakkara, A. B., Sundaram, C., Harikumar, K. B., Tharakan, S. T., Lai, O. S., Sung, B., & Aggarwal, B. B. (2008). Cancer is a preventable disease that requires major lifestyle changes. Pharmaceutical Research, 25(9), 2097–2116. https://doi.org/10.1007/s11095-008-9661-9
Barakat, I., Chamlal, H., El Fane, H., El-Jamal, S., Elayachi, M., & Belahsen, R. (2022). Mediterranean diet pyramid of an adult Moroccan population: Comparison with the recommendations of the updated Mediterranean diet pyramid. Annals of the University Dunarea de Jos Galati, 46, 74–88.
Bell, A. C., & Swinburn, B. A. (2004). What are the key food groups to target for preventing obesity and improving nutrition in schools? European Journal of Clinical Nutrition, 58(2), 258–263. https://doi.org/10.1038/sj.ejcn.1601775
Cohen, J. F. W., Hecht, A. A., Hager, E. R., Turner, L., Burkholder, K., & Schwartz, M. B. (2021). Strategies to improve school meal consumption: A systematic review. Nutrients, 13(10), 3520. https://doi.org/10.3390/nu13103520
Colić Barić, I., Šatalić, Z., & Lukešić, Ž. (2003). Nutritive value of meals, dietary habits and nutritive status in Croatian university students according to gender. International Journal of Food Sciences and Nutrition, 54(6), 473–484. https://doi.org/10.1080/09637480310001622332
Cupertino, A. F., Maynard, D. da C., Queiroz, F. L. N. de, Zandonadi, R. P., Ginani, V. C., Raposo, A., Saraiva, A., & Botelho, R. B. A. (2021). How are school menus evaluated in different countries? A systematic review. Foods (Basel, Switzerland), 10(2), 374. https://doi.org/10.3390/foods10020374
FAO. Organisation des Nations Unies pour l'Alimentation et l'Agriculture (2011). Profil nutritionnel de pays : Royaume du Maroc.
Food Service Europe. (2024). European Industry Overview. Available from http://www.foodserviceeurope.org/en/european-industry-overview
Gajdoš Kljusurić, J., Bosanac, V., Šanko, K., & Colić Barić, I. (2016). Establishing energy-nutritional variety of boarding school daily menus as a result of regional differences using multivariate analysis. Journal of Food Composition and Analysis: An Official Publication of the United Nations University, International Network of Food Data Systems, 51, 61–68. https://doi.org/10.1016/j.jfca.2016.06.010
Gérardin, H., Dos Santos, S., & Gastineau, B. (2016). Présentation. Des Objectifs du Millénaire pour le développement (OMD) aux Objectifs de développement durable (ODD) : la problématique des indicateurs. Mondes En Developpement, n° 174(2), 7–14. https://doi.org/10.3917/med.174.0007
Graça, J., Campos, L., Guedes, D., Roque, L., Brazão, V., Truninger, M., & Godinho, C. (2023). How to enable healthier and more sustainable food practices in collective meal contexts: A scoping review. Appetite, 187(106597), 106597. https://doi.org/10.1016/j.appet.2023.106597
Haynes, A., Morley, B., Dixon, H., Scully, M., McAleese, A., Gascoyne, C., Busbridge, R., Cigognini, M., Regev, I., & Wakefield, M. (2020). Secondary school canteens in Australia: analysis of canteen menus from a repeated cross-sectional national survey. Public Health Nutrition, 24(4), 1–10. https://doi.org/10.1017/S1368980020003535
Heller, M. C., Keoleian, G. A., & Willett, W. C. (2013). Toward a life cycle-based, diet-level framework for food environmental impact and nutritional quality assessment: a critical review. Environmental Science & Technology, 47(22), 12632–12647. https://doi.org/10.1021/es4025113
International Agency for Research on Cancer. (2018). Les cancers attribuables au mode de vie et à l'environnement en France métropolitaine Cancers attributable to lifestyle and environment in metropolitan France. World Health Organization, Institut National du Cancer.
Kennedy, G., Ballard, T., Dop, M. C., & European Union. (2011). Guidelines for measuring household and individual dietary diversity. FAO.
Lavall, M. J., Blesa, J., Frigola, A., & Esteve, M. J. (2020). Nutritional assessment of the school menus offered in Spain’s Mediterranean area. Nutrition (Burbank, Los Angeles County, Calif.), 78(110872), 110872. https://doi.org/10.1016/j.nut.2020.110872
Marcotrigiano, V., Stingi, G. D., Nugnes, P. T., Mancano, S., Lagreca, V. M., Tarricone, T., Salerno, G., Pasquale, P., Marchet, P., Sava, G. A., Citiulo, A., Tissi, M., Oliva, S., Cinquetti, S., & Napoli, C. (2023). Collective catering activities and official controls: Dietary promotion, sustainability and future perspectives. Healthcare (Basel, Switzerland), 11(9). https://doi.org/10.3390/healthcare11091347
Mekhancha, D.-E., Yagoubi-Benatallah, L., Mekaoussi, I., Dahel-Mekhancha, C. C., Badaoui, B., & Nezzal, L. (2017). Restauration universitaire en Algérie : place des sucres dans l’offre alimentaire. Nutrition Clinique et Métabolisme, 31(1), 76. https://doi.org/10.1016/j.nupar.2016.10.107
Menis, D., Fiori, F., Cautero, P., Zago, D., Beorchia, Y., Dallan, L., Vettorazzo, P., Lesa, L., Conte, A., Scarpis, E., Brunelli, L., & Parpinel, M. (2024). Sustainability and nutritional composition of food offer and choices in three hospital canteens in Italy. Heliyon, 10(21), e39317. https://doi.org/10.1016/j.heliyon.2024.e39317
Merzouki, N. (2009). Marrakesh express: Recipes and memories of Morocco. In K. Monger (Ed.), (pp. 96-100) BookSurge Publishing.
Ministère de l’Enseignement Supérieur, de la Recherche Scientifique et de l’Innovation. Royaume du Maroc Rapport. (n.d.). Rapport L’enseignement Supérieur en Chiffres 2022-2023. https://www.enssup.gov.ma/storage/statistique/2023/L'Enseignement%20sup%C3%A9rieur%20en%20chiffres%202022_2023.pdf
Ministère de la Santé. (2016). Guide Marocain de Nutrition : A l’usage des professionnels de santé. Maroc : Ministère de la Santé.
Ministère de l'Enseignement Supérieur, de la Recherche Scientifique et de la Formation des Cadres. Royaume du Maroc. (n.d.). Rapport Maroc Universitaire 2012-2013. https://www.enssup.gov.ma/storage/statistique/historique/Maroc%20Universitaire%20%202012-2013.pdf
Moustakim, R., Mziwira, M., El Ayachi, M., & Belahsen, R. (2022). Dietary diversity score and the incidence of chronic kidney disease in an agricultural Moroccan adults population. Roczniki Panstwowego Zakladu Higieny, 73(3), 293–301. https://doi.org/10.32394/rpzh.2022.0221
Murray, C. J. L., Aravkin, A. Y., Zheng, P., Abbafati, C., Abbas, K. M., Abbasi-Kangevari, M., Abd-Allah, F., Abdelalim, A., Abdollahi, M., Abdollahpour, I., Abegaz, K. H., Abolhassani, H., Aboyans, V., Abreu, L. G., Abrigo, M. R. M., Abualhasan, A., Abu-Raddad, L. J., Abushouk, A. I., Adabi, M., … Lim, S. S. (2020). Global burden of 87 risk factors in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet, 396(10258), 1223–1249. https://doi.org/10.1016/s0140-6736(20)30752-2
Mziwira, M., Elfane, H., El-Jamal, S., Barakat, I., Sahel, K., Kalili, A., Moustakim, R., El-Ouafi, R., El-Mahri, N., Naciri, K., Idrissi, L. A., Errabahi, N., Chamlal, H., El Afes, Z., Daif, H., Ahaji, A.-A., Elayachi, M., & Belahsen, R. (2024). Adherence to the Mediterranean diet in two Moroccan populations living at different distances from the Mediterranean Sea. Roczniki Panstwowego Zakladu Higieny, 75(1), 45–58. https://doi.org/10.32394/rpzh.2024.0296
Ness, A. (2004). Diet, nutrition and the prevention of chronic diseases. WHO technical report series 916. Report of a joint WHO/FSA expert consultation. International Journal of Epidemiology, 33(4), 914–915. https://doi.org/10.1093/ije/dyh209
O’Hearn, M., Lara-Castor, L., Cudhea, F., Miller, V., Reedy, J., Shi, P., Zhang, J., Wong, J. B., Economos, C. D., Micha, R., Mozaffarian, D., & Global Dietary Database. Incident type 2 diabetes attributable to suboptimal diet in 184 countries. Nature Medicine, 29(4), 982–995. https://doi.org/10.1038/s41591-023-02278-8
Oubahli, M. (2008). Le banquet d’Ibn ‘Ali Masfiwi, lexique, notes et commentaires. Approche historique et anthropologique. Horizons Maghrébins - Le droit à la mémoire, 59(1), 114–145. https://doi.org/10.3406/horma.2008.2682
Popkin B. M. (2009). Global changes in diet and activity patterns as drivers of the nutrition transition. Nestle Nutrition workshop series. Paediatric programme, 63, 1–268. https://doi.org/10.1159/000209967
Royaume du Maroc. (2000). Décret n°2-00-425 du 10 Ramadan 1421 (7 décembre 2000) relatif au contrôle de la production et de la commercialisation du lait et produits laitiers. Bulletin officiel n°4862, 04/02/2001, 121.
Ruel, M. T. (2003). Operationalizing dietary diversity: A review of measurement issues and research priorities. The Journal of Nutrition, 133(11), 3911S-3926S. https://doi.org/10.1093/jn/133.11.3911s
Šatalić, Z., Barić, I. C., Keser, I., & Marić, B. (2004). Evaluation of diet quality with the mediterranean dietary quality index in university students. International Journal of Food Sciences and Nutrition, 55(8), 589–597. https://doi.org/10.1080/09637480500086141
Schwingshackl, L., Schwedhelm, C., Galbete, C., & Hoffmann, G. (2017). Adherence to Mediterranean Diet and risk of cancer: An updated systematic review and meta-analysis. Nutrients, 9(10). https://doi.org/10.3390/nu9101063
Sharma, R., Abbasi-Kangevari, M., Abd-Rabu, R., Abidi, H., Abu-Gharbieh, E., Acuna, J. M., Adhikari, S., Advani, S. M., Afzal, M. S., Aghaie Meybodi, M., Ahinkorah, B. O., Ahmad, S., Ahmadi, A., Ahmadi, S., Ahmed, H., Ahmed, L. A., Ahmed, M. B., Al Hamad, H., Alahdab, F., … Zoladl, M. (2022). Global, regional, and national burden of colorectal cancer and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet. Gastroenterology & Hepatology, 7(7), 627–647. https://doi.org/10.1016/s2468-1253(22)00044-9
Sproesser, G., Ruby, M. B., Arbit, N., Akotia, C. S., Alvarenga, M. D. S., Bhangaokar, R., Furumitsu, I., Hu, X., Imada, S., Kaptan, G., Kaufer-Horwitz, M., Menon, U., Fischler, C., Rozin, P., Schupp, H. T., & Renner, B. (2019). Understanding traditional and modern eating: the TEP10 framework. BMC Public Health, 19(1), 1606. https://doi.org/10.1186/s12889-019-7844-4
United Nations. (2022). Transforming our world: the 2030 Agenda for Sustainable Development. (2022). In Sustainable Development Goals. Nomos/Hart.
VAM Resource Center. (2019). Wfp.org. Food Consumption Score. Retrieved from https://resources.vam.wfp.org/data-analysis/quantitative/food-security/food-consumption-score
World Health Organization. (2023, April 5). Diabetes. https://www.who.int/news-room/fact-sheets/detail/diabetes
World Health Organization. (2021, June 9). Obesity and Overweight.
World Health Organization. (2013). Regional Office for the Eastern Mediterranean. Diet, nutrition and hypertension. https://applictions.emro.who.int/docs/Fact_Sheet_WHD_2013_EN_14873.pdf
Yagoubi-Benatallah, L., Mekhancha, D.-E., Dahel-Mekhancha, C. C., Badaoui, B., & Nezzal, L. (2016). Qualité nutritionnelle de la restauration scolaire en Algérie. Cahiers de Nutrition et de Diététique, 51(6), 315–321. https://doi.org/10.1016/j.cnd.2016.09.004
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Copyright (c) 2025 Firdaous Friki, Soumaya Atouife , Halima Belaoufi, Imane Barakat, Hamid Chamlal , Khadija Sahel, Rachida Moustakim, Abdelaziz Fassouane, Abdallah El Habazi, Rekia Belahsen
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