{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T21:19:03Z","timestamp":1781903943804,"version":"3.54.5"},"reference-count":42,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Defense Health Program","award":["HU0001-24-2-0009"],"award-info":[{"award-number":["HU0001-24-2-0009"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Military Service Members (SMs) require optimal nutrition to support health, readiness, and job performance. However, they often fall short of meeting nutrition guidelines. This study aimed to determine the impact and feasibility of implementing the U.S. Marine Corps (USMC) \u201cFueled to Fight\u00ae\u201d (F2F) nutrition program in non-appropriated fund (NAF) food venues. Objectives included evaluating changes in Military Nutrition Environment Assessment Tool (mNEAT) scores, feasibility of implementing and maintaining F2F strategies, and influence on customer purchasing patterns. Methods: Researchers conducted a pre-post interventional study from January to December 2024 at three NAF food venues across two USMC bases. F2F strategies, including identifying items using a stoplight color coding system (Green = healthy, Yellow = less healthy, Red = least healthy), menu revisions, food placement, promotion, and marketing, were implemented. Data included mNEAT assessments, sales reports, and stakeholder focus groups. Generalized Estimating Equations models were used to analyze sales data. Results: mNEAT scores increased across all venues post-intervention. Availability and sales of Green items increased, while sales of Red items decreased in some venues. Profit increased at all three food venues. Focus groups revealed feasibility and provided insights for future interventions. Conclusions: F2F interventions in NAF food venues are feasible and can positively impact the food environment and customer purchasing patterns without negatively affecting profit. This study highlights the importance of integrating nutrition programs into all military food venues, not just government-funded dining facilities, to support the nutritional fitness and readiness of SMs.<\/jats:p>","DOI":"10.3390\/nu17152556","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T13:44:32Z","timestamp":1754401472000},"page":"2556","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Increasing Access and Availability of Nutrient-Dense Foods at United States Marine Corps Food Venues Is Feasible and Profitable"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7006-3272","authenticated-orcid":false,"given":"Katie M.","family":"Kirkpatrick","sequence":"first","affiliation":[{"name":"Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward H\u00e9bert School of Medicine, Uniformed Services University, 4301 Jones Bridge Road, Bethesda, MD 20814, USA"},{"name":"Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., 6720A Rockledge Drive, Bethesda, MD 20817, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0855-6494","authenticated-orcid":false,"given":"Zina N.","family":"Abourjeily","sequence":"additional","affiliation":[{"name":"Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward H\u00e9bert School of Medicine, Uniformed Services University, 4301 Jones Bridge Road, Bethesda, MD 20814, USA"},{"name":"Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., 6720A Rockledge Drive, Bethesda, MD 20817, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4472-3994","authenticated-orcid":false,"given":"Melissa A.","family":"Rittenhouse","sequence":"additional","affiliation":[{"name":"Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward H\u00e9bert School of Medicine, Uniformed Services University, 4301 Jones Bridge Road, Bethesda, MD 20814, USA"},{"name":"Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., 6720A Rockledge Drive, Bethesda, MD 20817, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4498-2654","authenticated-orcid":false,"given":"Maureen W.","family":"Purcell","sequence":"additional","affiliation":[{"name":"Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward H\u00e9bert School of Medicine, Uniformed Services University, 4301 Jones Bridge Road, Bethesda, MD 20814, USA"},{"name":"Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., 6720A Rockledge Drive, Bethesda, MD 20817, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rory G.","family":"McCarthy","sequence":"additional","affiliation":[{"name":"Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward H\u00e9bert School of Medicine, Uniformed Services University, 4301 Jones Bridge Road, Bethesda, MD 20814, USA"},{"name":"Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., 6720A Rockledge Drive, Bethesda, MD 20817, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1542-5875","authenticated-orcid":false,"given":"Jonathan M.","family":"Scott","sequence":"additional","affiliation":[{"name":"Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward H\u00e9bert School of Medicine, Uniformed Services University, 4301 Jones Bridge Road, Bethesda, MD 20814, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,5]]},"reference":[{"key":"ref_1","unstructured":"Academy of Nutrition and Dietetics (2025, May 08). Recommendations Summary: AWM: Dietary and Lifestyle Intervention Approaches 2022. Available online: https:\/\/www.andeal.org\/template.cfm?template=guide_summary&key=4893."},{"key":"ref_2","unstructured":"Purvis, D.L., Lentino, C.V., Jackson, T.K., Murphy, K.J., and Deuster, P.A. (2013). Nutrition as a component of the performance triad: How healthy eating behaviors contribute to soldier performance and military readiness. U.S. Army Med. Dep. J., 66\u201378."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Rittenhouse, M., Scott, J., and Deuster, P. (2020). Healthy eating index and nutrition biomarkers among Army Soldiers and civilian control group indicate an intervention is necessary to raise omega-3 Index and vitamin D and improve diet quality. Nutrients, 13.","DOI":"10.3390\/nu13010122"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2766","DOI":"10.1017\/S1368980019001381","article-title":"\u2018Nutrition is out of our control\u2019: Soldiers\u2019 perceptions of their local food environment","volume":"22","author":"Chukwura","year":"2019","journal-title":"Public Health Nutr."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1016\/j.jneb.2021.01.013","article-title":"Eating behaviors are associated with physical fitness and body composition among US Army Soldiers","volume":"53","author":"Jayne","year":"2021","journal-title":"J. Nutr. Educ. Behav."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Meadows, S.O., Engel, C.C., Collins, R.L., Beckman, R.L., Cefalu, M., Hawes-Dawson, J., Doyle, M., Kress, A.M., Sontag-Padilla, L., and Ramchand, R. (2018). 2015 Department of Defense Health Related Behaviors Survey (HRBS), Rand Corporation.","DOI":"10.7249\/RR1695"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/j.jneb.2023.02.004","article-title":"Exploring influences of eating behaviors among emerging adults in the military","volume":"55","author":"Troncoso","year":"2023","journal-title":"J. Nutr. Educ. Behav."},{"key":"ref_8","unstructured":"Manning, C. (2024). Costs and Consequences: Obesity\u2019s Compounding Impact on the Military Health System, American Security Project."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2951","DOI":"10.1016\/j.tjnut.2023.08.023","article-title":"The medical burden of obesity and overweight in the US Military: Association of BMI with clinically diagnosed medical conditions in United States military service members","volume":"153","author":"Knapik","year":"2023","journal-title":"J. Nutr."},{"key":"ref_10","unstructured":"U.S. Government Accountability Office (2022). Food Program: DOD Should Formalize Its Process for Revising Food Ingredients and Better Track Dining Facility Use and Costs (Report to Congressional Committees)."},{"key":"ref_11","unstructured":"U.S. Government Accountability Office (2024). DOD Food Program: Additional Actions Needed to Implement, Oversee, and Evaluate Nutrition Efforts for Service Members."},{"key":"ref_12","unstructured":"(2025, June 20). H.R. 5009\u2014Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025, Available online: https:\/\/www.congress.gov\/bill\/118th-congress\/house-bill\/5009\/text."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Langfield, T., Marty, L., Inns, M., Jones, A., and Robinson, E. (2023). Healthier diets for all? A systematic review and meta-analysis examining socioeconomic equity of the effect of increasing availability of healthier foods on food choice and energy intake. Obes. Rev., 24.","DOI":"10.1111\/obr.13565"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/obr.12087","article-title":"INFORMAS (International Network for Food and Obesity\/non-communicable diseases Research, Monitoring and Action Support): Overview and key principles","volume":"14","author":"Swinburn","year":"2013","journal-title":"Obes. Rev."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Naicker, A., Shrestha, A., Joshi, C., Willett, W., and Spiegelman, D. (2021). Workplace cafeteria and other multicomponent interventions to promote healthy eating among adults: A systematic review. Prev. Med. Rep., 22.","DOI":"10.1016\/j.pmedr.2021.101333"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1996","DOI":"10.1093\/advances\/nmab026","article-title":"Toward a healthy and environmentally sustainable campus food environment: A scoping review of postsecondary food interventions","volume":"12","author":"Lee","year":"2021","journal-title":"Adv. Nutr."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/j.ypmed.2004.04.002","article-title":"Impact of nutrition environmental interventions on point-of-purchase behavior in adults: A review","volume":"39","author":"Seymour","year":"2004","journal-title":"Prev. Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1016\/j.pmedr.2017.09.001","article-title":"Does a grill menu redesign influence sales, nutrients purchased, and consumer acceptance in a worksite cafeteria?","volume":"8","author":"Vadiveloo","year":"2017","journal-title":"Prev. Med. Rep."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1016\/j.appet.2018.11.013","article-title":"Impact of increasing the proportion of healthier foods available on energy purchased in worksite cafeterias: A stepped wedge randomized controlled pilot trial","volume":"133","author":"Pechey","year":"2019","journal-title":"Appetite"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.jneb.2024.12.005","article-title":"Nutrition interventions to improve the military nutrition environment positively impact Service Members","volume":"57","author":"Rittenhouse","year":"2025","journal-title":"J. Nutr. Educ. Behav."},{"key":"ref_21","unstructured":"Headquarters Departments of the Army, the Navy, and the Air Force (2017). Nutrition and Menu Standards for Human Performance Optimization (Army Regulation 40\u201325, OPNAVINST 10110.1\/MCO 10110.49, AFI 44\u2013141), Headquarters Departments of the Army, the Navy, and the Air Force."},{"key":"ref_22","unstructured":"Office of the Under Secretary of Defense for Acquisition and Sustainment (2025). DoD Manual 1338.10: DoD Food Service Program, Department of Defense."},{"key":"ref_23","unstructured":"USMC (2018). Marine Corps Order 10110.14N: Marine Corps Food Service and Subsistence Program, Department of the Navy, Headquarters United States Marine Corps."},{"key":"ref_24","unstructured":"(2025, June 16). BeFit 360\u00ba. Available online: https:\/\/publicaffairs-sme.com\/Community\/befit."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1093\/milmed\/usab503","article-title":"Go for Green\u00ae nutrition program: Translating evidence into practice","volume":"188","author":"Kleinberger","year":"2023","journal-title":"Mil. Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1017\/S1368980022001896","article-title":"Nutrition Program Fidelity Assessment tool: A framework for optimising implementation in military dining facilities","volume":"26","author":"Kirkpatrick","year":"2022","journal-title":"Public Health Nutr."},{"key":"ref_27","unstructured":"(2025, June 16). Go for Green\u00ae. Available online: https:\/\/www.hprc-online.org\/nutrition\/go-green."},{"key":"ref_28","unstructured":"(2025, June 20). The Warfighters\u2019 Guide to Performance Nutrition. Available online: https:\/\/www.fitness.marines.mil\/Portals\/211\/Docs\/USMC%20Warfighter\u2019s%20Guide%20to%20Performance%20Nutrition%20-%20Slides.pdf?ver=2017-03-28-132431-533."},{"key":"ref_29","unstructured":"Bukhari, A.S., Champagne, C.M., Cole, R.E., Armstrong, N.J., McGraw, S.M., Allen, H.R., Kirkpatrick, K.M., Moylan, E.M., Kleinberger, C.A., and Billington, J.L. (2022). Effectiveness of Go for Green Nutrition Program to Improve Warfighter Meal Quality and Nutrition Knowledge, U.S. Army Research Institute of Environmental Medicine (USARIEM)."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"82","DOI":"10.7205\/MILMED-D-15-00027","article-title":"Effectiveness of healthy menu changes in a nontrainee military dining facility","volume":"181","author":"Belanger","year":"2016","journal-title":"Mil. Med."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"920","DOI":"10.1016\/j.jand.2013.01.005","article-title":"Effects of modified foodservice practices in military dining facilities on ad libitum nutritional intake of US Army Soldiers","volume":"113","author":"Crombie","year":"2013","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_32","unstructured":"USMC (2023). Talent Management 2030 Update, Department of the Navy, United States Marine Corps."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1002\/nur.21768","article-title":"Characteristics of qualitative descriptive studies: A systematic review","volume":"40","author":"Kim","year":"2016","journal-title":"Res. Nurs. Health"},{"key":"ref_34","unstructured":"(2025, July 21). Rev. Available online: https:\/\/www.rev.com."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1097\/AAP.0b013e31823ebc74","article-title":"Beyond repeated-measures analysis of variance","volume":"37","author":"Ma","year":"2012","journal-title":"Reg. Anesth. Pain Med."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Hollands, G.J., Carter, P., Anwer, S., King, S.E., Jebb, S.A., Ogilvie, D., Shemilt, I., Higgins, J.P.T., and Marteau, T.M. (2019). Altering the availability or proximity of food, alcohol, and tobacco products to change their selection and consumption. Cochrane Database Syst Rev., 9.","DOI":"10.1002\/14651858.CD012573.pub3"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"942","DOI":"10.1017\/S1368980018003750","article-title":"The effectiveness of dietary workplace interventions: A systematic review of systematic reviews","volume":"22","author":"Schliemann","year":"2019","journal-title":"Public Health Nutr."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1136\/bmjnph-2023-000663","article-title":"Food environment and obesity: A systematic review and meta-analysis","volume":"7","author":"Pineda","year":"2024","journal-title":"BMJ Nutr. Prev. Health"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Atanasova, P., Kusuma, D., Pineda, E., Frost, G., Sassi, F., and Miraldo, M. (2022). The impact of the consumer and neighbourhood food environment on dietary intake and obesity-related outcomes: A systematic review of causal impact studies. Soc. Sci. Med., 299.","DOI":"10.1016\/j.socscimed.2022.114879"},{"key":"ref_40","unstructured":"Food Service Guidelines Federal Workgroup (2017). Food Service Guidelines for Federal Facilities, U.S. Department of Health and Human Services."},{"key":"ref_41","unstructured":"(2025, July 21). Healthy Food Environments, Available online: https:\/\/www.cdc.gov\/nutrition\/healthy-food-environments\/index.html."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1080\/17461391.2021.1930192","article-title":"Military nutrition research: Contemporary issues, state of the science and future directions","volume":"22","author":"Karl","year":"2022","journal-title":"Eur. J. Sport Sci."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/15\/2556\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:23:35Z","timestamp":1760034215000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/15\/2556"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,5]]},"references-count":42,"journal-issue":{"issue":"15","published-online":{"date-parts":[[2025,8]]}},"alternative-id":["nu17152556"],"URL":"https:\/\/doi.org\/10.3390\/nu17152556","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,5]]}}}