{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T00:43:59Z","timestamp":1759970639832,"version":"build-2065373602"},"reference-count":48,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T00:00:00Z","timestamp":1738108800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Vicerrector\u00eda de Investigaci\u00f3n y Doctorados de la Universidad San Sebasti\u00e1n\u2013Fondo","award":["USS-FIN-25-APCS-07"],"award-info":[{"award-number":["USS-FIN-25-APCS-07"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foods"],"abstract":"<jats:p>Objectives: To evaluate the offer of children\u2019s menus offered in fast food restaurants present in the Uber Eats delivery application through the Kids Menu Healthy Score \u2018KIMEHS\u2019 in Greater Santiago. Methods: Observational, descriptive, cross-sectional. Research in fast food restaurants present in the Uber Eats delivery app. A total of 858 restaurants were selected. The KIMEHS was used to assess menu quality. KIMEHS index and descriptive statistics were calculated. Results: 558 restaurants were evaluated through the app; 57 offered children\u2019s menus, yielding 114 children\u2019s menu options from 18 different municipalities. The common offer was based on fried and\/or processed lean meat accompanied by French fries in 71%. Moreover, 99% of the menus assessed obtained the minimum score in the KIMEHS placing them in the \u2018not healthy at all\u2019 category. When associations were made between foods and the lowest KIMEHS score quartile, the presence of chips had the strongest association (OR; 40.36: CI95% 11.43\u2013201.08). Conclusions: Most restaurants offer a children\u2019s menu of low nutritional quality and poor balance, where their dishes are commonly based on fried and processed products, pointing to the urgent need for legislation on guidelines to be applied on the different actors influencing the food offered to children.<\/jats:p>","DOI":"10.3390\/foods14030434","type":"journal-article","created":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T03:26:10Z","timestamp":1738121170000},"page":"434","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Children\u2019s Menus at Fast Food Restaurants on the Uber Eats\u00ae Delivery App"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3622-2974","authenticated-orcid":false,"given":"Andrea","family":"Zapata-Quiroga","sequence":"first","affiliation":[{"name":"Cl\u00ednica Red Salud, Santiago 8320000, Chile"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0157-8368","authenticated-orcid":false,"given":"Jo\u00e3o P. M.","family":"Lima","sequence":"additional","affiliation":[{"name":"H&TRC\u2014Health & Technology Research Center, Coimbra Health School, Polytechnic University of Coimbra, 3045-043 Coimbra, Portugal"},{"name":"GreenUPorto\u2014Sustainable Agrifood Production Research Centre, 4099-002 Porto, Portugal"},{"name":"SUScita\u2014Research Group on Sustainability, Cities and Urban Intelligence, 3045-043 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3505-4538","authenticated-orcid":false,"given":"Ada","family":"Rocha","sequence":"additional","affiliation":[{"name":"GreenUPorto\u2014Sustainable Agrifood Production Research Centre, Inov4Agro, Faculty of Nutrition and Food Sciences, University of Porto, 4099-002 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5508-7049","authenticated-orcid":false,"given":"Silvana","family":"Saavedra-Clarke","sequence":"additional","affiliation":[{"name":"Carrera de Nutrici\u00f3n y Diet\u00e9tica, Facultad de Ciencias de la Salud, Universidad Aut\u00f3noma de Chile, Providencia 7500000, Chile"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0548-3676","authenticated-orcid":false,"given":"Samuel","family":"Dur\u00e1n-Ag\u00fcero","sequence":"additional","affiliation":[{"name":"Escuela de Nutrici\u00f3n y Diet\u00e9tica, Facultad de Ciencias para el Cuidado de Salud, Sede los Leones, Universidad San Sebastian, Providencia 7500000, Chile"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,29]]},"reference":[{"key":"ref_1","unstructured":"Asenjo, C. (2021). Econom\u00eda de Plataformas y Trasnformaciones en el Mundo del Trabajo: El caso de los Repartidores en Santiago de Chile Santiago, Organizaci\u00f3n Internacional del Trabajo (OIT). Available online: https:\/\/www.ilo.org\/sites\/default\/files\/wcmsp5\/groups\/public\/%40americas\/%40ro-lima\/%40sro-santiago\/documents\/publication\/wcms_798681.pdf."},{"key":"ref_2","unstructured":"DELOITTE (2021). Preferencias y Tendencias del Consumo de Alimentos en Chile, Deloitte Touche Tohmatsu Limited. Available online: https:\/\/www2.deloitte.com\/cl\/es\/pages\/consumer-business\/articles\/preferencias-y-tendencias-del-consumo-de-alimentos-en-chile.html."},{"key":"ref_3","unstructured":"Hurtubia, R., Mu\u00f1oz, J.C., Tironi, M., Tiznado-Aitken, I., and Yaksic, M. (2022). La industria del delivery y sus impactos urbanos: Desaf\u00edos y oportunidades. Propuestas para Chile, Concurso Politicas Publicas 2021, Pontificia Universidad Catolica de Chile. Available online: https:\/\/politicaspublicas.uc.cl\/web\/content\/uploads\/2022\/04\/Cap-1-Propuesta-para-Chile-2021.pdf."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.2105\/AJPH.2020.305760","article-title":"The COVID-19 Pandemic: A Watershed Moment to Strengthen Food Security Across the US Food System","volume":"110","author":"Shanks","year":"2020","journal-title":"Am. J. Public Health"},{"key":"ref_5","unstructured":"Bustos, N., and Marcelo, V. (2025, January 20). Guias Alimentarias para Chile Santiago: Ministerio de Salud, INTA. Available online: https:\/\/www.minsal.cl\/guias-alimentarias-para-chile\/."},{"key":"ref_6","unstructured":"Lira, M. (2022). Normativas, Pol\u00edticas y Programas Contra la Obesidad Estudiantil en Chile, U. Estudios JUNAEB."},{"key":"ref_7","unstructured":"ACHIGA (2025, January 20). Departamento de Estudios CNC. Available online: https:\/\/www.achiga.cl\/wp-content\/uploads\/2022\/05\/Informe-Comida-Servicio-Rapido-1-Trimestre-2022-.pdf."},{"key":"ref_8","unstructured":"Lever, G. (2025, January 20). Comit\u00e9 de Comercio Electr\u00f3nico. Available online: https:\/\/www.ecommerceccs.cl\/ecommercedaychile2022\/."},{"key":"ref_9","unstructured":"Jerez, S. (2025, January 20). Biobiochile.cl. Available online: https:\/\/www.biobiochile.cl\/noticias\/sociedad\/curiosidades\/2022\/12\/27\/que-piden-los-chilenos-por-delivery-estudio-revela-que-en-2022-comieron-papas-fritas-todos-los-dias.shtml."},{"key":"ref_10","first-page":"e201912110","article-title":"An\u00e1lisis comparativo de la calidad nutricional de productos destinados a p\u00fablico infantil frente a p\u00fablico adulto a partir del etiquetado","volume":"93","year":"2019","journal-title":"Rev. Esp. Salud Publica"},{"key":"ref_11","unstructured":"UNICEF (2025, January 18). Childhood Overweight a Call for Prevention in Latin America and the Caribbean. Available online: https:\/\/www.unicef.org\/lac\/en\/media\/36991\/file\/Summary-Childhood-overweight-010922.pdf."},{"key":"ref_12","unstructured":"Arce, M.J. (2025, January 20). Programa de Manejo y Seguimiento Obesidad Infantil. Available online: https:\/\/www.dipres.gob.cl\/597\/articles-212533_doc_pdf1.pdf."},{"key":"ref_13","unstructured":"Sistemas alimentarios y COVID-19 en Am\u00e9rica Latina y el Caribe (2025, January 20). Organizaci\u00f3n de las Naciones Unidas para la Alimentaci\u00f3n y la Agricultura. Available online: https:\/\/openknowledge.fao.org\/handle\/20.500.14283\/cb0217es."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1038\/s41430-022-01252-w","article-title":"Prolonged body weight gain, lifestyle changes and health-related quality of life in children during the COVID-19 pandemic lockdown: A follow-up study","volume":"77","author":"Azrak","year":"2023","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_15","unstructured":"OPS (2015). Ultra-Processed Food and Drink Products in Latin America: Trends, Impact on Obesity, Policy Implications, PAHO. Available online: https:\/\/iris.paho.org\/handle\/10665.2\/7699."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1016\/j.pmedr.2018.10.004","article-title":"Impact of gaining or maintaining excessive weight in infancy on markers of metabolic homeostasis in young children: A longitudinal study in Chilean children","volume":"12","author":"Vasquez","year":"2018","journal-title":"Prev. Med. Rep."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"50","DOI":"10.48082\/espacios-a21v42n19p05","article-title":"Behavior of millennials in front of the delivery service of the restaurant sector in times of pandemic","volume":"42","author":"Sornoza","year":"2021","journal-title":"Rev. Espac."},{"key":"ref_18","first-page":"362","article-title":"Qualitative-quantitative analysis of children\u2019s menus offered in family and fast food restaurants in Santiago, Chile","volume":"42","author":"Salazar","year":"2015","journal-title":"Rev. Chil. Nutr."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"3169","DOI":"10.1108\/BFJ-05-2021-0504","article-title":"Children\u2019s menus in shopping centre restaurants: A multicentric study","volume":"124","author":"Viegas","year":"2022","journal-title":"Br. Food J."},{"key":"ref_20","first-page":"612","article-title":"Evaluation of food habits, physical activity and nutritional status in students 4 to 13 years of age in Llanquihue, Chile","volume":"47","author":"Neira","year":"2020","journal-title":"Rev. Chil. Nutr."},{"key":"ref_21","unstructured":"(2025, January 19). \u00cdndice de Prioridad Social de Comunas 2022 RM. Region Metropolitana de Santiago. Available online: https:\/\/www.desarrollosocialyfamilia.gob.cl\/storage\/docs\/INDICE-DE-PRIORIDAD-SOCIAL-2022_V2.pdf."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Rocha, A., and Viegas, C. (2020). KIMEHS-Proposal of an Index for Qualitative Evaluation of Children\u2019s Menus-A Pilot Study. Foods, 9.","DOI":"10.3390\/foods9111618"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1016\/S0140-6736(18)32822-8","article-title":"The global syndemic of obesity, undernutrition, and climate change","volume":"393","author":"Swinburn","year":"2019","journal-title":"Lancet"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1186\/s12937-020-00559-3","article-title":"A randomised controlled crossover trial investigating the short-term effects of different types of vegetables on vascular and metabolic function in middle-aged and older adults with mildly elevated blood pressure: The VEgetableS for vaScular hEaLth (VESSEL) study protocol","volume":"19","author":"Connolly","year":"2020","journal-title":"Nutr. J."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1630","DOI":"10.2105\/AJPH.2012.300719","article-title":"Reducing childhood obesity by eliminating 100% fruit juice","volume":"102","author":"Wojcicki","year":"2012","journal-title":"Am. J. Public Health"},{"key":"ref_26","unstructured":"Lira, M. (2022). Antecedentes Alimentarios y Nutricionales, Unidad de estudios JUNAEB."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1089\/chi.2012.0016","article-title":"Poor nutrition on the menu: Children\u2019s meals at America\u2019s top chain restaurants","volume":"8","author":"Batada","year":"2012","journal-title":"Child. Obes."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"20220054","DOI":"10.1590\/1806-9304202300000054-en","article-title":"Quality of children\u2019s menu in malls in Brazil","volume":"23","author":"Rocha","year":"2023","journal-title":"Rev. Bras. Sa\u00fade Mater. Infant."},{"key":"ref_29","unstructured":"Vio, F. (2023). Obesidad Infantil, una Pandemia Invisible, PERMANYER."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Gaytanc\u0131o\u011flu, O., Y\u0131lmaz, F., and Ge\u00e7gel, \u00dc. (2024). The Effect of Fatty Acids Profile in Potato and Corn Chips on Consumer Preferences. Foods, 13.","DOI":"10.3390\/foods13203292"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Addo, P., Chen, J., Zheng, B., Li, X., Zhang, L., and Tano-Debrah, K. (2024). Potential factors that influence the occurrence of trans fatty acids in fried foods: A case study on plantain chips sold within the Accra Metropolis, Ghana. Foods.","DOI":"10.21203\/rs.3.rs-4607163\/v1"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1643","DOI":"10.1016\/j.dsx.2019.03.033","article-title":"Trans fatty acids and lipid profile: A serious risk factor to cardiovascular disease, cancer and diabetes","volume":"13","author":"Islam","year":"2019","journal-title":"Diabetes Metab. Syndr."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Morales, G., Dur\u00e1n-Ag\u00fcero, S., Parra-Soto, S., Landaeta-D\u00edaz, L., Carpio, V., Cavagnari, B., and Araneda-Flores, J. (2023). Ultra-processed food and homemade fried food consumption is associated with overweight\/obesity in Latin American university students during COVID-19. Am. J. Hum. Biol., 35.","DOI":"10.1002\/ajhb.23900"},{"key":"#cr-split#-ref_34.1","doi-asserted-by":"crossref","unstructured":"Beal, T., and Ortenzi, F. (2022). Priority Micronutrient Density in Foods. Front. Nutr., 9, Erratum in Front. Nutr. 2022, 9, 908592","DOI":"10.3389\/fnut.2022.806566"},{"key":"#cr-split#-ref_34.2","unstructured":"Erratum in Front Nutr. 2023, 10, 1195752."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.meatsci.2016.04.008","article-title":"Meat: The balance between nutrition and health. A review","volume":"120","author":"Vossen","year":"2016","journal-title":"Meat Sci."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1017\/S1368980017000891","article-title":"Processed and ultra-processed foods are associated with lower-quality nutrient profiles in children from Colombia","volume":"21","author":"Cornwell","year":"2018","journal-title":"Public Health Nutr."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1084","DOI":"10.3945\/ajcn.113.058362","article-title":"Sugar-sweetened beverages and weight gain in children and adults: A systematic review and meta-analysis","volume":"98","author":"Malik","year":"2023","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"e12782","DOI":"10.1111\/ijpo.12782","article-title":"The association between sugars sweetened beverages (SSBs) and lipid profile among children and youth: A systematic review and dose-response meta-analysis of cross-sectional studies","volume":"16","author":"Nikniaz","year":"2021","journal-title":"Pediatr. Obes."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"e029046","DOI":"10.1136\/bmjopen-2019-029046","article-title":"Association between soft drinks consumption and asthma: A systematic review and meta-analysis","volume":"9","author":"Katib","year":"2019","journal-title":"BMJ Open"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1093\/nutrit\/nuad147","article-title":"Impact of unhealthy food and beverage consumption on children\u2019s risk of dental caries: A systematic review","volume":"82","author":"Large","year":"2024","journal-title":"Nutr. Rev."},{"key":"ref_41","unstructured":"JUNAEB (2025, January 20). Informe Mapa Nutricional. Chile. Available online: https:\/\/www.junaeb.cl\/wp-content\/uploads\/2023\/03\/INFORME-MAPA-NUTRICIONAL-2021_FINAL.pdf."},{"key":"ref_42","unstructured":"(2025, January 20). Boletin 8184-11. Obliga a Establecimientos de Comercio, Entregarle al Consumidor, Informaci\u00f3n Nutricional de los Alimentos que Expendan, con Independencia del Lugar en que los Mismos Sean Consumidos. Senado.cl. Available online: https:\/\/tramitacion.senado.cl\/appsenado\/templates\/tramitacion\/index.php?boletin_ini=8184-11."},{"key":"ref_43","unstructured":"(2010). Encuesta Nacional Consumo Alimentario, Universidad de Chile. Available online: https:\/\/www.ipsuss.cl\/ipsuss\/site\/docs\/20150719\/20150719224146\/enca_2010_informe_final.pdf."},{"key":"ref_44","unstructured":"Goldstein, E. (2022). El Etiquetado de las Calor\u00edas en el Men\u00fa de los Restaurantes y Establecimientos Similares, BCN. Available online: https:\/\/www.bcn.cl\/asesoriasparlamentarias\/detalle_documento.html?id=80540."},{"key":"ref_45","unstructured":"SUTRA (2025, January 20). Sistema Unico de Tramite Legislativo. Available online: https:\/\/sutra.oslpr.org\/osl\/esutra\/medidareg.aspx?rid=136637."},{"key":"ref_46","unstructured":"Cedeus (2025, January 20). Apps de Servicios Revelan una Cobertura Desigual en Santiago y Regiones. Available online: https:\/\/www.cedeus.cl\/blog\/2019\/11\/15\/apps-servicios-desigual-comunas-santiago-regiones\/."},{"key":"ref_47","unstructured":"Pizarro, G., and Arriagada, P. (2024, December 20). Zonas Ocupadas II. Ciper Chile. Available online: https:\/\/www.ciperchile.cl\/2021\/04\/20\/zonas-ocupadas-ii-un-millon-de-santiaguinos-vive-en-areas-catalogadas-de-alto-riesgo-y-lejos-de-servicios-basicos\/."}],"container-title":["Foods"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2304-8158\/14\/3\/434\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T10:38:07Z","timestamp":1759919887000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2304-8158\/14\/3\/434"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,29]]},"references-count":48,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,2]]}},"alternative-id":["foods14030434"],"URL":"https:\/\/doi.org\/10.3390\/foods14030434","relation":{},"ISSN":["2304-8158"],"issn-type":[{"type":"electronic","value":"2304-8158"}],"subject":[],"published":{"date-parts":[[2025,1,29]]}}}