{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T07:35:01Z","timestamp":1773473701204,"version":"3.50.1"},"reference-count":41,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T00:00:00Z","timestamp":1604620800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UIDB\/05748\/2020, UIDP\/05748\/2020 and UIDB\/04470\/2020."],"award-info":[{"award-number":["UIDB\/05748\/2020, UIDP\/05748\/2020 and UIDB\/04470\/2020."]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foods"],"abstract":"<jats:p>Considering the importance of the food environments for health promotion, and the lack of simple, easy to use, low-cost measures of the quality of meals, the authors developed a qualitative menu index (KIMEHS\u2014Kids\u2019 Menu Healthy Score), tailored to children\u2019s menu evaluation. Development of the tool was based on the Mediterranean food pattern. It includes 18 components, divided into seven main groups that reflect key aspects of menu quality, including protein source, side dishes, vegetables, dessert and beverages, and also allergens and nutritional information. The index was analysed for content and construct validity, as well as inter-rater reliability, and was applied to a sample of menus from restaurants in shopping centres in the Lisbon region. Possible index point ranges from \u221217 to 17, with a higher score indicating greater compliance with the recommendations. A value of 5.5 is obtained if all KIMEHS items are available, considering healthy and non-healthy options. The inter-rater reliability was assessed and values above 0.80 were obtained for Alpha Cronbach, as well as agreement % rate &gt;75%. Agreement percentage is above 75% for all the components. Evaluated restaurants scored from \u221214 to 7, with an average KIMEHS of \u22126.15. Only four restaurants scored positive values, ranging from 0.25 to 7. KIMEHS was considered to be an adequate index to evaluate children\u2019s menus, from the menu information displayed on restaurant websites and\/or on restaurant displays or table menus. It is a simple, low-cost tool that may be used as a reference for health professionals as an objective measure to evaluate the food environment. Stakeholders could also be involved in their own assessment to help educate consumers about healthy food choices, strengthening the efforts to promote an adequate food pattern and health, contributing to the fight against obesity.<\/jats:p>","DOI":"10.3390\/foods9111618","type":"journal-article","created":{"date-parts":[[2020,11,8]],"date-time":"2020-11-08T19:03:37Z","timestamp":1604862217000},"page":"1618","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["KIMEHS\u2014Proposal of an Index for Qualitative Evaluation of Children\u2019s Menus\u2014A Pilot Study"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3505-4538","authenticated-orcid":false,"given":"Ada","family":"Rocha","sequence":"first","affiliation":[{"name":"Faculty of Food Science and Nutrition, University of Porto, 4150 180 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6051-7317","authenticated-orcid":false,"given":"Claudia","family":"Viegas","sequence":"additional","affiliation":[{"name":"Lisbon School of Health Technology, Polytechnic Institute of Lisbon, 1990-096 Lisboa, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2020,11,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2117","DOI":"10.1017\/S1368980018000629","article-title":"Changes in the nutritional quality of fast-food items marketed at restaurants, v.2013 2010","volume":"21","author":"Soo","year":"2018","journal-title":"Public Health Nutr."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1038\/oby.2008.34","article-title":"Away-from-home food intake and risk for obesity: Examining the influence of context","volume":"16","author":"Ayala","year":"2008","journal-title":"Obesity"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"884","DOI":"10.1016\/j.jada.2011.03.018","article-title":"The Children\u2019s Menu Assessment: Development, Evaluation, and Relevance of a Tool for Evaluating Children\u2019s Menus","volume":"111","author":"Krukowski","year":"2011","journal-title":"J. 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