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Updated: Nov 19, 2025
Concept Development and Use of an Automated Food Intake and Eating Behavior Assessment Method
Published on: February 19, 2021
Development and testing of the Sustainable Nutrition Environment Measures Survey for retail stores in Ontario
Sadaf Mollaei1, Goretty M Dias1, Leia M Minaker2
1School of Environment, Enterprise and Development, Faculty of Environment, University of Waterloo, 200 University Avenue West, WaterlooON N2L 3G, Canada.
Objective:
To develop and test a tool to assess the price and availability of low-carbon footprint and nutritionally balanced dietary patterns in retail food environments in Ontario, Canada.
Design:
Availability and price of selected food from discount and regular grocery stores (n 23) in urban/rural areas of northern/southern Ontario were assessed with the Sustainable Nutrition Environment Measures Survey in 2017.
Setting:
Ontario, Canada.
Results:
Inter-rater reliability was high for price (intra-class correlation coefficients = 0·819) and for availability (Cohen's κ = 0·993). The tool showed 78 % of the selected food items were available in all stores. Overall, price differences were small between urban and rural locations, and northern and southern Ontario. The greatest price difference was between discount and regular stores.
Conclusions:
The tool showed excellent inter-rater agreement. Researchers and public health dietitians can use this tool for research, practice and policy to link consumer-level health outcomes to the retail environment.
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