scholarly journals Exploring the Relation of Spatial Access to Fast Food Outlets With Body Weight: A Mediation Analysis

2018 ◽  
Vol 51 (4) ◽  
pp. 401-430 ◽  
Author(s):  
Joreintje D. Mackenbach ◽  
Hélène Charreire ◽  
Ketevan Glonti ◽  
Helga Bárdos ◽  
Harry Rutter ◽  
...  

We examined explanatory pathways for the association between spatial access to fast food outlets and body weight in 5,076 European adults (18+). The total effect of spatial access to fast food outlets on self-reported weight status was examined using regression analyses accounting for clustering at the neighborhood level. Perceived availability and usage of fast food outlets, and fast food consumption, were considered as potential mediators and age, gender, socioeconomic status, and urban region as potential moderators. Spatial access to fast food outlets was not significantly related to weight status. Spatial access to fast food outlets was associated with perceptions about and usage of fast food outlets, and this was in turn associated with greater reported fast food consumption and unhealthier weight status. We found limited evidence for mediation effects and no evidence for effect modification.

2019 ◽  
Vol 12 ◽  
pp. 117863881983679
Author(s):  
Amber D Ford ◽  
Sarah E Colby ◽  
Marissa McElrone ◽  
Lisa Franzen-Castle ◽  
Melissa D Olfert ◽  
...  

Background: Increased intakes of ready-made and fast foods paralleled with decreased homemade food consumption have been associated with increased rates of obesity. Researchers have shown associations between cooking self-efficacy (SE) and cooking frequency (CF) with dietary quality and weight status. Some cooking interventions have shown positive associations with dietary outcomes, such as increased fruit and vegetable intake and decreased fast food consumption. There is still much unknown about SE and CF, especially among youth. Objective: Determine baseline SE and CF and the associations with dietary quality and body mass index (BMI) of youth enrolled in iCook 4H. Methods: Youth (n = 228, ages 9-10 years) completed online surveys assessing SE, CF, dietary quality, and demographics. Anthropometrics were collected to calculate BMI-for-age percentiles and weight categories. Descriptive statistics were completed for CF, SE, BMI categories, and demographics. Differences in CF and SE by sex, race, and participation in government assistance programs were determined through independent-sample t tests. Pearson correlations were used to assess the association between dietary quality and CF and SE. Associations between CF and dietary quality were assessed further through 2-way analyses of variance (ANOVAs) that included CF and sex and CF and race as independent variables. Associations between SE and CF and BMI were assessed through ANOVAs. Results: Thirty-seven percent of youth were overweight or obese. Females reported significantly higher CF than males ( P = .042). Cooking frequency was positively associated with dietary quality ( P < .001), but BMI was not associated with dietary quality. SE was not associated with dietary quality or BMI. Conclusion: Based on results, CF was positively associated with dietary quality among youth. More research is needed to assess how different types of cooking relate to diet and BMI. Interventions are needed to determine whether increasing CF leads to better diet outcomes.


2020 ◽  
Vol 23 (8) ◽  
pp. 1340-1349
Author(s):  
Maree Scully ◽  
Belinda Morley ◽  
Philippa Niven ◽  
David Crawford ◽  
Iain S Pratt ◽  
...  

AbstractObjective:To examine demographic and behavioural correlates of frequent consumption of fast food among Australian secondary school students and explore the associations between fast food consumption and social/environmental factors.Design:Cross-sectional survey using a web-based self-report questionnaire.Setting:Secondary schools across all Australian states and territories.Participants:Students aged 12–17 years participating in the 2012–2013 National Secondary Students’ Diet and Activity survey (n 8392).Results:Overall, 38 % of students surveyed reported consuming fast food at least weekly. Being male, residing in lower socio-economic areas and metropolitan locations, having more weekly spending money and working at a fast food outlet were all independently associated with consuming fast food once a week or more, as were several unhealthy eating (low vegetable intake and high sugary drink and snack food intake) and leisure (low physical activity and higher commercial television viewing) behaviours and short sleep duration. Frequent fast food consumption and measured weight status were unrelated. Students who agreed they go to fast food outlets with their family and friends were more likely to report consuming fast food at least weekly, as were those who usually ‘upsize’ their fast food meals and believe fast food is good value for money.Conclusions:These results suggest that frequent fast food consumption clusters with other unhealthy behaviours. Policy and educational interventions that reach identified at-risk groups are needed to reduce adolescent fast food consumption at the population level. Policies placing restrictions on the portion sizes of fast food may also help adolescents limit their intake.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 503-503
Author(s):  
Kiara Amaro-Rivera ◽  
Elena Carbone

Abstract Objectives The aim of this study was to explore the association between fast food consumption, sociodemographic and health-related variables among adults living in a small rural community in Puerto Rico. Methods This study was cross-sectional. A researcher-designed questionnaire was distributed to every household in the community. A multivariable logistic regression was conducted to examine the association between fast food consumption (&lt;1 or ≥1 time/week), and the following independent variables: age; gender; education; poverty level estimate; employment status; weight status; self-rated health; self-perceived diet quality; self-perceived weight status; currently trying to lose weight; fruit, non-starchy vegetables, starchy vegetables, and sugar-sweetened beverages (SSB) intake; physical activity; and recreational screen time. Results A total of 195 adults aged ≥18 years participated in this study. Of these, 53.1% were female, 53.1% completed more than high school, 45.4% were employed, 28.7% were overweight and 32.3% were obese. Over one-third (34.9%) of participants reported consuming fast food ≥1 time/week. Eating fast food ≥1 time/week was associated with ages 35–49 years (OR = 0.38, 95% CI: 0.16–0.94) and ≥50 years (OR = 0.09, 95% CI: 0.03–0.32) as compared to being 18–34 years old; being unemployed/homemaker/disabled (OR = 0.24, 95% CI: 0.08–0.73) as compared to being employed; being obese (OR = 3.17, 95% CI: 1.02–9.85) as compared to being under/normal weight; currently trying to lose weight (OR = 3.00, 95% CI: 1.31–6.88) as compared to those not trying to lose weight; eating fewer than 1 cup of non-starchy vegetables daily (OR = 0.39 95% CI: 0.16–0.93) as compared to those who eat ≥1cup daily; and drinking SSB ≥1 times daily (OR = 3.80 95% CI: 1.50–9.60) as compared to those who drink SSB less than once daily in the adjusted model. Conclusions Fast food consumption was associated with older age, employment, obesity, trying to lose weight, and intake of non-starchy vegetables and SSB in our sample. Future research should examine the relationship between fast food consumption and diet quality among those living in rural communities, as previous research has shown that Puerto Ricans living in urban areas are undergoing a nutrition transition to lower quality diets. Funding Sources The authors received no financial support for this research.


2013 ◽  
Vol 17 (8) ◽  
pp. 1805-1813 ◽  
Author(s):  
Clare Whitton ◽  
Yi Ma ◽  
Amber Carla Bastian ◽  
Mei Fen Chan ◽  
Ling Chew

AbstractObjectiveTo determine the demographic profile of fast-food consumers among adult Singapore residents and ascertain whether fast-food consumption frequency is associated with diet quality and weight status.DesignA nationally representative cross-sectional survey including an FFQ and anthropometric measures. Participants were grouped based on their fast-food consumption frequency as non-consumer, occasional consumer or regular consumer, with regular defined as at least once per week.SettingIndividuals living in the community in Singapore.SubjectsSingapore residents (n 1627) aged 18–69 years of Chinese, Malay and Indian ethnicity.ResultsProportions of regular fast-food consumers were higher in younger age groups, higher income groups and middle education level groups. Mean daily energy intake was positively associated with fast-food consumption frequency (non-consumers 9636 kJ (2303 kcal); occasional consumers 11 159 kJ (2667 kcal); regular consumers 13 100 kJ (3131 kcal); P for trend < 0·001). Fast-food consumers were more likely to exceed the RDA for energy, fat and saturated fat, and less likely to meet wholegrain and fruit recommendations. Both regular consumers (OR = 1·24; 95 % CI 1·03, 1·51) and occasional consumers (OR = 1·52; 95 % CI 1·32, 1·77) were more likely to have a waist:hip ratio indicating abdominal obesity. Occasional consumers were more likely to have a BMI ≥ 23·0 kg/m2 (OR = 1·19; 95 % CI 1·04, 1·37), whereas regular consumers were less likely (OR = 0·76; 95 % CI 0·64, 0·91) to have an ‘at-risk’ BMI.ConclusionsFast-food consumption is most prevalent in young adults, high income and middle education level groups. Frequent fast-food consumption in Singapore is associated with unfavourable dietary and nutrient profiles and abdominal obesity.


2015 ◽  
Vol 19 (5) ◽  
pp. 885-892 ◽  
Author(s):  
Timothy L Barnes ◽  
Simone A French ◽  
Nathan R Mitchell ◽  
Julian Wolfson

AbstractObjectiveTo examine the association between fast-food consumption, diet quality and body weight in a community sample of working adults.DesignCross-sectional and prospective analysis of anthropometric, survey and dietary data from adults recruited to participate in a worksite nutrition intervention. Participants self-reported frequency of fast-food consumption per week. Nutrient intakes and diet quality, using the Healthy Eating Index-2010 (HEI-2010), were computed from dietary recalls collected at baseline and 6 months.SettingMetropolitan medical complex, Minneapolis, MN, USA.SubjectsTwo hundred adults, aged 18–60 years.ResultsCross-sectionally, fast-food consumption was significantly associated with higher daily total energy intake (β=72·5, P=0·005), empty calories (β=0·40, P=0·006) and BMI (β=0·73, P=0·011), and lower HEI-2010 score (β=−1·23, P=0·012), total vegetables (β=−0·14, P=0·004), whole grains (β=−0·39, P=0·005), fibre (β=−0·83, P=0·002), Mg (β=−6·99, P=0·019) and K (β=−57·5, P=0·016). Over 6 months, change in fast-food consumption was not significantly associated with changes in energy intake or BMI, but was significantly inversely associated with total intake of vegetables (β=−0·14, P=0·034).ConclusionsFrequency of fast-food consumption was significantly associated with higher energy intake and poorer diet quality cross-sectionally. Six-month change in fast-food intake was small, and not significantly associated with overall diet quality or BMI.


Author(s):  
Renny Evelyn Hartono ◽  
BJ. Istiti Kandarina ◽  
Siti Helmyati

<p><strong>ABSTRACT</strong></p><p><em><strong>Introduction</strong>: Overweight and obesity are conditions resulting from an imbalance of calories in the body that occur in a long time and cause more deaths than underweight. One of factors related is food pattern, which also infl uenced the selection of food outlets. Surabaya is an urban area so it has many types and characteristic s of food outlet. Elementary school (4, 5, 6) do not really depend on their parents, so their food consumption and physical activity began to vary. </em></p><p><em><strong>Objectives</strong>: To identify the relationship between the selection of food outlets and overweight/obesity status of elementary school in Tegalsari district, Surabaya.</em></p><p><em><strong>Methods</strong>: This research used a case-control study design. Samples were 51 children for each group of cases and control and obtained from 11 primary school in the 5 subdistricts in Tegalsari district, Surabaya. Data were obtained by interview, direct observation of food outlets, and interview to select informants about the reasons of selecting food outlets . Quantitative data were processed by bivariate (chi-square) and multivariate (binomial regression) test. </em></p><p><em><strong>Results</strong>: Bivariate test results showed that there were signifi cant relationships between the frequency to the street vendors consumption (OR=4.09, 95% CI:1.60-10.75), frequency of fast food consumption (OR=2.86, 95% CI:1.19-6.94) and snacks (OR=6,05, 95% CI:2.20-17.62), physical activity (OR=3.09, 95% CI:1.28-7.51) and gender (OR=2.70, 95% CI:1.11-6.64) with overweight/obesity status, while frequency of stores (total, supermarket, market, mini-market), frequency of food service place (total, restaurants, fast food restaurants), frequency of vegetable and fruit consumption, and socio-economic status of respondents did not relate signifi cantly. In multivariate analysis, the variables that affected frequency of </em><em>the street vendors were snack consumption, physical activity, sex and total expenditure. </em></p><p><em><strong>Conclusions</strong>: Frequency of the street vendors, fast food consumption, physical activity,gender, and total expenditure had relationship with overweight/obesity status.</em></p><p><br /><strong>KEYWORDS</strong>: <em>food outlet, obesity, overweight</em></p><p><br /><strong>ABSTRAK</strong><br /><em><strong>Latar belakang</strong>: Overweight dan obesitas adalah keadaan akibat ketidakseimbangan kalori dalam tubuh yang terjadi dalam waktu lama dan menjadi penyebab kematian lebih banyak dibanding underweight. Salah satu faktor yang berhubungan langsung adalah pola makan, yang juga dipengaruhi pemilihan food outlet. Surabaya merupakan daerah perkotaan sehingga memiliki jenis dan karakteristik food oulet lebih beragam. Anak usia SD kelas IV, V, VI sudah tidak terlalu bergantung pada orang tua, sehingga konsumsi pangan dan aktivitas fisiknya mulai beragam. </em></p><p><em><strong>Tujuan</strong>: Mengetahui hubungan antara pemilihan food outlet dan status berat badan lebih pada anak usia sekolah dasar di Kecamatan Tegalsari, Surabaya.</em></p><p><em><strong>Metode</strong>: Penelitian menggunakan desain studi kasus-kontrol. Sampel penelitian adalah 51 anak untuk masing-masing kelompok kasus dan kontrol dari 11 SD di 5 Kelurahan di Kecamatan Tegalsari, Surabaya. Data diperoleh dengan wawancara, observasi langsung ke food outlet dan wawancara alasan pemilihan food outlet pada informan terpilih. Data kuantitatif diolah dengan uji bivariat (chi-square) dan multivariariat (regresi binomial).</em></p><p><em><strong>Hasil</strong>: Uji bivariat menyatakan terdapat hubungan signifi kan antara frekuensi datang ke pedagang kaki lima (OR=4,09, 95% CI:1,60-10,75), frekuensi konsumsi fast food (OR=2,86, 95% CI:1,19-6,94) dan kudapan (OR=6,05, 95% CI:2,20-17,62), aktivitas fi sik (OR=3,09, 95% CI:1,28-7,51) serta jenis kelamin (OR=2,70, 95% CI:1,11-6,64) dengan berat badan lebih, sedangkan frekuensi ke food store (total, supermarket, pasar, mini-market), frekuensi ke food service place total, rumah makan, restoran fast food), pola konsumsi sayur buah, dan sosial ekonomi responden tidak berhubungan signifi kan. Pada analisis multivariat, variabel yang mempengaruhi frekuensi datang ke pedagang kaki lima adalah frekuensi konsumsi kudapan, aktivitas fisik, jenis kelamin, dan total pengeluaran.</em></p><p><em><strong>Kesimpulan</strong>: Frekuensi datang ke pedagang kaki lima, konsumsi kudapan, aktivitas fisik, jenis kelamin, dan total pengeluaran berhubungan dengan status berat badan lebih.</em></p><p><strong>KATA KUNCI</strong>: <em>food outlet, overweight, obesitas</em></p>


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