Calorie Labels on the Restaurant Menu: Is the Use of Weight-Control Behaviors Related to Ordering Decisions?
Calorie Labels on the Restaurant Menu: Is the Use of Weight-Control Behaviors Related to Ordering Decisions?
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DOI：
10.1016/j.jand.2017.11.007
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发表时间：
2018-03-01
影响因子：
4.8
通讯作者：
Neumark-Sztainer, Dianne
中科院分区：
文献类型：
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作者：
Larson, Nicole;Haynos, Ann F.;Neumark-Sztainer, Dianne
有新的证据表明，餐馆菜单上的卡路里信息不会同样影响所有人群的点菜决定，并且可能对那些与饮食失调或其他体重相关的人产生意想不到的后果。目的本研究描述了餐馆菜单上使用卡路里信息的人口统计学模式，并调查了使用这些信息限制卡路里摄入量与措施之间的关系。设计/参与者有788名男性和1042名女性（平均年龄= 31.0 +/- 1.6岁）参加了EAT项目研究的第四波。参与者最初从明尼苏达州明尼阿波利斯-圣保罗的学校招募，并在2015年至2016年期间通过在线或邮件完成EAT-IV调查。主要结果测量参与者自我报告的体重相关问题，餐馆饮食，直觉饮食，节食，健康（例如，锻炼）和不健康（例如，使用泻药）控制体重的行为，统计学分析采用描述性统计和线性及逻辑回归模型，解释人口统计学和体重状况。大约一半的参与者（52.7%）报告说，他们在上个月在餐馆购买膳食或零食时注意到了卡路里信息。在注意到卡路里信息的人中，38.2%的人报告说他们在决定点什么时没有使用它。卡路里信息最常见的用途是避免高卡路里的菜单项（50.1%）或决定一个较小的部分（20.2%）。使用菜单标签来限制卡路里与女性暴饮暴食有关，与女性和男性中更多的体重相关问题，节食和不健康的体重控制行为有关。结论营养教育工作者和其他卫生保健专业人员应该与饮食失调或体重相关问题的客户交谈，了解他们在餐馆使用卡路里信息，解决任何潜在的意外后果，并促进热量信息的健康使用。
Background There is emerging evidence that calorie information on restaurant menus does not similarly influence the ordering decisions of all population groups and may have unintended consequences for individuals who struggle with disordered eating or other weight-related concerns.Objective This study describes demographic patterns in the use of calorie information on restaurant menus and investigates relationships between using this information to limit calorie intake and measures of restaurant visit frequency and weight-related concerns and behavior.Design/participants There were 788 men and 1042 women (mean age = 31.0 +/- 1.6 years) who participated in the fourth wave of the Project EAT study. Participants were initially recruited from Minneapolis-St Paul, MN, schools and completed EAT-IV surveys online or by mail from 2015 to 2016.Main outcome measures Participants self-reported weight-related concerns, restaurant eating, intuitive eating, dieting, healthy (eg, exercise) and unhealthy (eg, use of laxatives) weight-control behaviors, and binge eating.Statistical analyses performed Descriptive statistics and linear and logistic regression models accounting for demographics and weight status.Results Approximately half of participants (52.7%) reported they had noticed calorie information while purchasing a meal or snack in a restaurant within the previous month. Among individuals who noticed calorie information, 38.2% reported they did not use it in deciding what to order. The most common use of calorie information was to avoid high-calorie menu items (50.1%) or to decide on a smaller portion (20.2%). Using menu labels to limit calories was related to binge eating among women and was associated with more weight-related concerns, dieting, and unhealthy weight-control behaviors among both women and men.Conclusions Nutrition educators and other health care professionals should talk with clients who struggle with disordered eating or weight-related concerns to learn about their use of calorie information at restaurants, address any potential unintended consequences, and promote healthy uses of calorie information.