Fast food restaurant use among women in the Pound of Prevention study: dietary, behavioral and demographic correlates

Fast food restaurant use among women in the Pound of Prevention study: dietary, behavioral and demographic correlates
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DOI:
10.1038/sj.ijo.0801429
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发表时间:
2000-10-01
影响因子:
4.9
通讯作者:
Jeffery, RW
Jeffery, RW
中科院分区:
医学2区
文献类型:
--
作者:
French, SA;Harnack, L;Jeffery, RW

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目的:在一个以社区为基础的891名成年女性样本中,研究人口统计学、行为和饮食与快餐店使用频率的相关性。设计:在基线和3年后进行一项调查,作为预防体重增加的随机前瞻性干预试验的一部分。研究对象:891名年龄在20-45岁的女性(n = 891),她们参加了Pound of Prevention研究。测量方法:使用快餐店的频率、饮食摄入、人口统计和行为测量均为自我报告。膳食摄入量采用60项食物频率问卷进行测量。直接测量体重和身高。结果:21%的样本报告每周吃超过或等于3顿快餐。在快餐店吃快餐的频率与总能量摄入较高、脂肪能量百分比较高、更频繁地食用汉堡、炸薯条和软饮料以及较少地食用纤维和水果有关。在年轻女性、收入较低、非白人、体重较大、饮食限制较低、低脂饮食行为较少、看电视时间较长的女性中,去快餐店的频率更高。超过30年,在快餐店就餐频率的增加与体重、总能量摄入量、脂肪摄入量百分比、汉堡、炸薯条和软饮料摄入量的增加有关,与体力活动、饮食限制和低脂饮食行为的减少有关。其他几种食物的摄入量,包括水果和蔬菜,并没有因使用快餐店的频率而有所不同。结论:频繁光顾快餐店与较高的能量和脂肪摄入量以及更大的体重有关,这可能是人群体重过度增加的一个重要风险因素。
OBJECTIVE: To examine demographic, behavioral and dietary correlates of frequency of fast food restaurant use in a community-based sample of 891 adult women.DESIGN: A survey was administered at baseline and 3 y later as part of a randomized, prospective intervention trial on weight gain prevention.SUBJECTS: Women (n = 891) aged 20-45 y who enrolled in the Pound of Prevention study.MEASUREMENTS: Frequency of fast food restaurant use, dietary intake, demographic and behavioral measures were self-reported. Dietary intake was measured using the 60-item Block Food Frequency Questionnaire. Body weight and height were directly measured.RESULTS: Twenty-one percent of the sample reported eating greater than or equal to 3 fast food meals per week. Frequency of fast food restaurant use was associated with higher total energy intake, higher percentage fat energy, more frequent consumption of hamburgers, French fries and soft drinks, and less frequent consumption of fiber and fruit. Frequency of fast food restaurant use was higher among younger women, those with lower income, non-White ethnicity, greater body weight, lower dietary restraint, fewer low-fat eating behaviors, and greater television viewing. Over 3 y, increases in frequency of fast food restaurant use were associated with increases in body weight, total energy intake, percentage fat intake, intake of hamburgers, French fries and soft drinks, and with decreases in physical activity, dietary restraint and low-fat eating behaviors. Intake of several other foods, including fruits and vegetables, did not differ by frequency of fast food restaurant use.CONCLUSION: Frequency of fast food restaurant use is associated with higher energy and fat intake and greater body weight, and could be an important risk factor for excess weight gain in the population.