Away-from-Home Family Dinner Sources and Associations with Weight Status, Body Composition, and Related Biomarkers of Chronic Disease among Adolescents and Their Parents
Away-from-Home Family Dinner Sources and Associations with Weight Status, Body Composition, and Related Biomarkers of Chronic Disease among Adolescents and Their Parents
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DOI：
10.1016/j.jada.2011.09.035
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发表时间：
2011-12-01
影响因子：
--
通讯作者：
Kubik, Martha Y.
中科院分区：
文献类型：
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作者：
Fulkerson, Jayne A.;Farbakhsh, Kian;Kubik, Martha Y.
关于远离家庭的膳食来源与肥胖和其他慢性疾病之间关系的信息可以帮助指导营养师。本研究描述了青少年（n=723）和父母（n=723）的体重状况和体脂百分比以及青少年（n=367）中慢性疾病的相关生物标志物与家庭晚餐（快餐，其他餐馆购买，送货上门和外卖食品）的购买频率的关系。横断面研究设计采用基线父母调查和来自明尼苏达州两项社区肥胖研究（2006-2008）的人体测量/空腹血液样本。逻辑回归和一般线性模型评估了家庭晚餐来源的频率（每周与过去一周没有）与结果（父母和青少年超重/肥胖和体脂百分比；青少年代谢风险聚类z评分、胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白、甘油三酯、空腹血糖、胰岛素和收缩压）之间的关系。模型考虑了聚类并根据研究分配、基线用餐频率和人口统计学特征进行了调整。当一个家庭报告在过去一周至少有一次外出就餐时，超重/肥胖的几率要大得多（优势比=1.2比2.6）。平均体脂百分比、代谢风险聚类z得分和胰岛素水平显著高于每周从快餐店购买家庭晚餐的人(P
Information regarding associations between types of away-from-home family meal sources and obesity and other chronic diseases could help guide dietetics practitioners. The present study describes the purchase frequency of away-from-home food sources for family dinner (fast food, other restaurant purchases, home delivery, and takeout foods) and associations with weight status and percent body fat among adolescents (n=723) and parents (n=723) and related biomarkers of chronic disease among adolescents (n=367). A cross-sectional study design was used with baseline parent surveys and anthropometry/fasting blood samples from two community-based obesity studies (2006-2008) in Minnesota. Logistic regression and general linear modeling assessed associations between frequency of family dinner sources (weekly vs none in past week) and outcomes (parent and adolescent overweight/obesity and percent body fat; adolescent metabolic risk cluster z score, cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein, trigfycerides, fasting glucose, insulin, and systolic blood pressure. Models accounted for clustering and adjusted for study allocation, baseline meal frequency, and demographic characteristics. The odds of overweight/obesity were considerably greater when families reported at least one away-from-home dinner purchase in the past week (odds ratio=1.2 to 2.6). Mean percent body fat, metabolic risk cluster z scores, and insulin levels were significantly greater with weekly purchases of family dinner from fast-food restaurants (P