Citation
Poti, Jennifer M.; Duffey, Kiyah J.; & Popkin, Barry M. (2014). The Association of Fast Food Consumption with Poor Dietary Outcomes and Obesity among Children: Is It the Fast Food or the Remainder of the Diet?. American Journal of Clinical Nutrition, 99(1), 162-171. PMCID: PMC3862453Abstract
BACKGROUND: Although fast food consumption has been linked to adverse health outcomes, the relative contribution of fast food itself compared with the rest of the diet to these associations remains unclear.OBJECTIVE: Our objective was to compare the independent associations with overweight/obesity or dietary outcomes for fast food consumption compared with dietary pattern for the remainder of intake. DESIGN: This cross-sectional analysis studied 4466 US children aged 2-18 y from NHANES 2007-2010. Cluster analysis identified 2 dietary patterns for the non-fast food remainder of intake: Western (50.3%) and Prudent. Multivariable-adjusted linear and logistic regression models examined the association between fast food consumption and dietary pattern for the remainder of intake and estimated their independent associations with overweight/obesity and dietary outcomes.
RESULTS: Half of US children consumed fast food: 39.5% low-consumers (≤30% of energy from fast food) and 10.5% high-consumers (>30% of energy). Consuming a Western dietary pattern for the remainder of intake was more likely among fast food low-consumers (OR: 1.51; 95% CI: 1.24, 1.85) and high-consumers (OR: 2.21; 95% CI: 1.60, 3.05) than among nonconsumers. The remainder of diet was independently associated with overweight/obesity (
URL
http://dx.doi.org/10.3945/ajcn.113.071928Reference Type
Journal ArticleYear Published
2014Journal Title
American Journal of Clinical NutritionAuthor(s)
Poti, Jennifer M.Duffey, Kiyah J.
Popkin, Barry M.
PMCID
PMC3862453ORCiD
Popkin - 0000-0001-9495-9324Poti - 0000-0002-7651-3625