Abstract

Background:This paper examined whether the reported health impacts of frequent eating at a fast food or quick service restaurant on health were related to having such a restaurant near home.Methods:Logistic regressions estimated associations between frequent fast food or quick service restaurant use and health status, being overweight or obese, having a cardiovascular disease or diabetes, as binary health outcomes. In all, 2001 participants in the 2008–2009 Seattle Obesity Study survey were included in the analyses.Results:Results showed eating ⩾2 times a week at a fast food or quick service restaurant was associated with perceived poor health status, overweight and obese. However, living close to such restaurants was not related to negative health outcomes.Conclusions:Frequent eating at a fast food or quick service restaurant was associated with perceived poor health status and higher body mass index, but living close to such facilities was not.

Highlights

  • The rise of obesity has been explained by dietary changes and parallel increases in the supply and consumption of high-energy but low-nutrient foods

  • One study found lower body mass index (BMI) and lower prevalence of obesity to be associated with living in an area with higher densities of stores offering a choice of healthy foods, but not with higher densities of restaurants.[20]

  • While no association was found with cardiovascular mortality,[22] the risk of having a stroke was shown to increase with the density of fast food restaurants in the home neighborhood.[23]

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Summary

BACKGROUND

This paper examined whether the reported health impacts of frequent eating at a fast food or quick service restaurant on health were related to having such a restaurant near home. METHODS: Logistic regressions estimated associations between frequent fast food or quick service restaurant use and health status, being overweight or obese, having a cardiovascular disease or diabetes, as binary health outcomes. RESULTS: Results showed eating ⩾ 2 times a week at a fast food or quick service restaurant was associated with perceived poor health status, overweight and obese. Living close to such restaurants was not related to negative health outcomes. CONCLUSIONS: Frequent eating at a fast food or quick service restaurant was associated with perceived poor health status and higher body mass index, but living close to such facilities was not. Nutrition & Diabetes (2015) 5, e171; doi:10.1038/nutd.2015.18; published online 20 July 2015

INTRODUCTION
MATERIALS AND METHODS
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CONFLICT OF INTEREST
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