Surabhi Bhutani1, Dale A Schoeller1, Matthew C Walsh2, Christine McWilliams2. 1. 1 Department of Nutritional Sciences, University of Wisconsin-Madison, Madison, WI, USA. 2. 2 Department of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Abstract
PURPOSE: We investigated the associations between frequency of eating at fast-food, fast-casual, all-you-can-eat, and sit-down restaurants and the body mass index (BMI) in non-large metro Wisconsin communities. To inform prevention efforts, we also analyzed the socioeconomic/environmental and nutrition attitudes/behavior variables that may drive the frequent eating away from home. DESIGN: Cross-sectional analysis of an ancillary data set from the Survey of Health of Wisconsin collected between October 2012 and February 2013. SETTING: Six Wisconsin counties: 1 classified as rural, 1 as large fringe metro, and 4 as small metro. SUBJECTS: Adults ≥18 years (N = 1418). MEASURES: Field staff measured height and weight and administered a survey on the frequency of eating away from home, and socioeconomic and nutritional behavior variables. ANALYSIS: Multivariable regression. RESULTS: The BMI of respondents averaged 29.4 kg/m2 (39% obese). Every 1-meal/week increase in fast-food and sit-down restaurant consumption was associated with an increase in BMI by 0.8 and 0.6 kg/m2, respectively. Unavailability of healthy foods at shopping and eating venues and lack of cooking skills were both positively associated with consumption of fast-food and sit-down meals. Individuals who described their diet as healthy, who avoided high-fat foods, and who believed their diet was keeping their weight controlled did not visit these restaurants frequently. CONCLUSION: Obesity prevention efforts in non-large metro Wisconsin communities should consider socioeconomic/environmental and nutritional attitudes/behavior of residents when designing restaurant-based or community education interventions.
PURPOSE: We investigated the associations between frequency of eating at fast-food, fast-casual, all-you-can-eat, and sit-down restaurants and the body mass index (BMI) in non-large metro Wisconsin communities. To inform prevention efforts, we also analyzed the socioeconomic/environmental and nutrition attitudes/behavior variables that may drive the frequent eating away from home. DESIGN: Cross-sectional analysis of an ancillary data set from the Survey of Health of Wisconsin collected between October 2012 and February 2013. SETTING: Six Wisconsin counties: 1 classified as rural, 1 as large fringe metro, and 4 as small metro. SUBJECTS: Adults ≥18 years (N = 1418). MEASURES: Field staff measured height and weight and administered a survey on the frequency of eating away from home, and socioeconomic and nutritional behavior variables. ANALYSIS: Multivariable regression. RESULTS: The BMI of respondents averaged 29.4 kg/m2 (39% obese). Every 1-meal/week increase in fast-food and sit-down restaurant consumption was associated with an increase in BMI by 0.8 and 0.6 kg/m2, respectively. Unavailability of healthy foods at shopping and eating venues and lack of cooking skills were both positively associated with consumption of fast-food and sit-down meals. Individuals who described their diet as healthy, who avoided high-fat foods, and who believed their diet was keeping their weight controlled did not visit these restaurants frequently. CONCLUSION:Obesity prevention efforts in non-large metro Wisconsin communities should consider socioeconomic/environmental and nutritional attitudes/behavior of residents when designing restaurant-based or community education interventions.
Entities:
Keywords:
eating away from home; fast-food restaurant; nutrition attitude; obesity; sit-down restaurant; socioeconomic status
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