Effect of fast-food environments on children's eating behaviour: A random effect within between analysis within the Generation R Study.

IF 2.7 3区医学 Q1 PEDIATRICS Pediatric Obesity Pub Date : 2024-09-29 DOI:10.1111/ijpo.13175

Thera A M Peeters, Famke J M Mölenberg, Pauline W Jansen, Joost Oude Groeniger, Frank J van Lenthe, Mariëlle A Beenackers

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Abstract

Background: Focussing on appetitive traits associated with obesity, this study aimed to estimate the association between the fast-food environment and satiety responsiveness, enjoyment of food and food responsiveness.

Methods: We used data from the Generation R Study. We included 2008 children with repeated measurements at the age of 4-10 years old. Three eating behaviour subscales from the Child Eating Behaviour Questionnaire (CEBQ) were used as outcomes. Geographical Information System data were used to map individual-level exposure to fast-food outlets within 400 m from home. Random Effect Within Between (REWB) models were used to derive estimates. We tested for moderation of the associations with parental restriction at baseline using the parent-reported Child Feeding Questionnaire (CFQ).

Results: We did not find evidence of between-associations of fast-food exposure and eating behaviour subscales. Considering within-associations, an increase in absolute fast-food exposure was associated with a significant marginal increase in satiety responsiveness (β: 0.02 [95% confidence interval: 0.00-0.03]). No moderation by parental restriction was found.

Conclusions: In environments with ubiquitous fast-food outlets, an increased exposure to fast-food outlets does not seem to have a substantial impact on eating behaviour. Further research is needed to better understand how fast-food exposure contributes to overweight.

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快餐店环境对儿童饮食行为的影响：R 世代研究中的随机效应间分析。

研究背景本研究关注与肥胖相关的食欲特征，旨在估算快餐环境与饱腹感反应性、食物享受性和食物反应性之间的关联：我们使用了 R 世代研究的数据。我们对 2008 名 4-10 岁儿童进行了重复测量。儿童进食行为问卷（CEBQ）中的三个进食行为分量表作为结果。地理信息系统数据被用于绘制离家 400 米范围内个人接触快餐店的情况。随机效应之间（REWB）模型用于得出估计值。我们使用家长报告的儿童喂养问卷（CFQ）测试了与家长在基线时的限制有关的调节作用：结果：我们没有发现快餐暴露与饮食行为分量表之间存在关联的证据。就内部关联而言，快餐绝对摄入量的增加与饱腹感反应性的显著边际增加有关（β：0.02 [95%置信区间：0.00-0.03]）。结论：结论：在快餐店无处不在的环境中，多接触快餐店似乎不会对饮食行为产生实质性影响。要更好地了解快餐店是如何导致超重的，还需要进一步的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.