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Am J Health Promot. 2018 Jan;32(1):75-83. doi: 10.1177/0890117116660772. Epub 2016 Aug 28.

Frequency of Eating Out at Both Fast-Food and Sit-Down Restaurants Was Associated With High Body Mass Index in Non-Large Metropolitan Communities in Midwest.

Author information

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.

KEYWORDS:

eating away from home; fast-food restaurant; nutrition attitude; obesity; sit-down restaurant; socioeconomic status

PMID:
27574335
PMCID:
PMC5453830
DOI:
10.1177/0890117116660772
[Indexed for MEDLINE]
Free PMC Article

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