Skip to main content
×
Home
    • Aa
    • Aa

Association of fast food consumption with energy intake, diet quality, body mass index and the risk of obesity in a representative Mediterranean population

  • Helmut Schröder (a1), Montserrat Fïto (a1) and Maria Isabel Covas (a1)
Abstract

The aim of the present study was to describe the association of fast food consumption with BMI, energy intake and diet quality in a Mediterranean population. The subjects were Spanish men (n 1491) and women (n 1563) aged 25–74 years who were examined in 1999–2000, in a population-based cross-sectional survey in northeast Spain (Girona). Dietary intake was assessed using a FFQ that included four typical fast food items. Two dietary-quality indices, the Mediterranean diet score and the healthy eating index, were created. Height and weight were measured. Within the population studied, 10·1 % reported eating fast food at least once per month. Dietary energy intake and energy density were directly associated with frequency of fast food consumption. Multivariate logistic regression analysis adjusted for lifestyle and educational level showed an inverse association of frequency of fast food consumption with meeting the dietary reference intake (DRI) for energy (P = 0·001). The consumption of fast food more than once per week increased the risk of overall low diet quality (P < 0·001). BMI was directly associated with fast food consumption expressed in g/d (P = 0·025) and in kJ/d (P = 0·017). The risk of being obese increased with the frequency of fast food consumption (P = 0·046). Fast food consumption was associated with higher energy intakes, poor diet quality and higher BMI. The likelihood of not meeting the DRI for energy, and of being obese, increased with the frequency of fast food consumption.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Association of fast food consumption with energy intake, diet quality, body mass index and the risk of obesity in a representative Mediterranean population
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      Association of fast food consumption with energy intake, diet quality, body mass index and the risk of obesity in a representative Mediterranean population
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      Association of fast food consumption with energy intake, diet quality, body mass index and the risk of obesity in a representative Mediterranean population
      Available formats
      ×
Copyright
Corresponding author
*Corresponding author: Dr Helmut Schröder, fax:+34 93 3160 410, email hschroeder@imim.es
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1S Paeratakul , DP Ferdinand , CM Champagne , DH Ryan & GA Bray (2003) Fast-food consumption among US adults and children: dietary and nutrient intake profile. J Am Diet Assoc 103, 13321338.

2SA Bowman & BT Vinyard (2004) Fast food consumption of U.S. adults: impact on energy and nutrient intakes and overweight status. J Am Coll Nutr 23, 163168.

3E Isganaitis & RH Lustig (2005) Fast food, central nervous system insulin resistance, and obesity. Arterioscler Thromb Vasc Biol 25, 24512462.

4SA Bowman , SL Gortmaker , CB Ebbeling , MA Pereira & DS Ludwig (2004) Effects of fast-food consumption on energy intake and diet quality among children in a national household survey. Pediatrics 113, 112118.

5MA Pereira , AI Kartashov , CB Ebbeling , L Van Horn , ML Slattery , DR Jacobs Jr & DS Ludwig (2005) Fast-food habits, weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis. Lancet 365, 3642.

6M Schmidt , SG Affenito , R Striegel-Moore , PR Khoury , B Barton , P Crawford , S Kronsberg , G Schreiber , E Obarzanek & S Daniels (2005) Fast-food intake and diet quality in black and white girls: the National Heart, Lung, and Blood Institute Growth and Health Study. Arch Pediatr Adolesc Med 159, 626631.

8JC Seidell (2005) Epidemiology of obesity. Semin Vasc Med 5, 314.

9R Masia , A Pena , J Marrugat , J Sala , J Vila , M Pavesi , M Covas , C Aubo & R Elosua (1998) High prevalence of cardiovascular risk factors in Gerona, Spain, a province with low myocardial infarction incidence. REGICOR Investigators. J Epidemiol Community Health 52, 707715.

10H Schroder , MI Covas , J Marrugat , J Vila , A Pena , M Alcantara & R Masia (2001) Use of a three-day estimated food record, a 72-hour recall and a food-frequency questionnaire for dietary assessment in a Mediterranean Spanish population. Clin Nutr 20, 429437.

11ET Kennedy , J Ohls , S Carlson & K Fleming (1995) The healthy eating index: design and applications. J Am Diet Assoc 95, 11031108.

17R Elosua , M Garcia , A Aguilar , L Molina , MI Covas & J Marrugat (2000) Validation of the Minnesota leisure time physical activity questionnaire in Spanish Women. Investigators of the MARATDON group. Med Sci Sports Exerc 32, 14311437.

21SA French , L Harnack & RW Jeffery (2000) Fast food restaurant use among women in the Pound of Prevention study: dietary, behavioral and demographic correlates. Int J Obes Relat Metab Disord 24, 13531359.

23FB Hu (2002) Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13, 39.

24A Trichopoulou , A Kouris-Blazos , ML Wahlqvist , C Gnardellis , P Lagiou , E Polychronopoulos , T Vassilakou , L Lipworth & D Trichopoulos (1995) Diet and overall survival in elderly people. BMJ 311, 14571460.

25A Trichopoulou , T Costacou , C Bamia & D Trichopoulos (2003) Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med 348, 25992608.

28CB Ebbeling , KB Sinclair , MA Pereira , E Garcia-Lago , HA Feldman & DS Ludwig (2004) Compensation for energy intake from fast food among overweight and lean adolescents. JAMA 291, 28282833.

29E Christiansen , L Garby & TI Sorensen (2005) Quantitative analysis of the energy requirements for development of obesity. J Theor Biol 234, 99106.

32AM Prentice & SA Jebb (2003) Fast foods, energy density and obesity: a possible mechanistic link. Obes Rev 4, 187194.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

British Journal of Nutrition
  • ISSN: 0007-1145
  • EISSN: 1475-2662
  • URL: /core/journals/british-journal-of-nutrition
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: