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Eating out of home and obesity: a Brazilian nationwide survey

  • Ilana Nogueira Bezerra (a1) and Rosely Sichieri (a1)
  • DOI:
  • Published online: 12 May 2009

The aim of the present study was to investigate the relationship between out-of-home (OH) eating and overweight and obesity among adults in Brazil.


Data were based on the 2002–2003 Household Budget Survey (48 470 households) conducted by The Brazilian Census Bureau. Foods and drinks purchased for OH eating during a one-week period were recorded by each participant. We considered OH eating as the purchase of at least one food or drink item for OH consumption during this period. We classified items as: soft drinks, deep-fried snacks, fast foods, sweets and sit-down meals.


Urban areas in Brazil.


56 178 participants (26 225 men and 29 953 women), aged 25–65 years.


The weighted prevalence of OH eating was 40·3 %. Overall, OH eating was positively associated with overweight (OR = 1·21; 95 % CI 1·10, 1·33) and obesity (OR = 1·35; 95 % CI 1·16, 1·57) among men, but not among women. Sit-down meals and soft drinks were the most frequently reported food groups. Both were positively associated with overweight (OR = 1·34 for meals; OR = 1·17 for soft drinks, P < 0·05) and obesity (OR = 1·51 for meals; OR = 1·39 for soft drinks, P < 0·05) among men, but negatively associated with overweight and obesity among women.


OH eating was associated with overweight and obesity only among men, whereas, among women, eating sit-down meals out of home was protective for obesity, suggesting that women make healthier food choices when they eat out of home.

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3.RB Levy-Costa , R Sichieri , NS Pontes & CA Monteiro (2005) Household food availability in Brazil: distribution and trends (1974–2003). Rev Saude Publica 39, 530540.

4.JF Guthrie , BH Lin & E Frazao (2002) Role of food prepared away from home in the American diet, 1977–78 versus 1994–96: changes and consequences. J Nutr Educ Behav 34, 140150.

5.JK Binkley , J Eales & M Jekanowski (2000) The relation between dietary change and rising US obesity. Int J Obes Relat Metab Disord 24, 10321039.

6.RW Jeffery , J Baxter , M McGuire & J Linde (2006) Are fast food restaurants an environmental risk factor for obesity? Int J Behav Nutr Phys Act 3, 2.

8.MA McCrory , PJ Fuss , NP Hays , AG Vinken , AS Greenberg & SB Roberts (1999) Overeating in America: association between restaurant food consumption and body fatness in healthy adult men and women ages 19 to 80. Obes Res 7, 564571.

9.SA 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.

12.AK Kant & BI Graubard (2004) Eating out in America, 1987–2000: trends and nutritional correlates. Prev Med 38, 243249.

17.JD Douketis , G Paradis , H Keller & C Martineau (2005) Canadian guidelines for body weight classification in adults: application in clinical practice to screen for overweight and obesity and to assess disease risk. CMAJ 172, 995998.

19.MB Schulze , JE Manson , DS Ludwig , GA Colditz , MJ Stampfer , WC Willett & FB Hu (2004) Sugar-sweetened beverages, weight gain, and incidence of type 2 diabetes in young and middle-aged women. JAMA 292, 927934.

21.EM Taveras , CS Berkey , SL Rifas-Shiman , DS Ludwig , HR Rockett , AE Field , GA Colditz & MW Gillman (2005) Association of consumption of fried food away from home with body mass index and diet quality in older children and adolescents. Pediatrics 116, 518524.

23.BM Popkin & SJ Nielsen (2003) The sweetening of the world’s diet. Obes Res 11, 13251332.

25.R Sichieri (2002) Dietary patterns and their associations with obesity in the Brazilian city of Rio de Janeiro. Obes Res 10, 4248.

26.LH Clemens , DL Slawson & RC Klesges (1999) The effect of eating out on quality of diet in premenopausal women. J Am Diet Assoc 99, 442444.

27.AC Bell & BA Swinburn (2004) What are the key food groups to target for preventing obesity and improving nutrition in schools? Eur J Clin Nutr 58, 258263.

28.SJ Nielsen , AM Siega-Riz & BM Popkin (2002) Trends in food locations and sources among adolescents and young adults. Prev Med 35, 107113.

29.JM Kearney , KF Hulshof & MJ Gibney (2001) Eating patterns – temporal distribution, converging and diverging foods, meals eaten inside and outside of the home – implications for developing FBDG. Public Health Nutr 4, 693698.

30.SJ Nielsen & BM Popkin (2003) Patterns and trends in food portion sizes, 1977–1998. JAMA 289, 450453.

31.RW Jeffery , S Rydell , CL Dunn , LJ Harnack , AS Levine , PR Pentel , JE Baxter & EM Walsh (2007) Effects of portion size on chronic energy intake. Int J Behav Nutr Phys Act 4, 27.

32.CA Monteiro , WL Conde & BM Popkin (2007) Income-specific trends in obesity in Brazil: 1975–2003. Am J Public Health 97, 18081812.

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

35.JL Weber , PM Reid , KA Greaves , JP DeLany , VA Stanford , SB Going , WH Howell & LB Houtkooper (2001) Validity of self-reported energy intake in lean and obese young women, using two nutrient databases, compared with total energy expenditure assessed by doubly labeled water. Eur J Clin Nutr 55, 940950.

36.FB Scagliusi , VO Polacow , GG Artioli , FB Benatti & AH Lancha Jr (2003) Selective underreporting of energy intake in women: magnitude, determinants, and effect of training. J Am Diet Assoc 103, 13061313.

37.P Monsivais & A Drewnowski (2007) The rising cost of low-energy-density foods. J Am Diet Assoc 107, 20712076.

38.JO Hill , HR Wyatt , GW Reed & JC Peters (2003) Obesity and the environment: where do we go from here? Science 299, 853855.

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