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Fast food restaurant use among adolescents: associations with nutrient intake, food choices and behavioral and psychosocial variables


OBJECTIVE: To examine demographic, behavioral and dietary correlates of frequency of fast food restaurant use in a community-based sample of 4746 adolescent students.

DESIGN: A survey was administered to students in classrooms at 31 secondary schools in a large metropolitan area in Minnesota, United States. Height and body weight were measured.

SUBJECTS: Students in grades 7–12 who were enrolled in participating schools, had parental consent and were in attendance on the day of data collection.

MEASUREMENTS: Frequency of fast food restaurant use (FFFRU), dietary intake, and demographic and behavioral measures were self-reported. Dietary intake was assessed using a semi-quantitative food frequency questionnaire. Height and body weight were directly measured.

RESULTS: FFFRU was positively associated with intake of total energy, percent energy from fat, daily servings of soft drinks, cheeseburgers, french fries and pizza, and was inversely associated with daily servings of fruit, vegetables and milk. FFFRU was positively associated with student employment, television viewing, home availability of unhealthy foods, and perceived barriers to healthy eating, and was inversely associated with students' own and perceived maternal and peer concerns about healthy eating. FFFRU was not associated with overweight status.

CONCLUSIONS: FFFRU is associated with higher energy and fat intake among adolescents. Interventions to reduce reliance on fast food restaurants may need to address perceived importance of healthy eating as well as time and convenience barriers.

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  1. Lin BH, Guthrie JF, Frazao E . Nutrient contribution of food away from home. In: Frazao E (ed) America's eating habits: changes and consequences USDA: Washington, DC 1999 213–242.

    Google Scholar 

  2. Clauson A . Spotlight on national food spending Food Rev 2000; September 15–17.

  3. National Restaurant Association . Restaurant Industry Pocket Factbook 2000

  4. National Restaurant Association . Restaurant industry members: 25 y history 1970–1995 National Restaurant Association: Washington, DC 1998

    Google Scholar 

  5. Jekanowski MD . Causes and consequences of fast food sales growth Food Rev 1999 January—April 1–16.

  6. Lin BH, Guthrie J, Blaylock J . The diets of America's children: influences of dining out, household characteristics, and nutrition knowledge US Department of Agriculture, Economic Report Number 746 (AER-746) USDA: Washington, DC 1996

  7. Lin BH, Guthrie J, Frazao E . Quality of children's diets at and away from home: 1994–96 Food Rev 1999 January—April 2–10.

  8. World Cancer Research Fund/American Institute for Cancer Research . Food nutrition and the prevention of cancer: a global perspective American Institute for Cancer Research: Washington, DC 1997

    Google Scholar 

  9. Kesteloot H, Joossens JV . Nutrition and international patterns of disease. In: Marmot M & Elliott P (eds) Coronary disease epidemiology: from aetiology to public health Oxford University Press: New York 1992 152–165.

    Google Scholar 

  10. Troiano RP, Briefel RR, Carroll MD, Bialostosky K . Energy and fat intake of children and adolescents in the United States. Data from the National Health and Nutrition Examination Surveys Am J Clin Nutr 2000 72 (Suppl): 1343s–1353s.

    CAS  Article  Google Scholar 

  11. Neumark-Sztainer D, Story M, Hannan PJ, Moe J . Overweight status and eating patterns among adolescents: where do youth stand in comparison to the healthy people 2010 objectives? (submitted)

  12. Neumark-Sztainer D, Story M, Perry C, Casey M . Factors influencing food choices of adolescents: findings from focus group discussions with adolescents J Am Diet Assoc 1999 99: 929–934, 937.

    CAS  Article  Google Scholar 

  13. Resnick MD, Bearman PS, Blum RW, Bauman KE, Harris KM, Jones J et al. Protecting adolescents from harm: findings from the National Longitudinal Study on Adolescent Health JAMA 1997 278: 823–832.

    CAS  Article  Google Scholar 

  14. Rockett HR, Wolf AM, Colditz GA . Development and reproducibility of a food frequency questionnaire to assess diets of older children and adolescents J Am Diet Assoc 1995 95: 336–340.

    CAS  Article  Google Scholar 

  15. Rockett HRH, Breitenbach MA, Frazier AL et al. Validation of a youth/adolescent food frequency questionnaire Prev Med 1997 26: 808–816.

    CAS  Article  Google Scholar 

  16. Himes JH, Dietz WH . Guildelines for overweight in adolescent preventive services: recommendations from an expert committee Am J Clin Nutr 1994 59: 307–316.

    CAS  Article  Google Scholar 

  17. Centers for Disease Control and Prevention/NCHS . CDC Growth Charts: United States. Advance Data Revised 8 June US Dept of Health and Human Services: Hyattsville, MD 2000 314.

    Google Scholar 

  18. Godin G, Shephard RJ . A simple method to assess exercise behavior in the community Can J Appl Sport Sci 1985 10: 141–146.

    CAS  PubMed  Google Scholar 

  19. SAS Institute . SAS/STAT software: changes and enhancements. Release 6.12. SAS Institute: Cary, NC 1997

    Google Scholar 

  20. French SA, Harnack L, Jeffery RW . Fast food restaurant use among women in the pound of prevention study: dietary, behavioral and demographic correlates Int J Obes Relat Metab Disord 2000 24: 1353–1359.

    CAS  Article  Google Scholar 

  21. McCrory MA, Fuss PJ, Hays NP, Vinken AG, Greenberg AS et al. Overeating in America: association between restaurant food consumption and body fatness in healthy adult men and women ages 19 to 80 Obes Res 1999 7: 564–571.

    CAS  Article  Google Scholar 

  22. Story M, Neumark-Sztainer D, French SA . Individual and environmental influences on adolescent eating behaviors JADA (in press)

  23. Harmack L, Stang J, Story M . Soft drink consumption among US children and adolescents: nutritional consequences J Am Diet Assoc 1999 99: 436–441.

    Article  Google Scholar 

  24. Guthrie JF, Morton JF . Food sources of added sweeteners in the diets of Americans J Am Diet Assoc 2000 100: 43–51.

    CAS  Article  Google Scholar 

  25. Matkovic V, Kostial K, Simonovic I, Buzina R, Brodarec A, Nordin BE . Bone status and fracture rates in two regions of Yugoslavia Am J Clin Nutr 1979 32: 540–549.

    CAS  Article  Google Scholar 

  26. Fassler ALC, Bonjour JP . Osteoporosis as a pediatric problem Pediatr Clin N Am 1995 42: 811–824.

    Article  Google Scholar 

  27. Matkovic V, Jelic T, Wardlaw GM, Illich JZ, Goel PK, Wright JK et al. Timing of peak bone mass in Caucasian females and its implications for the prevention of osteoporosis J Clin Invest 1994 93: 799–808.

    CAS  Article  Google Scholar 

  28. Jeffery RW, French SA . Preventing weight gain in adults: the Pound of Prevention Study Am J Public Health 1999 89: 747–751.

    CAS  Article  Google Scholar 

  29. Bowers DE . Cooking trends echo changing roles on women Food Rev 2000 23: 23–29.

    Google Scholar 

  30. US Bureau of the census . Statistical Abstract of the United States, 1998 118th edn US Bureau of the Census: Washington, DC 1998

    Google Scholar 

  31. Steinburg L . Adolescence McGraw-Hill: New York 1996

    Google Scholar 

  32. Council of Economic Advisors . Teens and their parents in the 21st century: an examination of trends in teen behavior and the role of parental involvement US Government May 2000

    Google Scholar 

  33. Hill JO, Peters JC . Environmental contributions to the obesity epidemic Science 1998 280: 1371–1374.

    CAS  Article  Google Scholar 

  34. Jeffery RW, French SA . Epidemic obesity in the US: are fast foods and television viewing contributing? Am J Public Health 1998 88: 277–280.

    CAS  Article  Google Scholar 

  35. DuRant RH, Baranowski T, Johnson M, Thompson WO . The relationship among television watching, physical activity and body composition of young children Pediatrics 1994 94: 449–455.

    CAS  Google Scholar 

  36. Kotz K, Story M . Food advertisements during children's Saturday morning television programming: are they consistent with dietary recommendations? J Am Diet Assoc 1994 94: 1296–1300.

    CAS  Article  Google Scholar 

  37. Kraak V, Pelletier DL . The influence of commercialism on the food purchasing behavior of children and teenage youth Fam Econ Nutr Rev 1998 11: 15–24.

    Article  Google Scholar 

  38. Tucker LA . The relationship of television viewing to physical fitness and obesity Adolescence 1986 21: 797–806.

    CAS  PubMed  Google Scholar 

  39. Story M, Faulkner P . The prime time diet: a content analysis of eating behavior and food messages in television program content and commercials Am J Public Health 1990 80: 738–740.

    CAS  Article  Google Scholar 

  40. Gallo AE . Food advertising in the United States. In: Frazao E (ed.) America's eating habits: changes and consequences USDA: Washington, DC 1999 173–180.

    Google Scholar 

  41. Maras E . Consumers note what's important in buying snacks Automatic Merchandiser 1997 October: 64–68.

    Google Scholar 

  42. French SA, Story M, Jeffery RW . Environmental influences on eating and physical activity A Rev Public Health 2001 22: 309–335.

    CAS  Article  Google Scholar 

  43. Nestle M, Jacobson MF . Halting the obesity epidemic: a public health policy approach Public Health Rep 2000 115: 12–24.

    CAS  Article  Google Scholar 

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This study was supported by grant MCJ-270834 (D Neumark-Sztainer, PhD, Principal Investigator) from the Maternal and Child Health Bureau (Title V, Social Security Act), Health Resources and Service Administration, US Department of Health and Human Services.

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French, S., Story, M., Neumark-Sztainer, D. et al. Fast food restaurant use among adolescents: associations with nutrient intake, food choices and behavioral and psychosocial variables. Int J Obes 25, 1823–1833 (2001).

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  • fast food
  • overweight
  • dietary intake
  • adolescents

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