4.6 Review

Fast-food restaurant, unhealthy eating, and childhood obesity: A systematic review and meta-analysis

期刊

OBESITY REVIEWS
卷 22, 期 -, 页码 -

出版社

WILEY
DOI: 10.1111/obr.12944

关键词

dietary behaviour; fast food; food environment; obesity

资金

  1. State Key Laboratory of Urban and Regional Ecology [SKLURE20182-5]
  2. National Health Commission Key Laboratory of Birth Defects Prevention, Key Laboratory of Population Defects Intervention Technology of Henan Province [ZD201905]
  3. National Natural Science Foundation of China [81872641]

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While higher access to fast-food restaurants (FFRs) was commonly associated with increased fast-food consumption, most studies did not find a significant association between FFR access and weight-related behaviors (such as dietary quality score and frequency of food consumption) in children. However, a systematic review and meta-analysis showed mixed results in terms of the relationship between FFR access and weight-related behaviors/outcomes among children and adolescents.
Excessive access to fast-food restaurants (FFRs) in the neighbourhood is thought to be a risk factor for childhood obesity by discouraging healthful dietary behaviours while encouraging the exposure to unhealthful food venues and hence the compensatory intake of unhealthy food option. A literature search was conducted in the PubMed, Web of Science, and Embase for articles published until 1 January 2019 that analysed the association between access to FFRs and weight-related behaviours and outcomes among children aged younger than 18. Sixteen cohort studies and 71 cross-sectional studies conducted in 14 countries were identified. While higher FFR access was not associated with weight-related behaviours (eg, dietary quality score and frequency of food consumption) in most studies, it was commonly associated with more fast-food consumption. Despite that, insignificant results were observed for all meta-analyses conducted by different measures of FFR access in the neighbourhood and weight-related outcomes, although 17 of 39 studies reported positive associations when using overweight/obesity as the outcome. This systematic review and meta-analysis revealed a rather mixed relationship between FFR access and weight-related behaviours/outcomes among children and adolescents.

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