title: Away-from-home family dinner sources and associations with weight status, body composition, and related biomarkers of chronic disease among adolescents and their parents.
abstract: Information regarding associations between types of away-from-home family meal sources and obesity and other chronic diseases could help guide dietetics practitioners. The present study describes the purchase frequency of away-from-home food sources for family dinner (fast food, other restaurant purchases, home delivery, and takeout foods) and associations with weight status and percent body fat among adolescents (n=723) and parents (n=723) and related biomarkers of chronic disease among adolescents (n=367). A cross-sectional study design was used with baseline parent surveys and anthropometry/fasting blood samples from two community-based obesity studies (2006-2008) in Minnesota. Logistic regression and general linear modeling assessed associations between frequency of family dinner sources (weekly vs none in past week) and outcomes (parent and adolescent overweight/obesity and percent body fat; adolescent metabolic risk cluster z score, cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein, triglycerides, fasting glucose, insulin, and systolic blood pressure. Models accounted for clustering and adjusted for study allocation, baseline meal frequency, and demographic characteristics. The odds of overweight/obesity were considerably greater when families reported at least one away-from-home dinner purchase in the past week (odds ratio=1.2 to 2.6). Mean percent body fat, metabolic risk cluster z scores, and insulin levels were significantly greater with weekly purchases of family dinner from fast-food restaurants (P<0.05). Mean percent body fat, metabolic risk cluster z scores, and high-density lipoprotein levels were significantly higher for families who purchased weekly family dinner from takeout sources (P<0.05). Although frequent family dinners may be beneficial for adolescents, the source of dinners is likely as important in maintaining a healthy weight. Interventions should focus on encouragement of healthful family meals.
authors: School of Nursing, University of Minnesota, Minneapolis, MN 55455, USA. fulke001@umn.edu
authors: Jayne A
authors: JA
authors: Fulkerson
authors: Kian
authors: K
authors: Farbakhsh
authors: Leslie
authors: L
authors: Lytle
authors: Mary O
authors: MO
authors: Hearst
authors: Donald R
authors: DR
authors: Dengel
authors: Keryn E
authors: KE
authors: Pasch
authors: Martha Y
authors: MY
authors: Kubik
mesh_terms: D000293:Adolescent; D017195:Adolescent Nutritional Physiological Phenomena; D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000032:analysis / Q000378:metabolism; D001794:Blood Pressure / Q000502:physiology; D001823:Body Composition; D001835:Body Weight; D002908:Chronic Disease; D016000:Cluster Analysis; D003430:Cross-Sectional Studies; D057140:Fast Foods / Q000706:statistics & numerical data*; D005260:Female; D006304:Health Status; D006801:Humans; D007328:Insulin / Q000097:blood; D016014:Linear Models; D008055:Lipids / Q000097:blood; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D009765:Obesity / Q000097:blood / Q000453:epidemiology; D050177:Overweight / Q000097:blood / Q000453:epidemiology*; D012147:Restaurants; D012307:Risk Factors
chemical_list: D015415:Biomarkers; D001786:Blood Glucose; D007328:Insulin; D008055:Lipids