Away-from-Home Family Dinner Sources and Associations with Weight Status, Body Composition, and Related Biomarkers of Chronic Disease among Adolescents and Their Parents

Jayne Fulkerson, Kian Farbakhsh, Leslie Lytle, Mary O. Hearst, Donald R Dengel, Keryn E. Pasch, Martha Y Kubik

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87 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1892-1897
Number of pages6
JournalJournal of the American Dietetic Association
Volume111
Issue number12
DOIs
StatePublished - Dec 2011

Bibliographical note

Funding Information:
FUNDING/SUPPORT: The study was funded as part of the IDEA study (principal investigator: Leslie Lytle) funded by National Cancer Institute's [NCI] Transdisciplinary Research in Energetics and Cancer Initiative (NCI Grant 1 U54 CA116849-01 , Examining the Obesity Epidemic Through Youth, Family, and Young Adults, principal investigator: Robert Jeffery) and the ECHO study (principal investigator: Leslie Lytle) funded by the National Heart, Lung, and Blood Institute ( R01 HL085978 ). Supporting institutions played no role in the design and conduct of the study; in the collection, analysis, and interpretation of the data; or in the preparation, review or approval of the manuscript.

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