Abstract:
OBJECTIVE:To provide an in-depth analysis of the relationship between obesity and fast-food consumption by comparing urban obese and normal-weight Saudi Arabian children. DESIGN:A multicentre cross-sectional study was conducted from December 2015 to March 2016. Participants were divided into two groups (normal weight and obese) and further stratified by sex. Groups were randomly selected using a multistage stratified cluster-sampling technique. A self-paced questionnaire was used to collect data relating to food consumption. Weight height and waist circumference were measured and bioelectrical impedance analysis was performed in all children. SETTING:Capital of Saudi Arabia, Riyadh. SUBJECTS:Children aged 9·00-11·99 years (n 1023). RESULTS:Compared with normal-weight groups, intake frequency of fast food/week was higher among the obese groups (P<0·001), irrespective of fast-food consumption outside (P<0·001) or inside (P<0·001) the home; and larger portion sizes were preferred in obese groups (P<0·001). Families eating fast-food meals together was a protective factor against obesity (OR; 95 % CI: 2·67; 1·44, 4·96, P<0·001), with similar results for families ordering from a 'healthy meals menu' for their children (1·90; 1·24, 2·90, P=0·002). Taste of fast foods (P=0·021), child-friendly menu (P=0·020) and meal cost (P<0·001) were identified as main reasons why parents took their children to fast-food restaurants; these data were replicated for parents with obese boys, but not girls. CONCLUSIONS:Development of effective interventions to reduce fast-food consumption in Saudi Arabian schoolchildren requires greater research-based evidence of fast-food consumption habits and practices associated with increased childhood obesity.
journal_name
Public Health Nutrjournal_title
Public health nutritionauthors
Alturki HA,Brookes DS,Davies PSdoi
10.1017/S1368980018000757subject
Has Abstractpub_date
2018-08-01 00:00:00pages
2280-2290issue
12eissn
1368-9800issn
1475-2727pii
S1368980018000757journal_volume
21pub_type
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