Population Health Research Institute, St George's, University of London, London, UK.
Arch Dis Child. 2018 May;103(5):431-436. doi: 10.1136/archdischild-2017-312981. Epub 2017 Dec 3.
To investigate associations between takeaway meal consumption and risk markers for coronary heart disease, type 2 diabetes and obesity risk markers in children.
A cross-sectional, school-based observational study.
85 primary schools across London, Birmingham and Leicester.
1948 UK primary school children in year 5, aged 9-10 years.
Children reported their frequency of takeaway meal consumption, completed a 24-hour dietary recall, had physical measurements and provided a fasting blood sample.
Among 1948 participants with complete data, 499 (26%) never/hardly ever consumed a takeaway meal, 894 (46%) did so <1/week and 555 (28%) did ≥1/week. In models adjusted for age, sex, month, school, ethnicity and socioeconomic status, more frequent takeaway meal consumption was associated with higher dietary intakes of energy, fat % energy and saturated fat % energy and higher energy density (all P trend <0.001) and lower starch, protein and micronutrient intakes (all P trend <0.05). A higher frequency of takeaway meal consumption was associated with higher serum total cholesterol and low-density lipoprotein (LDL) cholesterol (P trend=0.04, 0.01, respectively); children eating a takeaway meal ≥1/week had total cholesterol and LDL cholesterol 0.09 mmol/L (95% CI 0.01 to 0.18) and 0.10 mmol/L (95% CI 0.02 to 0.18) higher respectively than children never/hardly ever eating a takeaway meal; their fat mass index was also higher.
More frequent takeaway meal consumption in children was associated with unhealthy dietary nutrient intake patterns and potentially with adverse longer term consequences for obesity and coronary heart disease risk.
研究儿童外出就餐与冠心病、2 型糖尿病和肥胖风险标志物的风险标志物之间的关联。
一项基于学校的横断面观察研究。
伦敦、伯明翰和莱斯特的 85 所小学。
1948 名英国小学五年级学生，年龄为 9-10 岁。
儿童报告外出就餐的频率，完成 24 小时膳食回忆，进行身体测量并提供空腹血样。
在 1948 名具有完整数据的参与者中，499 名（26%）从不/几乎从不食用外卖餐，894 名（46%）每周食用外卖餐 <1 次，555 名（28%）每周食用外卖餐≥1 次。在调整年龄、性别、月份、学校、种族和社会经济地位的模型中，更频繁地食用外卖餐与更高的能量、脂肪%能量和饱和脂肪%能量以及更高的能量密度有关（所有 P 趋势 <0.001），与更低的淀粉、蛋白质和微量营养素摄入有关（所有 P 趋势 <0.05）。更频繁地食用外卖餐与更高的血清总胆固醇和低密度脂蛋白（LDL）胆固醇有关（P 趋势=0.04、0.01）；每周食用外卖餐≥1 次的儿童的总胆固醇和 LDL 胆固醇分别高出 0.09mmol/L（95%CI 0.01 至 0.18）和 0.10mmol/L（95%CI 0.02 至 0.18），比从不/几乎从不食用外卖餐的儿童高；他们的脂肪质量指数也更高。
儿童更频繁地食用外卖餐与不健康的饮食营养摄入模式有关，并且可能对肥胖和冠心病风险产生不利的长期影响。
