1Children's Nutrition Research Centre,Child Health Research Centre,Centre for Children's Health Research,University of Queensland,Level 6/62 Graham Street,South Brisbane,QLD 4101,Australia.
Public Health Nutr. 2018 Aug;21(12):2280-2290. doi: 10.1017/S1368980018000757. Epub 2018 Apr 6.
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.
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.
Capital of Saudi Arabia, Riyadh.
Children aged 9·00-11·99 years (n 1023).
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.
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.
通过比较沙特阿拉伯城市肥胖儿童和正常体重儿童，深入分析肥胖与快餐消费之间的关系。
这是一项于 2015 年 12 月至 2016 年 3 月进行的多中心横断面研究。参与者分为两组（正常体重和肥胖），并按性别进一步分层。使用多阶段分层聚类抽样技术随机选择组。使用自我调节问卷收集与食物消费相关的数据。对所有儿童进行体重、身高和腰围测量，并进行生物电阻抗分析。
沙特阿拉伯首都利雅得。
年龄为 9.00-11.99 岁的儿童（n=1023）。
与正常体重组相比，肥胖组每周食用快餐的频率更高（P<0·001），无论快餐是在家庭内部（P<0·001）还是外部（P<0·001）食用；而且肥胖组更喜欢较大的份量（P<0·001）。与肥胖组相比，与家人一起食用快餐是肥胖的保护因素（OR；95%CI：2·67；1·44，4·96，P<0·001），而对于为孩子订购“健康餐菜单”的家庭也有类似的结果（1·90；1·24，2·90，P=0·002）。快餐的味道（P=0·021）、适合儿童的菜单（P=0·020）和餐费（P<0·001）是父母带孩子去快餐店的主要原因；这些数据在肥胖男孩的父母中得到了复制，但在女孩的父母中没有。
在沙特阿拉伯的学龄儿童中，要制定有效的干预措施来减少快餐消费，就需要更多基于研究的证据来了解与儿童肥胖相关的快餐消费习惯和行为。
