Department of Health Policy & Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Department of Social & Behavioral Sciences, T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts, USA.
Obesity (Silver Spring). 2019 Feb;27(2):339-348. doi: 10.1002/oby.22380. Epub 2019 Jan 4.
This study aimed to describe beverages purchased in restaurants among a nationally representative sample of US households.
Data were obtained from the US Department of Agriculture National Household Food Acquisition and Purchase Survey, 2012 to 2013. Survey-weighted multiple regressions assessed correlates of purchasing a sugar-sweetened beverage (SSB), purchasing a low-calorie beverage, and per capita beverage calories and grams of sugar among purchases from US restaurants (n = 14,669).
Dining at a top fast-food chain (odds ratio = 1.9 [95% CI = 1.6, 2.3] vs. small chain or independent restaurants) and ordering a combination meal (2.8 [1.3, 3.3]) or from the kids' menu (2.1 [1.2, 3.4]) were positively associated with purchasing an SSB. Age (young adult and adolescent vs. older adult; 0.7 [0.5, 0.9] and 0.4 [0.3, 0.7], respectively), race (Black vs. White; 0.4 [0.3, 0.6]), ethnicity (Hispanic vs. non-Hispanic; 0.8 [0.6, 0.9]), and household food security (very low vs. high; 0.7 [0.5, 0.8]) were associated with purchasing a low-calorie beverage. Caloric beverage purchases contained the most calories and grams of sugar per capita when purchased by Hispanic and non-Hispanic Black adolescents.
US households purchase a considerable amount of SSBs from the nation's largest chain restaurants, particularly when combination meals or kids' menu items are ordered, and there are disparities by age, race/ethnicity, and household food security.
本研究旨在描述具有全国代表性的美国家庭样本中在餐馆购买的饮料。
数据来自美国农业部国家家庭食品获取和购买调查，时间为 2012 年至 2013 年。调查加权多元回归评估了在美国家庭餐厅购买（n=14669）时购买含糖饮料（SSB）、购买低热量饮料以及人均饮料卡路里和糖含量的相关因素。
在顶级快餐连锁店就餐（比值比=1.9[95%CI=1.6,2.3]与小连锁或独立餐厅相比）和点套餐（2.8[1.3,3.3]）或儿童餐（2.1[1.2,3.4]）与购买 SSB 呈正相关。年龄（年轻成人和青少年与老年成人；0.7[0.5,0.9]和 0.4[0.3,0.7]）、种族（黑人与白人；0.4[0.3,0.6]）、族裔（西班牙裔与非西班牙裔；0.8[0.6,0.9]）和家庭粮食安全（极低与高；0.7[0.5,0.8]）与购买低热量饮料有关。西班牙裔和非西班牙裔黑人群体购买的含热量饮料的人均卡路里和糖含量最高。
美国家庭从全国最大的连锁餐厅购买了大量 SSB，尤其是在点套餐或儿童餐时，而且在年龄、种族/族裔和家庭粮食安全方面存在差异。
