Department of Public Health, Graduate School, Yonsei University, Seoul 03722, Korea.
Institute of Health Services Research, Yonsei University, Seoul 03722, Korea.
Int J Environ Res Public Health. 2019 Aug 31;16(17):3186. doi: 10.3390/ijerph16173186.
Previous research suggests that adult men consume larger amounts of calories while eating-out than when eating meals prepared at home. Therefore, this study aimed to investigate the association between the daily eating-out rate and body mass index (BMI) in the Korean population. The study used data from 18,019 individuals aged ≥19 years who participated in the Korea National Health and Nutrition Examination Survey (KNHANES) from 2013 to 2016. BMI was measured according to the Asia-Pacific BMI measurement criteria. A multinomial logistic regression analysis was used to examine the validity of the association between the eating-out rate and BMI. In this population, women with higher eating-out rates were found to have higher BMIs. Specifically, the risks of becoming obese or overweight increased among those with a 1%-50% (obesity odds ratio (OR) = 1.28, 95% confidence interval [CI]: 1.09-1.51; overweight OR = 1.38, 95% CI: 1.14-1.64) or 51%-100% daily eating-out rate (obesity OR = 1.51, 95% CI: 1.24-1.84; overweight OR = 1.50, 95% CI: 1.20-1.87), relative to those who reported never eating-out. By contrast, no statistically significant association between the daily eating-out rate and BMI was observed among men. Notably, we observed positive associations of the daily eating-out rate with obesity and being overweight in South Korean women, but not men. Our findings suggest that education about proper habits when eating-out is needed to prevent obesity.
先前的研究表明,成年男性在外就餐时摄入的卡路里量大于在家中用餐时。因此,本研究旨在调查韩国人群中每日外出就餐率与体重指数(BMI)之间的关系。本研究使用了 2013 年至 2016 年参加韩国国家健康和营养检查调查(KNHANES)的 18019 名年龄≥19 岁个体的数据。BMI 根据亚太 BMI 测量标准进行测量。采用多分类逻辑回归分析检验外出就餐率与 BMI 之间关联的有效性。在该人群中,发现外出就餐率较高的女性 BMI 较高。具体而言,那些外出就餐率为 1%-50%(肥胖比值比(OR)=1.28,95%置信区间[CI]:1.09-1.51;超重 OR=1.38,95%CI:1.14-1.64)或 51%-100%(肥胖 OR=1.51,95%CI:1.24-1.84;超重 OR=1.50,95%CI:1.20-1.87)的人群患肥胖或超重的风险增加,与从不外出就餐的人群相比。相比之下,男性中每日外出就餐率与 BMI 之间没有统计学上显著的关联。值得注意的是,我们观察到,在韩国女性中,每日外出就餐率与肥胖和超重呈正相关,但在男性中则没有。我们的研究结果表明,需要进行有关外出就餐时正确饮食习惯的教育,以预防肥胖。