Department of Human Nutrition and Dietetics, Poznań University of Life Sciences, Wojska Polskiego 31, 60-624 Poznań.
Department of Human Nutrition and Dietetics, Poznań University of Life Sciences, Wojska Polskiego 31, 60-624 Poznań.
Nutr Res. 2021 Dec;96:20-36. doi: 10.1016/j.nutres.2021.11.001. Epub 2021 Nov 20.
Preventing obesity (OB) among adults is a public health priority. One factor that seems to contribute to OB, due to the extra energy intake it involves, is the greater consumption of snacks. Whether snacking promotes OB in adults is however a source of controversy in the literature at present. The aim of this paper was to evaluate the effects of snacking on body weight status, along with contextual factors such as snacking location, food source, timing, and social context of snacking. To better understand the nature of snacking behavior, seven currently used definitions of snacking were described. Studies published prior to November 2020 were identified by searching the PubMed and Scopus databases, with thirty-three observational studies being identified and included. The consumption of energy-dense snacks may contribute to higher energy intake and weight in adult populations. The context in which adults snacks-such as eating alone, outside home or work, late in the day, in front of a TV or computer-is also important for this behavior. However, the lack of consensus on the definition of snacks in the literature makes these considerations suggestive rather than objective. Better-designed research is needed to determine the prospective association between snacking behavior and weight status in adults. Snacking may be an important behavior that can be modified to prevent obesity on the population level. Social education focused on promoting morning snacks and replacing energy-dense snacks by more nutritious ones, e.g. fruit and vegetables, may thus be beneficial.
预防成年人肥胖(OB)是公共卫生的重点。由于涉及额外的能量摄入,一种似乎导致 OB 的因素是零食的大量消费。然而,目前文献中对于零食是否会导致成年人肥胖存在争议。本文的目的是评估零食对体重状况的影响,以及零食的摄入地点、食物来源、时间和社交环境等背景因素。为了更好地理解零食行为的本质,本文描述了目前使用的七种零食定义。通过搜索 PubMed 和 Scopus 数据库,确定了截至 2020 年 11 月之前发表的研究,并确定了三十三项观察性研究进行了纳入。研究表明,能量密集型零食的消费可能会导致成年人更高的能量摄入和体重增加。成年人零食的摄入环境,例如独自进食、在家或工作以外的地方进食、在一天的晚些时候进食、在电视或电脑前进食,也对这种行为很重要。然而,文献中对零食定义的缺乏共识使得这些考虑只是提示性的,而不是客观的。需要进行更好设计的研究来确定成年人的零食行为与体重状况之间的前瞻性关联。零食可能是一种可以改变的重要行为,有助于在人群层面预防肥胖。因此,以促进早餐零食和用更有营养的食物(如水果和蔬菜)代替能量密集型零食为重点的社会教育可能是有益的。