Are neighborhood restaurants related to frequency of restaurant meals and dietary quality?: Prevalence and changes over time in the Multi-Ethnic Study of Atherosclerosis

Details

• Alternative Title:
  Public Health Nutr
• Personal Author:
  Auchincloss, Amy H. ; Li, Jingjing ; Moore, Kari A. B. ; Franco, Manuel ; Mujahid, Mahasin S. ; Moore, Latetia V.
• Description:
  OBJECTIVE:
  
  To examine whether density of neighborhood restaurants affected frequency of eating restaurant meals and subsequently affected diet quality.
  
  DESIGN:
  
  Cross-sectional and longitudinal designs. Restaurant density within three miles of participant addresses was linked to their Healthy Eating Index (HEI 2010, derived from a food frequency questionnaire) and frequency of eating restaurant meals. Using structural equation models, analyses adjusted for socio-demographics, select health conditions, region, residence duration, and area-level income.
  
  SETTING:
  
  Urbanized areas in multiple regions of the U.S., years 2000–2002 and 2010–2012.
  
  PARTICIPANTS:
  
  Participants aged 45-84 were followed for 10 years (N=3567).
  
  RESULTS:
  
  Median HEI was 59 at baseline and 62 at follow-up. Residing in areas with a high density of restaurants (highest ranked quartile) was cross-sectionally associated with 52% higher odds of frequently eating restaurant meals (≥3 times/week, odds ratio [OR]: 1.52, 95% confidence interval [CI] 1.18-1.98) and 3% higher odds of having lower dietary quality (HEI lowest quartile<54, OR:1.03, CI: 1.01-1.06). Longitudinal changes were small and associations not sustained. Cross-sectional analysis found 34% higher odds of having lower dietary quality for those who frequently ate at restaurants (OR: 1.34,CI:1.12-1.61); and more restaurant meals (over time increase ≥1 times/week) was associated with higher odds of having worse dietary quality at follow-up (OR: 1.21,CI:1.00-1.46).
  
  CONCLUSIONS:
  
  Restaurant density was associated with frequently eating out in cross-sectional and longitudinal analyses but was associated with lower dietary quality only in cross-sectional analyses. Frequent restaurant meals were negatively related to dietary quality. Interventions that encourage less frequent eating out may improve population dietary quality.
  
  
• Subjects:
  Article Atherosclerosis Cross-Sectional Studies Diet Fast Foods Feeding Behavior Food Away From Home Food Environment Humans Meals Prevalence Restaurant Meals Restaurants Structural Equation Models

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• Source:
  Public Health Nutr. 24(14):4630-4641
• Pubmed ID:
  34030763
• Pubmed Central ID:
  PMC8688147
• Document Type:
  Journal Article
• Funding:
  N01HC95169/HL/NHLBI NIH HHSUnited States/ ; R01 HL071759/HL/NHLBI NIH HHSUnited States/ ; P60 MD002249/MD/NIMHD NIH HHSUnited States/ ; UL1 TR001420/TR/NCATS NIH HHSUnited States/ ; R01 HL131610/HL/NHLBI NIH HHSUnited States/ ; P30 DK111022/DK/NIDDK NIH HHSUnited States/ ; P2C HD073964/HD/NICHD NIH HHSUnited States/ ; HHSN268201500003I/HL/NHLBI NIH HHSUnited States/ ; UL1 TR001079/TR/NCATS NIH HHSUnited States/ ; UL1 TR000040/TR/NCATS NIH HHSUnited States/ ; N01HC95159/HL/NHLBI NIH HHSUnited States/ ; CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  24
• Issue:
  14
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:95ef6eed036acd97f757ffdb694b91b15aaa0bc234fbd1e0ca685cabf575f7ed
• Download URL:
  https://stacks.cdc.gov/view/cdc/112814/cdc_112814_DS1.pdf
• File Type:
  [PDF - 402.58 KB ]