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dc.creatorZiauddeen, N. (Nida)-
dc.creatorPage, P. (Polly)-
dc.creatorPenney, T.L. (Tarra L.)-
dc.creatorNicholson, S. (Sonja)-
dc.creatorKirk, S.F.L. (Sara F. L.)-
dc.creatorAlmiron-Roig, E. (Eva)-
dc.identifier.citationZiauddeen, N. (Nida); Page, P. (Polly); Penney, T.L. (Tarra L.); et al. "Eating at food outlets and leisure places and "on the go" is associated with less-healthy food choices than eating at home and in school in children: cross-sectional data from the UK National Diet and Nutrition Survey Rolling Program (2008-2014)". American journal of clinical nutrition. 107 (6), 2018, 992 - 1003es_ES
dc.description.abstractBackground: Where children eat has been linked to variations in diet quality, including the consumption of low-nutrient, energy-dense food, a recognized risk factor for obesity. Objective: The aim of this study was to provide a comprehensive analysis of consumption patterns and nutritional intake by eating location in British children with the use of a nationally representative survey. Design: Cross-sectional data from 4636 children (80,075 eating occasions) aged 1.5-18 y from the UK National Diet and Nutrition Survey Rolling Program (2008-2014) were analyzed. Eating locations were categorized as home, school, work, leisure places, food outlets, and "on the go." Foods were classified into core (considered important or acceptable within a healthy diet) and noncore (all other foods). Other variables included the percentage of meals eaten at home, sex, ethnicity, body mass index, income, frequency of eating out, takeaway meal consumption, alcohol consumption, and smoking. Results: The main eating location across all age groups was at home (69-79% of eating occasions), with the highest energy intakes. One-third of children from the least-affluent families consumed ≤25% of meals at home. Eating more at home was associated with less sugar and takeaway food consumption. Eating occasions in leisure places, food outlets, and "on the go" combined increased with age, from 5% (1.5-3 y) to 7% (11-18 y), with higher energy intakes from noncore foods in these locations. The school environment was associated with higher intakes of core foods and reduced intakes of noncore foods in children aged 4-10 y who ate school-sourced foods. Conclusions: Home and school eating are associated with better food choices, whereas other locations are associated with poor food choices. Effective, sustained initiatives targeted at behaviors and improving access to healthy foods in leisure centers and food outlets, including food sold to eat "on the go," may improve food choices. Home remains an important target for intervention through family and nutrition education, outreach, and social marketing campaigns. This trial was registered with the ISRTCN registry (https://www.isrctn.com) as ISRCTN17261407.es_ES
dc.description.sponsorshipThe National Diet and Nutrition Survey Rolling Program is jointly funded by Public Health England and the UK Food Standards Agency. NZ, SN, PP, and EA-R were supported by the UK Medical Research Council (program U1059600384). EA-R acknowledges support from the Center for Nutrition Research, University of Navarra; the Spanish Biomedical Research Centre in Physiopathology of Obesity and Nutrition (CIBERobn), Institute of Health Carlos III, Madrid, Spain; and the Navarra Institute for Health Research (IdiSNa), Pamplona, Spain. SFLK acknowledges support from a Canadian Institutes of Health Research (CIHR) Canada Research Chair (2007–2016). TLP’s PhD studentship was supported by the Cambridge International Scholarship, a scheme funded by the Cambridge Commonwealth, European and International Trust.es_ES
dc.publisherOxford University Presses_ES
dc.subjectEating locationes_ES
dc.subjectCore foodes_ES
dc.subjectNoncore foodes_ES
dc.subjectHome mealses_ES
dc.subjectSchool foodes_ES
dc.titleEating at food outlets and leisure places and "on the go" is associated with less-healthy food choices than eating at home and in school in children: cross-sectional data from the UK National Diet and Nutrition Survey Rolling Program (2008-2014)es_ES
dc.description.noteThis is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.es_ES
dadun.citation.publicationNameAmerican journal of clinical nutritiones_ES

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