Evidence map›Paper›PMID 24153348›Full record

ArticleThe American journal of clinical nutrition2014

The association of fast food consumption with poor dietary outcomes and obesity among children: is it the fast food or the remainder of the diet?

Jennifer M Poti, Kiyah J Duffey, Barry M Popkin

Abstract read
In one paragraph

Article in The American journal of clinical nutrition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

75 citing papers in PubMed.

  1. Trial
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  3. African American Food Environments and Anti-Inflammatory Intake in Pregnancy.International journal of environmental research and public health · 2026
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15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Jennifer M PotiDepartment of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC (JMP, KJD, and BMP), and the Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, VA (KJD).
Kiyah J Duffey
Barry M Popkin

Funding

Carolina Population CenterR24HD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORGAN, SAMUEL PHILIP · 2005 to 2014
$10.0M
NUTRITION TRAINING PROGRAMT32DK007686 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BECK, MELINDA A., MAYER-DAVIS, ELIZABETH J · 1992 to 2022
$4.3M
Obesity and Metabolic Risk Disparities: Underlying Food Environment FactorsR01HL104580 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GORDON-LARSEN, PENNY · 2010 to 2014
$2.2M
NHLBI NIH HHS R01 HL104580NICHD NIH HHS 5 R24 HD050924NICHD NIH HHS R24 HD050924NIDDK NIH HHS 5T32DK007686-19NIDDK NIH HHS T32 DK007686
6 · The paper itself

Abstract

backgroundAlthough fast food consumption has been linked to adverse health outcomes, the relative contribution of fast food itself compared with the rest of the diet to these associations remains unclear.

objectiveOur objective was to compare the independent associations with overweight/obesity or dietary outcomes for fast food consumption compared with dietary pattern for the remainder of intake.

designThis cross-sectional analysis studied 4466 US children aged 2-18 y from NHANES 2007-2010. Cluster analysis identified 2 dietary patterns for the non-fast food remainder of intake: Western (50.3%) and Prudent. Multivariable-adjusted linear and logistic regression models examined the association between fast food consumption and dietary pattern for the remainder of intake and estimated their independent associations with overweight/obesity and dietary outcomes.

resultsHalf of US children consumed fast food: 39.5% low-consumers (≤30% of energy from fast food) and 10.5% high-consumers (>30% of energy). Consuming a Western dietary pattern for the remainder of intake was more likely among fast food low-consumers (OR: 1.51; 95% CI: 1.24, 1.85) and high-consumers (OR: 2.21; 95% CI: 1.60, 3.05) than among nonconsumers. The remainder of diet was independently associated with overweight/obesity (β: 5.9; 95% CI: 1.3, 10.5), whereas fast food consumption was not, and the remainder of diet had stronger associations with poor total intake than did fast food consumption.

conclusionsOutside the fast food restaurant, fast food consumers ate Western diets, which might have stronger associations with overweight/obesity and poor dietary outcomes than fast food consumption itself. Our findings support the need for prospective studies and randomized trials to confirm these hypotheses.

Indexed as

DietFeeding BehaviorAdolescentBody Mass IndexChildChild, PreschoolCluster AnalysisCross-Sectional StudiesEnergy IntakeFast FoodsHumansMultivariate AnalysisNutrition AssessmentNutrition SurveysObesityPrevalence

Identifiers

PMID24153348
PMCPMC3862453

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.