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Eating context and its association with ultra-processed food consumption by British children
Bianca M Onita1, Catarina M Azeredo2, Patrícia C Jaime3
1Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr. Arnaldo 715, 01246-904, São Paulo, Brazil.
Insights
Eating contexts like watching TV, eating away from home, or eating alone are linked to higher ultra-processed food intake in British children. Conversely, eating with friends at school correlated with lower consumption.
Area of Science:
- Nutritional Epidemiology
- Public Health Nutrition
- Childhood Obesity Research
Background:
- Ultra-processed food (UPF) consumption is a growing public health concern globally.
- Understanding the environmental and social factors influencing children's dietary choices is crucial for targeted interventions.
Purpose of the Study:
- To investigate the association between various eating contexts and ultra-processed food consumption in British children aged 4-10 years.
- To identify specific mealtime environments linked to increased or decreased UPF intake.
Main Methods:
- Cross-sectional study utilizing data from the UK's National Diet and Nutrition Survey (2008/2014).
- A representative sample of 1772 children (4-10 years) provided four-day food diaries.
- Exploratory factor analysis identified eating context patterns; linear regression assessed UPF association.
Main Results:
- Ultra-processed foods constituted 65.4% of total daily energy intake.
- Eating with family while watching TV and eating away from home were associated with higher UPF consumption at lunch and dinner.
- Eating alone in the bedroom was also linked to increased UPF intake at dinner.
- Eating at school with friends showed an association with lower UPF consumption.
Conclusions:
- Specific eating contexts, including eating alone, watching TV, and eating away from home, are significantly associated with higher ultra-processed food intake in children.
- School-based meal environments may offer a protective factor against high UPF consumption.
- Findings highlight the importance of considering the eating environment in strategies to reduce UPF consumption among children.
Abstract:
This study aimed to investigate the patterns of eating context and its association with ultra-processed food consumption by British children. This cross-sectional study was conducted with a representative sample of UK children aged 4-10 years old (n = 1772) from the National Diet and Nutrition Survey 2008/2014. Data on food consumption, meal context and ultra-processed food consumption were assessed through a four-day food diary. Exploratory factor analysis was used to identify the patterns of eating context and these patterns' association with the daily consumption of ultra-processed food was verified by linear regression analyses. Ultra-processed foods comprised 65.4% of the total daily energy intake. At lunch, higher ultra-processed food consumption was associated with the patterns "Eating with family while watching TV" (64.9% in the lowest tertile to 68.1% in the highest tertile) and "Eating away from home" (65.2%-67.7%, respectively), while the eating pattern "Eating at school with friends" was associated with lower ultra-processed food consumption (66.6%-64.7%, respectively). At dinner, higher ultra-processed food consumption was associated with the patterns "Eating with family while watching TV" (64.6%-67.1%, respectively) and "Eating alone in the bedroom" (63.9%-66.5%, respectively). Eating alone, eating whilst watching TV, and eating away from home stood out as patterns of eating context associated with the increased consumption of ultra-processed food.
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