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Original Articles

Association of Out-of-Home Eating with Anthropometric Changes: A Systematic Review of Prospective Studies

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Abstract

In the present review, the association of out-of-home eating with anthropometric changes was examined. Peer-reviewed studies in eight databases were searched, and 15 prospective studies were included in the review. The quality of the data was assessed by considering risks of bias in sample selection, data collection methods, and the appropriateness of statistical tests. From this, seven studies, which used relatively large samples or had a follow-up period longer than 10 years, were retained for further analysis. It was concluded that eating out-of-home frequently, in the broad sense, is positively associated with the risk of becoming overweight or obese and weight change. With regard to specific out-of-home sources, the review shows that eating at fast-food outlets is associated with a greater increase in body weight and waist circumference over time than eating at restaurants and takeaway foods positively predict BMI change in women. More research is needed on out-of-home foods other than fast-foods and restaurant foods, such as street, canteen, and school foods.

ACKNOWLEDGMENTS

CKL and PWK were responsible for the development of the search syntax and of the screening methodology. CKL carried out the search. ESN and CKL did the screening and PWK resolved conflicts. RAD assisted in the interpretation of the data. ESN drafted the paper, and all authors critically reviewed the manuscript. None of the authors declares a conflict of interest.

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