The Fast Food and Obesity Link: Consumption Patterns and Severity of Obesity
Rates of extreme forms of obesity are rapidly rising, as is the use of bariatric surgery for its treatment. The aim of the present study was to examine selected behavioral factors associated with severity of obesity among preoperative bariatric surgery patients in the San Antonio area, focusing specifically on the effects of fast food consumption.
We used ordered logistic regression to model behavioral and attitudinal effects on obesity outcomes among 270 patients. These outcomes were based on the severity of obesity and were measured on the basis of body mass index.
Our results indicated that, among the behavioral factors, fast food consumption exerted the largest influence on higher levels of obesity. These remained after controlling for several social and demographic characteristics.
Our findings suggest that higher rates of fast food consumption are connected to the increasing rates of severe obesity. Given that morbid and super morbid obesity rates are growing at a more advanced pace than moderate obesity, it is necessary to explore the behavioral characteristics associated with these trends.
KeywordsSevere/extreme obesity Bariatric surgery Fast food consumption
- 1.CDC. Overweight and obesity. http://www.cdc.gov/nccdphp/dnpa/obesity/index.htm (2009). Accessed 21 June 2010.
- 7.Thorpe KE, Florence CS, Howard DH, et al. The impact of obesity on rising medical spending. Health Aff 2004;Suppl Web Exclusives:W4-480-6.Google Scholar
- 12.Zhao Y, Encinosa W. Bariatric surgery utilization and outcomes in 1998 and 2004. Statistical brief #23. Agency for Healthcare Research and Quality, Rockville, MD. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb23.pdf. Published January 2007. Accessed 21 June 2010.
- 13.Borooah VK. Logit and probit: ordered and multinomial mosdels. Vol quantitative applications in the social sciences. Thousand Oaks: Sage; 2001.Google Scholar
- 15.DGAC. Report of the dietary guidelines advisory committee on the dietary guidelines for Americans. Washington, DC: United States Department of Agriculture, Center for Nutrition Policy and Promotion; 2010.Google Scholar
- 18.Jekanowski MD, Binkley JK, Eales J. Convenience, accessibility, and the demand for fast food. J Agric Res Econ. 2001;26:58–74.Google Scholar
- 19.Stewart H, Blisard N, Bhuyan S, et al. The demand for food away from home: full service or fast food? Report Number 829. United States Department of Agriculture, Economic Research Service. http://www.ers.usda.gov/publications/aer829/aer829.pdf. Published 2004. Accessed 8 July 2010.