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Snacking is associated with reduced risk of overweight and reduced abdominal obesity in adolescents: National Health and Nutrition Examination Survey (NHANES) 1999-2004.
Am J Clin Nutr. 2010 Aug; 92(2):428-35.AJ

Abstract

BACKGROUND

Snacking is common in adolescents; however, it is unclear if there is an association between snacking and overweight or obesity within the context of the overall diet.

OBJECTIVE

This study examined the associations of snacking with weight status and abdominal obesity in adolescents 12-18 y of age (n = 5811).

DESIGN

We conducted secondary analyses of 24-h diet recalls and anthropometric data from the National Health and Nutrition Examination Survey (NHANES) 1999-2004. We classified adolescents by frequency of snack consumption (0, 1, 2, 3, and > or =4 snacks/d) and by the percentage of energy intake from snacks (0%, <10%, 10-19%, 20-29%, 30-39%, and > or =40%). We classified adolescents who had a body mass index (BMI) > or =85th percentile of BMI-for-age as overweight or obese. We defined abdominal obesity as a waist circumference > or =90th percentile. We determined covariate-adjusted prevalences of overweight or obesity and abdominal obesity and odds ratios with SUDAAN software (release 9.0.1; Research Triangle Institute, Research Triangle Park, NC).

RESULTS

Mean values of all obesity indicators studied were inversely associated with snacking frequency and percentage of energy from snacks. The prevalence of overweight or obesity and of abdominal obesity decreased with increased snacking frequency and with increased percentage of energy from snacks. Odds ratios (95% CIs) for overweight or obesity and for abdominal obesity ranged from 0.63 (0.48, 0.85) to 0.40 (0.29, 0.57) and from 0.61 (0.43, 0.86) to 0.36 (0.21, 0.63) for 2 to > or =4 snacks/d, respectively. Reduced risks of overweight or obesity and abdominal obesity were associated with snacking.

CONCLUSION

Snackers, compared with nonsnackers, were less likely to be overweight or obese and less likely to have abdominal obesity.

Authors+Show Affiliations

Food & Nutrition Database Research Inc, Okemos, MI, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

20554791

Citation

Keast, Debra R., et al. "Snacking Is Associated With Reduced Risk of Overweight and Reduced Abdominal Obesity in Adolescents: National Health and Nutrition Examination Survey (NHANES) 1999-2004." The American Journal of Clinical Nutrition, vol. 92, no. 2, 2010, pp. 428-35.
Keast DR, Nicklas TA, O'Neil CE. Snacking is associated with reduced risk of overweight and reduced abdominal obesity in adolescents: National Health and Nutrition Examination Survey (NHANES) 1999-2004. Am J Clin Nutr. 2010;92(2):428-35.
Keast, D. R., Nicklas, T. A., & O'Neil, C. E. (2010). Snacking is associated with reduced risk of overweight and reduced abdominal obesity in adolescents: National Health and Nutrition Examination Survey (NHANES) 1999-2004. The American Journal of Clinical Nutrition, 92(2), 428-35. https://doi.org/10.3945/ajcn.2009.28421
Keast DR, Nicklas TA, O'Neil CE. Snacking Is Associated With Reduced Risk of Overweight and Reduced Abdominal Obesity in Adolescents: National Health and Nutrition Examination Survey (NHANES) 1999-2004. Am J Clin Nutr. 2010;92(2):428-35. PubMed PMID: 20554791.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Snacking is associated with reduced risk of overweight and reduced abdominal obesity in adolescents: National Health and Nutrition Examination Survey (NHANES) 1999-2004. AU - Keast,Debra R, AU - Nicklas,Theresa A, AU - O'Neil,Carol E, Y1 - 2010/06/16/ PY - 2010/6/18/entrez PY - 2010/6/18/pubmed PY - 2010/8/13/medline SP - 428 EP - 35 JF - The American journal of clinical nutrition JO - Am J Clin Nutr VL - 92 IS - 2 N2 - BACKGROUND: Snacking is common in adolescents; however, it is unclear if there is an association between snacking and overweight or obesity within the context of the overall diet. OBJECTIVE: This study examined the associations of snacking with weight status and abdominal obesity in adolescents 12-18 y of age (n = 5811). DESIGN: We conducted secondary analyses of 24-h diet recalls and anthropometric data from the National Health and Nutrition Examination Survey (NHANES) 1999-2004. We classified adolescents by frequency of snack consumption (0, 1, 2, 3, and > or =4 snacks/d) and by the percentage of energy intake from snacks (0%, <10%, 10-19%, 20-29%, 30-39%, and > or =40%). We classified adolescents who had a body mass index (BMI) > or =85th percentile of BMI-for-age as overweight or obese. We defined abdominal obesity as a waist circumference > or =90th percentile. We determined covariate-adjusted prevalences of overweight or obesity and abdominal obesity and odds ratios with SUDAAN software (release 9.0.1; Research Triangle Institute, Research Triangle Park, NC). RESULTS: Mean values of all obesity indicators studied were inversely associated with snacking frequency and percentage of energy from snacks. The prevalence of overweight or obesity and of abdominal obesity decreased with increased snacking frequency and with increased percentage of energy from snacks. Odds ratios (95% CIs) for overweight or obesity and for abdominal obesity ranged from 0.63 (0.48, 0.85) to 0.40 (0.29, 0.57) and from 0.61 (0.43, 0.86) to 0.36 (0.21, 0.63) for 2 to > or =4 snacks/d, respectively. Reduced risks of overweight or obesity and abdominal obesity were associated with snacking. CONCLUSION: Snackers, compared with nonsnackers, were less likely to be overweight or obese and less likely to have abdominal obesity. SN - 1938-3207 UR - https://www.unboundmedicine.com/medline/citation/20554791/Snacking_is_associated_with_reduced_risk_of_overweight_and_reduced_abdominal_obesity_in_adolescents:_National_Health_and_Nutrition_Examination_Survey__NHANES__1999_2004_ L2 - https://academic.oup.com/ajcn/article-lookup/doi/10.3945/ajcn.2009.28421 DB - PRIME DP - Unbound Medicine ER -