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Self-Reported Weekend Temporal Eating Patterns of American Adults Differ From Weekday: National Health and Nutrition Examination Surveys: 2015–2020 Prepandemic - 20/01/25

Doi : 10.1016/j.jand.2024.07.158 
Ashima K. Kant, PhD, RDN 1, , Barry I. Graubard, PhD 2
1 Department of Family, Nutrition, and Exercise Sciences, Queens College of the City University of New York, Flushing, New York 
2 Senior Investigator, Division of Cancer Epidemiology and Genetics, Biostatistics Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 

Address correspondence to: Ashima K. Kant, PhD, RDN, Professor, Department of Family, Nutrition, and Exercise Sciences, Queens College of the City University of New York, Flushing, NY 11367.Department of FamilyQueens College of the City University of New YorkFlushingNY11367

Abstract

Background

Weekend–weekday differences in time of ingestive events may be implicated in adverse metabolic and health outcomes. However, little is known about the nature of weekend–weekday differences in temporal eating behaviors of the US adult population.

Objective

The study aimed to examine weekend–weekday differences in temporal and energy characteristics of ingestive events self-reported by American adults.

Design

Observational; within-person comparative.

Participants/Setting

The data were from the National Health and Nutrition Examination Surveys (NHANES) 2015–March 2020 (pre-pandemic) for ≥20-year-old adults who provided 1 weekday (M–Th) and 1 weekend (F, S, Su) 24-h dietary recall (n = 3564 men and 3823 women).

Main Outcome Measures

Prespecified primary temporal outcomes were recalled: time of ingestive events, and the duration of ingestive and fasting windows. Secondary outcomes included frequency and energy characteristics of ingestive events.

Statistical Analysis Performed

Gender-specific, survey-weighted, multiple linear regression models that accounted for complex survey design with dummy covariates for weekend/weekday, mode of recall administration (in-person on day 1 and telephone on day 2), and a respondent-specific fixed intercept.

Results

In both men and women, the weekend recalled time of first ingestive event, breakfast, and lunch were later than weekday (P ≤ .0008); however, no statistically significant differences were observed in time of dinner and the last eating episode. The mean weekend ingestive window (interval between the time of first and last eating events of the day) was shorter by 24 minutes (95% confidence interval [CI], –32, –11) in men and 18 minutes (95% CI, –20, –15) in women, and the mean overnight fasting window was correspondingly longer (P ≤ .0001). No statistically significant differences were observed between weekend and weekday frequency of ingestive events. Energy density of weekend food selections reported by women, and of beverages by men, was found to be higher than weekday (P ≤ .002).

Conclusions

Weekend ingestive patterns were characterized by later time of first ingestive event, breakfast, and lunch, and selection of higher-energy-density foods and beverages.

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Keywords : NHANES, Weekend eating, Temporal eating patterns, Eating episodes, Comparative study


Plan


 Supplementary materials:Supplementary Table 2, Supplementary Table 4, Supplementary Table 6, Supplementary Table 7, Supplementary Table 8, Supplementary Table 9 and Supplementary Table 11 and Supplemental Figure 1 are available at www.jandonline.org
 STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors.
 FUNDING/SUPPORT This research was supported in part by the intramural research program of the Department of Health and Human Services, National Cancer Institute, NIH (B. I. G.), and the Professional Staff Congress of City University of New York (A. K. K.). The funding sources had no input into design, analytic approach, and interpretation of study results.
 ACKNOWLEDGEMENT The authors thank Lisa Licitra Kahle, IMS, Silver Spring, MD, for expert SAS, SUDAAN, and STATA programming support, and David Check, Division of Cancer Epidemiology and Genetics, Biostatistics Branch, NCI, NIH, for graphics support. (Permission received from acknowledged professionals.)
 AUTHOR CONTRIBUTIONS A. K. K. conceptualized the study question, designed the research, analyzed the data, wrote the first draft of the manuscript; B. I. G. provided guidance on study design and analytic strategy, and reviewed the initial draft for important intellectual content; and both authors read and approved the final manuscript.


© 2025  Academy of Nutrition and Dietetics. Tous droits réservés.
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Vol 125 - N° 2

P. 188 - février 2025 Retour au numéro
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