Association between access to full-service restaurants and childhood obesity

Peng Jia*, H. Yang, X. Cao, C. Yuan, Q. Xiao, S. Yang

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

8 Citations (Scopus)
37 Downloads (Pure)


The lack of access to full-service restaurants (FSRs) is generally thought to be a risk factor for childhood obesity, as it could discourage healthful eating-out behaviours while increasing the exposure to unhealthful food venues as “compensatory” options. However, the association between FSR access and childhood obesity has not been comprehensively reviewed previously. A literature search was conducted on PubMed and Web of Science for articles published before 1 January 2019 that examined the association between FSR access and weight-related behaviours and outcomes among children and adolescents. Eighteen studies conducted in three countries were identified, published from 2006 to 2018 with a median sample size of 2352 (ranging from 323 to 529 367). Findings were mixed among these 18 studies that reported on the association between access to FSRs and weight-related outcomes. Our meta-analyses showed that there were no significant associations of FSR access with the level of body mass index (BMI) and the BMI z-score among children. Also, there was no apparent evidence on the association between FSR access and the risk of overweight/obesity. Our results need to be interpreted with caution, considering the menu quality of FSRs and heterogeneity of eligible studies in this meta-analysis. Well-designed epidemiologic studies are warranted to further elaborate on the potential association between FSR access and children's weight status. © 2020 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation
Original languageEnglish
Article numbere13076
Number of pages14
JournalObesity reviews
Issue numberS1
Early online date3 Jul 2020
Publication statusPublished - Feb 2021


  • child
  • diet
  • food environment
  • obesity
  • restaurant
  • adolescent
  • adolescent obesity
  • Article
  • beverage
  • body mass
  • body weight
  • catchment area
  • childhood obesity
  • clinical outcome
  • fast food
  • feeding behavior
  • fruit consumption
  • full service restaurant
  • home
  • human
  • saltiness
  • school
  • systematic review
  • vegetable consumption
  • UT-Hybrid-D


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