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Of course eating meals prepared at home is healthier! The study results - that people who often consume meals prepared at home are less likely to suffer from type 2 diabetes than those who consume such meals less frequently shouldn't be surprising. The researchers attributed the higher incidence of type 2 diabetes to weight gain in those eating fewer meals prepared at home, but there are other things going on also.

Restaurant and fast food meals tend to have very large portions, frequently with rich sauces, and the meal choices tend to be heavy on fat and salt. The meals can be high in calories, contain many artificial ingredients, and may be low in nutritional quality (and so also not nourishing the beneficial gut microbes that are linked to health). At home you can limit portions, control the food ingredients, and eat only healthy foods (see earlier post on this). From Science Daily:

Enjoying meals prepared at home: Short-cut to avoiding diabetes?

People who often consume meals prepared at home are less likely to suffer from type 2 diabetes than those who consume such meals less frequently, according to  new epidemiological research reported by Qi Sun, of the Harvard T.H. Chan School of Public Heath, Boston, USA and colleagues as part of PLOS Medicine's special issue on Preventing Diabetes.

Internationally, there is an increasing tendency for people to eat out, and this could involve consumption of fast food, for example. Concerns have been raised that such people have a diet that is rich in energy but relatively poor in nutrients -- this could lead to weight gain which is, in turn, associated with an increased risk of type 2 diabetes.

Sun and colleagues employed large prospective data sets in which US health professionals -- both men and women--were followed-up for long periods, with rigorous collection of data on health indicators, including self-reported information on eating habits and occurrence of diabetes. The results were corrected for various known factors that could affect dining habits, including marital status. All in all, the study analyzed 2.1 million years of follow-up data.

The findings indicate that people who reported consuming 5-7 evening meals prepared at home during a week had a 15% lower risk of type 2 diabetes than those who consumed 2 such meals or fewer in a week. A smaller, but still statistically significant, reduction was apparent for those who reported consuming more midday meals prepared at home. Other analyses suggest that less weight gain could partially explain the reported reduction in occurrence of type 2 diabetes in those often eating meals prepared at home.

This shouldn't be surprising. Of course staying home and making your own meals is the healthiest! Restaurant meals tend to have very large portions, frequently with rich sauces, and the meal choices tend to be heavy on fat and salt. Think of all the fried foods, rich sauces, meats,breads and butter, and desserts available. At home you can limit excess, control the food ingredients, and eat only healthy foods. From Medical Xpress:

Restaurant meals can be as bad for your waistline as fast food is

Restaurant and fast-food meals increase people's daily intake of calories, fats, cholesterol and sodium. Credit: Diana Yates 

When Americans go out to eat, either at a fast-food outlet or a full-service restaurant, they consume, on average, about 200 more calories a day than when they stay home for meals, a new study reports. They also take in more fat, saturated fat, cholesterol and sodium than those who prepare and eat their meals at home.

These are the findings of University of Illinois kinesiology and community health professor Ruopeng An, who analyzed eight years of nationally representative data from the National Health and Nutrition Examination Survey, which is conducted by the National Center for Health Statistics. An looked at 2003-10 data collected from 18,098 adults living in the U.S.

His analysis, reported in the European Journal of Clinical Nutrition, revealed that eating at a restaurant is comparable to - or in some cases less healthy than - eating at a fast-food outlet. While people who eat at restaurants tend to take in more healthy nutrients - including certain vitamins, potassium and omega-3 fatty acids - than those who eat at home or at a fast-food outlet, the restaurant diners also consume substantially more sodium and cholesterol - two nutrients that Americans generally eat in excess, even at home. 

Fast-food and restaurant diners consumed about 10 grams more total fat, and 3.49 grams and 2.46 grams, respectively, more saturated fat than those who dined at home. Eating at a fast-food outlet adds about 300 milligrams of sodium to one's daily intake, and restaurant dining boosts sodium intake by 412 milligrams per day, on average, An said. 

An also found striking differences in the effects of dining out on different groups."African-Americans who ate at fast-food and full-service restaurants took in more total fat, saturated fat, sodium and sugar than their Caucasian and Hispanic counterparts who dined out," An said. "The effect of fast-food restaurant consumption on daily total energy intake appeared larger among people with lower educational attainment," An said. "And people in the middle-income range had the highest daily intake of total energy, total fat, saturated fat and sodium when they dined at full-service restaurants."