Food-Related Online Media (Mukbang and Cookbang) Exposure and Dietary Risk Behaviors in Korean Adolescents.

ABSTRACT

BACKGROUND: Studies have shown that prolonged smartphone use is associated with dietary risk behaviors among adolescents. However, little is known about whether the exposure to food-related online media contents, such as mukbang (eating broadcast) and cookbang (cooking broadcast), is associated with unhealthy dietary behaviors, independent of overall duration of smartphone use. OBJECTIVES: This study investigated the associations between the frequency of mukbang/cookbang watching and dietary risk behaviors among Korean adolescents, using nationally representative survey data. METHODS: In this cross-sectional study, we examined the data from 50,044 middle and high school students in the Korea Youth Risk Behavior Web-based Survey 2022. Participants reported their frequency of mukbang/cookbang watching, mean duration of smartphone use, frequency of breakfast eating, frequency of nighttime eating, and intakes of fast foods, sugar-sweetened beverages (SSBs), and high-caffeine drinks. We performed multivariable logistic regression to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for the associations between mukbang/cookbang watching and dietary risk behaviors, accounting for complex survey sampling and adjusting for potential confounders. RESULTS: Frequent mukbang/cookbang watching (≥5 times/wk compared with never) was positively associated with dietary risk behaviors, including frequent breakfast skipping (OR 1.20; 95% CI 1.13, 1.28), frequent nighttime eating (OR 1.43; 95% CI 1.33, 1.54), and frequent intakes of fast foods (OR 1.69; 95% CI 1.58, 1.80), SSBs (OR 1.47; 95% CI 1.30, 1.66), and high-caffeine drinks (OR 1.41; 95% CI 1.33, 1.50), adjusting for duration of smartphone use. All mukbang/cookbang viewers, including those who perceived that mukbang/cookbang videos had "no influence" on their dietary behavior, had higher prevalence of dietary risk behaviors than nonviewers (perceived "no influence" compared with nonviewers-OR 1.18; 95% CI 1.10, 1.26, breakfast skipping; OR 1.15; 95% CI 1.06, 1.24, nighttime eating; OR 1.40; 95% CI 1.30, 1.50, fast foods; OR 1.22; 95% CI 1.07, 1.38, SSBs; OR 1.28; 95% CI 1.20, 1.37, high-caffeine drinks). CONCLUSIONS: Our findings suggest that frequent mukbang/cookbang watching may be associated with unhealthy dietary behaviors among Korean adolescents.