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Local retail food environment exposure and diet quality in rural and urban adults: A longitudinal analysis of the ORISCAV-LUX cohort study

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Title: Local retail food environment exposure and diet quality in rural and urban adults: A longitudinal analysis of the ORISCAV-LUX cohort study
Authors: Marion Tharrey, Torsten Bohn, Olivier Klein, Dmitry Bulaev, Juliette Van Beek, Julie-Anne Nazare, Manuel Franco, Laurent Malisoux, Camille Perchoux
Contributors: CarMeN, laboratoire, Luxembourg Institute of Health (LIH), Luxembourg Institute of Socio-Economic Research (LISER), Université du Luxembourg = University of Luxembourg = Universität Luxemburg (uni.lu), Cardiovasculaire, métabolisme, diabétologie et nutrition (CarMeN), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Hospices Civils de Lyon (HCL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Centre Hospitalier Lyon Sud CHU - HCL (CHLS), Hospices Civils de Lyon (HCL), Universidad de Alcalá - University of Alcalá (UAH), Johns Hopkins Bloomberg School of Public Health Baltimore, Johns Hopkins University (JHU)
Source: Health & Place
Publisher Information: Elsevier BV, 2024.
Publication Year: 2024
Subject Terms: Male, Rural Population, Adult, Urban Population, Luxembourg, [SDV]Life Sciences [q-bio], Diet, Food Supply/statistics &, Rural Population/statistics &, Food Supply, Cohort Studies, Residence Characteristics, Urban Population/statistics &, 11. Sustainability, Commerce/statistics &, Foodscape, Humans, Longitudinal Studies, Commerce/statistics & numerical data, Neighborhood effect, 2. Zero hunger, Rural Population/statistics & numerical data, Healthy, Dietary indices, Commerce, 1. No poverty, numerical data, Middle Aged, Food Supply/statistics & numerical data, [SDV] Life Sciences [q-bio], Longitudinal, Urban Population/statistics & numerical data, Female, Diet, Healthy, Geographic information system
Description: Despite growing interest in understanding how food environments shape dietary behaviors, European longitudinal evidence is scarce. We aimed to investigate the associations of 9-year average and change in exposure to local retail food environments with the diet quality of residents in Luxembourg. We used data from 566 adults enrolled in both waves of the nationwide ORISCAV-LUX study (2007-2017). Dietary quality was assessed by the Diet Quality Index-International (DQI-I). Exposure to "healthy" and "less healthy" food outlets was assessed by both absolute and relative GIS-based measurements. The results showed a 56.3% increase in less healthy food outlets over the period. In adjusted linear mixed models, high (vs. low) 9-year average exposure to less healthy food outlets was associated with lower DQI-I, when examining spatial access (β = -1.25, 95% CI: -2.29, -0.22) and proportions (β = -1.24, 95% CI: -2.15, -0.33). Stratified analyses showed these associations to be significant only among urban residents. There was no association between change in exposure to less healthy food outlets and DQI-I. Increased exposure to healthy outlets in rural areas, using absolute measurements, was associated with worsened DQI-I. Neighborhood socioeconomic status did not moderate the above associations. Findings suggest that the proliferation of less healthy food outlets may have contributed to the deterioration of the diet quality of urban residents, and support the use of relative measurements to fully capture the healthiness of food environments.
Document Type: Article
File Description: application/pdf
Language: English
ISSN: 1353-8292
DOI: 10.1016/j.healthplace.2024.103240
Access URL: https://pubmed.ncbi.nlm.nih.gov/38593577
Rights: CC BY
Accession Number: edsair.doi.dedup.....2bed45a6b283ccf38e695761dc37dbdd
Database: OpenAIRE
Description
Abstract:Despite growing interest in understanding how food environments shape dietary behaviors, European longitudinal evidence is scarce. We aimed to investigate the associations of 9-year average and change in exposure to local retail food environments with the diet quality of residents in Luxembourg. We used data from 566 adults enrolled in both waves of the nationwide ORISCAV-LUX study (2007-2017). Dietary quality was assessed by the Diet Quality Index-International (DQI-I). Exposure to "healthy" and "less healthy" food outlets was assessed by both absolute and relative GIS-based measurements. The results showed a 56.3% increase in less healthy food outlets over the period. In adjusted linear mixed models, high (vs. low) 9-year average exposure to less healthy food outlets was associated with lower DQI-I, when examining spatial access (β = -1.25, 95% CI: -2.29, -0.22) and proportions (β = -1.24, 95% CI: -2.15, -0.33). Stratified analyses showed these associations to be significant only among urban residents. There was no association between change in exposure to less healthy food outlets and DQI-I. Increased exposure to healthy outlets in rural areas, using absolute measurements, was associated with worsened DQI-I. Neighborhood socioeconomic status did not moderate the above associations. Findings suggest that the proliferation of less healthy food outlets may have contributed to the deterioration of the diet quality of urban residents, and support the use of relative measurements to fully capture the healthiness of food environments.
ISSN:13538292
DOI:10.1016/j.healthplace.2024.103240