The Local Food Environment and Obesity: Evidence from Three Cities

Objective This study aimed to identify the association between the food environment and obesity. Methods BMI and waist circumference (WC) were measured in 8,076 participants from three cities. The number of fast‐food restaurants, full‐service restaurants, bars/pubs, markets, and liquor stores within...

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Vydáno v:Obesity (Silver Spring, Md.) Ročník 28; číslo 1; s. 40 - 45
Hlavní autoři: Walker, Blake Byron, Shashank, Aateka, Gasevic, Danijela, Schuurman, Nadine, Poirier, Paul, Teo, Koon, Rangarajan, Sumathy, Yusuf, Salim, Lear, Scott A.
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Blackwell Publishing Ltd 01.01.2020
John Wiley and Sons Inc
Témata:
Abdomen
Alcohol
Censuses
Cities
Food
Grocery stores
Liquor stores
Neighborhoods
Obesity
Original
Restaurants
Rural areas
SPECIAL SECTION: OBESITY—ENVIRONMENT INTERACTIONS
Studies
Suburban areas
Walking
ISSN:1930-7381, 1930-739X, 1930-739X
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Shrnutí:Objective This study aimed to identify the association between the food environment and obesity. Methods BMI and waist circumference (WC) were measured in 8,076 participants from three cities. The number of fast‐food restaurants, full‐service restaurants, bars/pubs, markets, and liquor stores within 500 m of each participant was documented. The association between the food environment (ratio of fast‐food to full‐service restaurants, ratio of bars/pubs to liquor stores, and presence of markets) with obesity (BMI ≥ 30 kg/m2) and abdominal obesity (WC ≥ 102 cm for males or WC ≥ 88 cm for females) was investigated, adjusted for age, sex, education level, neighborhood deprivation, neighborhood type, and total hours per week of walking and taking into account city‐level clustering. Results The ratios of fast‐food to full‐service restaurants and of bars/pubs to liquor stores were positively associated with obesity (OR = 1.05 [CI: 1.02‐1.09] and OR = 1.08 [CI: 1.04‐1.13], respectively). The ratio of bars/pubs to liquor stores was positively associated with abdominal obesity (OR = 1.10 [CI: 1.05‐1.14]). There was no association between markets and either obesity or abdominal obesity. Conclusions Features of the food environment have varying associations with obesity. These features have an additive effect, and future studies should not focus on only one feature in isolation.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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Funding agencies: The Prospective Urban Rural Epidemiology (PURE) Study is an investigator‐initiated study funded by the Population Health Research Institute, the Canadian Institutes of Health Research (CIHR), Heart and Stroke Foundation of Ontario; support from CIHR’s Strategy for Patient Oriented Research (SPOR) through the Ontario SPOR Support Unit and the Ontario Ministry of Health and Long‐Term Care; and through unrestricted grants from several pharmaceutical companies (with major contributions from AstraZeneca [Canada], Sanofi‐Aventis [France and Canada], Boehringer Ingelheim [Germany and Canada], Servier, and GSK) and additional contributions from Novartis and King Pharma.
Disclosure: The authors declared no conflict of interest.
ISSN:1930-7381
1930-739X
1930-739X
DOI:10.1002/oby.22614