scholarly journals The association of dimensions of fruit and vegetable access in the retail food environment with consumption; a systematic review

2021 ◽  
Vol 29 ◽  
pp. 100528
Author(s):  
Grace Turner ◽  
Rosemary Green ◽  
Carmelia Alae-Carew ◽  
Alan D. Dangour
2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
G Turner ◽  
R Green ◽  
C Alae-Carew ◽  
AD Dangour

Abstract   The consumption of fruit and vegetable (F&V) is important for human health to protect against non-communicable disease and micronutrient deficiency. Increasing consumption of F&V may also benefit planetary health if these foods are substituted for foods with higher environmental footprints such as red meat or dairy. The retail food environment (RFE) is an influential junction between the food system and individual diets as it drives access to F&V through external (physical access) and personal (availability, affordability, acceptability) domains. We performed a systematic search of six literature databases (January 2021) for studies assessing access to F&V in the RFE and its association with F&V consumption in adults in high- and upper-middle income countries. 36 studies were identified and categorised by dimensions of food access - accessibility, affordability, acceptability, availability and accommodation. More than half of the studies (n = 20) were based in the USA. F&V accessibility was the most commonly reported dimension (n = 29); no study reported on accommodation. 6 studies were rated to be high quality. A positive association of increased availability of F&V options in the RFE with intake was identified in 9 of 15 studies. Associations in both acceptability and accessibility dimensions were inconsistent. No association was observed between F&V affordability and consumption although available data were limited. Many challenges exist to building a robust evidence base within food environment research including conceptual, definitional and methodological heterogeneity and measurement standardisation. Future food policies should consider multi-dimensional interventions to promote access to F&V in the RFE across all domains. Key messages First systematic review of dimensions of access in the retail food environment (RFE) and fruit and vegetable (F&V) intake suggesting importance of access to available healthy options for F&V intake. The retail food environment is complex but likely predictor of F&V consumption.


2014 ◽  
Vol 15 (5) ◽  
pp. 359-374 ◽  
Author(s):  
J. Williams ◽  
P. Scarborough ◽  
A. Matthews ◽  
G. Cowburn ◽  
C. Foster ◽  
...  

2009 ◽  
Vol 23 (4) ◽  
pp. 255-264 ◽  
Author(s):  
Shannon N. Zenk ◽  
Laurie L. Lachance ◽  
Amy J. Schulz ◽  
Graciela Mentz ◽  
Srimathi Kannan ◽  
...  

2019 ◽  
Vol 57 ◽  
pp. 186-199 ◽  
Author(s):  
Emma Wilkins ◽  
Duncan Radley ◽  
Michelle Morris ◽  
Matthew Hobbs ◽  
Alex Christensen ◽  
...  

The Lancet ◽  
2013 ◽  
Vol 382 ◽  
pp. S105 ◽  
Author(s):  
Julianne Williams ◽  
Peter Scarborough ◽  
Anne Matthews ◽  
Charlie Foster ◽  
Gill Cowburn ◽  
...  

2019 ◽  
Vol 8 (4) ◽  
pp. 411-428 ◽  
Author(s):  
Catherine L. Mah ◽  
Gabriella Luongo ◽  
Rebecca Hasdell ◽  
Nathan G. A. Taylor ◽  
Brian K. Lo

Abstract Purpose of Review Update the state of evidence on the effectiveness of retail food environment interventions in influencing diet and explore the underlying role of public policy, through a systematic review of population-level interventions to promote health in the retail food environment, including community and consumer environments. Diet-related outcomes included purchasing, dietary intakes, diet quality, and health including weight. We coded studies for enabling public policy levers underpinning the intervention, using two widely used conceptual frameworks. Recent Findings Of 86 articles (1974–2018), the majority (58 articles, 67%) showed at least one positive effect on diet. Thirteen articles (15%) discussed natural experiments, 27 articles (31%) used a design involving comparison groups including 23 articles (27%) specifically describing randomized controlled trials, and 46 (53%) were quasi-experimental (cross-sectional) evaluations. Across the “4Ps” of marketing (product, promotion, placement, and price), promotion comprised the greatest proportion of intervention strategies, especially in earlier literature (pre-2008). Few studies combined geographic access interventions with 4P strategies, and few used robust dietary intake assessments. Behavior change communication remains an intervention mainstay, but recent work has also incorporated environmental and social planning, and fiscal strategies. More recent interventions were multi-component. Summary The retail food environment intervention literature continues to grow and has become more robust overall, with clearer evidence of the effect of interventions on diet-related outcomes, including consumer purchasing, dietary intakes, and health. There is still much scope for development in the field. Attention to enabling public policy could help to strengthen intervention implementation and evaluation in the retail food environment.


Author(s):  
Ting Zhang ◽  
Bo Huang

Outside of western countries, the study of the local food environment and evidence for its association with dietary behavior is limited. The aim of this paper was to examine the association between the local retail food environment and consumption of fruit and vegetables (FV) among adults in Hong Kong. Local retail food environment was measured by density of different types of retail food outlets (grocery stores, convenience stores, and fast food restaurants) within a 1000 m Euclidean buffer around individual’s homes using a geographic information system (GIS). The Retail Food Environment Index (RFEI) was calculated based on the relative density of fast-food restaurants and convenience stores to grocery stores. Logistic regressions were performed to examine associations using cross-sectional data of 1977 adults (18 years or older). Overall, people living in an area with the highest RFEI (Q4, >5.76) had significantly greater odds of infrequent FV consumption (<7 days/week) after covariates adjustment (infrequent fruit consumption: OR = 1.36, 95% CI 1.04–1.78; infrequent vegetable consumption: OR = 1.72, 95% CI 1.11–2.68) in comparison to the lowest RFEI (Q1, <2.25). Highest density of fast food restaurants (Q4, >53) was also significantly associated with greater odds of infrequent fruit consumption (<7 days/week) (unadjusted model: OR = 1.34, 95% CI 1.04–1.73), relative to lowest density of fast food restaurants (Q1, <13). No significant association of density of grocery stores or convenience stores was observed with infrequent FV consumption regardless of the covariates included in the model. Our results suggest that the ratio of fast-food restaurants and convenience stores to grocery stores near people’s home is an important environmental factor in meeting fruit and vegetable consumption guidelines. “Food swamps” (areas with an abundance of unhealthy foods) rather than “food deserts” (areas where there is limited access to healthy foods) seems to be more of a problem in Hong Kong’s urban areas. We advanced international literature by providing evidence in a non-western setting.


Obesity ◽  
2018 ◽  
Vol 26 (6) ◽  
pp. 1063-1071 ◽  
Author(s):  
Mary T. Gorski Findling ◽  
Julia A. Wolfson ◽  
Eric B. Rimm ◽  
Sara N. Bleich

2011 ◽  
Vol 25 (S1) ◽  
Author(s):  
Diego Rose ◽  
Lauren Futrell Dunaway ◽  
Adriana Dornelles ◽  
Keelia O'Malley ◽  
J. Nicholas Bodor ◽  
...  

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