scholarly journals Associations between residential food environment and dietary patterns in urban-dwelling older adults: results from the VoisiNuAge study

2012 ◽  
Vol 15 (11) ◽  
pp. 2026-2039 ◽  
Author(s):  
Geneviève Mercille ◽  
Lucie Richard ◽  
Lise Gauvin ◽  
Yan Kestens ◽  
Bryna Shatenstein ◽  
...  
Keyword(s):  
Older Adults ◽  
Dietary Patterns ◽  
Food Environment ◽  
Fast Food ◽  
Food Source ◽  
Food Sources ◽  
Linear Regression Models ◽  
Food Stores ◽  
Food Outlets ◽  
Healthful Food

AbstractObjectiveTo examine associations between the availability of residential-area food sources and dietary patterns among seniors.DesignCross-sectional analyses. Individual-level data from the NuAge study on nutrition and healthy ageing were merged with geographic information system data on food store availability and area-level social composition. Two dietary patterns reflecting lower- and higher-quality diets (respectively designated ‘western’ and ‘prudent’) were identified from FFQ data. Two food source relative availability measures were calculated for a 500 m road-network buffer around participants’ homes: (i) proportion of fast-food outlets (%FFO) relative to all restaurants and (ii) proportion of stores potentially selling healthful foods (%HFS, healthful food stores) relative to all food stores. Associations between dietary patterns and food source exposure were tested in linear regression models accounting for individual (health and sociodemographic) and area-level (socio-economic and ethnicity) covariates.SettingMontréal metropolitan area, Canada.SubjectsUrban-dwelling older adults (n 751), aged 68 to 84 years.Results%FFO was inversely associated with prudent diet (β = −0·105; P < 0·05) and this association remained statistically significant in models accounting for %HFS. %HFS was inversely associated with lower western diet scores (β = −0·124; P < 0·01). This latter association no longer reached significance once models were adjusted for area-level covariates.ConclusionsIn Montréal, the food environment is related to the diet of older adults but these links are more complex than straightforward. The absence of significant relationships between healthful food stores and prudent diets, and between fast-food outlets and western diets, deserves further investigation.

scholarly journals Characterizing the food environment: pitfalls and future directions

2013 ◽  
Vol 16 (7) ◽  
pp. 1238-1243 ◽  
Author(s):  
Anne Vernez Moudon ◽  
Adam Drewnowski ◽  
Glen E Duncan ◽  
Philip M Hurvitz ◽  
Brian E Saelens ◽  
...  
Keyword(s):  
Food Environment ◽  
Fast Food ◽  
Health Department ◽  
Food Sources ◽  
Future Research ◽  
Grocery Stores ◽  
Local Health ◽  
King County ◽  
Potential Health ◽  
Food Stores

AbstractObjectiveTo assess a county population's exposure to different types of food sources reported to affect both diet quality and obesity rates.DesignFood permit records obtained from the local health department served to establish the full census of food stores and restaurants. Employing prior categorization schemes which classified the relative healthfulness of food sources based on establishment type (i.e. supermarkets v. convenience stores, or full-service v. fast-food restaurants), food establishments were assigned to the healthy, unhealthy or undetermined groups.SettingKing County, WA, USA.SubjectsFull census of food sources.ResultsAccording to all categorization schemes, most food establishments in King County fell into the unhealthy and undetermined groups. Use of the food permit data showed that large stores, which included supermarkets as healthy food establishments, contained a sizeable number of bakery/delis, fish/meat, ethnic and standard quick-service restaurants and coffee shops, all food sources that, when housed in a separate venue or owned by a different business establishment, were classified as either unhealthy or of undetermined value to health.ConclusionsTo fully assess the potential health effects of exposure to the extant food environment, future research would need to establish the health value of foods in many such common establishments as individually owned grocery stores and ethnic food stores and restaurants. Within-venue exposure to foods should also be investigated.

scholarly journals Fast-food outlets and walkability in school neighbourhoods predict fatness in boys and height in girls: a Taiwanese population study

2011 ◽  
Vol 14 (9) ◽  
pp. 1601-1609 ◽  
Author(s):  
Po-Huang Chiang ◽  
Mark L Wahlqvist ◽  
Meei-Shyuan Lee ◽  
Lin-Yuan Huang ◽  
Hui-Hsin Chen ◽  
...  
Keyword(s):  
Body Composition ◽  
Birth Weight ◽  
Waist Circumference ◽  
Fast Food ◽  
Food Culture ◽  
Linear Regression Models ◽  
School Food ◽  
Food Stores ◽  
Food Outlets ◽  
North East

AbstractObjectiveThere is increasing evidence that the school food environment contributes to childhood obesity and health in various locations. We investigated the influence of fast-food stores and convenience food stores (FS and CS, respectively) on growth and body composition in a range of residential densities for North-east Asian food culture.DesignAnthropometrics and birth weight of schoolchildren were obtained. Geocoded mapping of schools and food outlets was conducted. Multivariable linear regression models, adjusted for father's ethnicity and education, as well as for household income, pocket money, birth weight, physical activity, television watching, food quality and region, were used to predict body composition from school food environments.SettingElementary schools and school neighbourhoods in 359 townships/districts of Taiwan.SubjectsA total of 2283 schoolchildren aged 6–13 years from the Elementary School Children's Nutrition and Health Survey in Taiwan conducted in 2001–2002.ResultsRemote and socially disadvantaged locations had the highest prevalence of lower weight, BMI, waist circumference and triceps skinfold thickness. Food store densities, FS and CS, were highest in urban Taiwan and lowest in remote Taiwan. In the fully adjusted models, FS densities predicted weight and BMI in boys; there was a similar association for waist circumference, except when adjusted for region. FS densities also predicted height for girls. Except for weight and BMI in boys, CS did not have effects evident with FS for either boys or girls.ConclusionsA high FS density, more than CS density, in Taiwan increased the risk of general (BMI) and abdominal (waist circumference) obesity in boys and stature in girls. These findings have long-term implications for chronic disease in adulthood.

scholarly journals Ultra-processed food consumption patterns among older adults in the Netherlands and the role of the food environment

2020 ◽  
Author(s):  
Maria Gabriela M. Pinho ◽  
Jeroen Lakerveld ◽  
Marjolein C. Harbers ◽  
Ivonne Sluijs ◽  
Roel Vermeulen ◽  
...  
Keyword(s):  
Older Adults ◽  
The Netherlands ◽  
Food Environment ◽  
Fast Food ◽  
Cross Sectional Study ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Total Food Intake ◽  
Total Food ◽  
Fast Food Restaurants

Abstract Purpose To describe the patterns of ultra-processed foods (UPFs) consumption in the Netherlands; to test if exposure to the food environment is associated with UPFs consumption; and if this association differed across educational levels and neighbourhood urbanisation. Methods Cross-sectional study using 2015-data of 8104 older adults from the Dutch EPIC cohort. Proportion of UPFs consumption was calculated from a validated food-frequency questionnaire. Exposure to the food environment was defined as proximity and availability of supermarkets, fast-food restaurants, full-service restaurants, convenience stores, candy stores and cafés. Consumption of UPFs was expressed as both percentage of total grams and total kilocalories. Results The study population was aged 70(± 10 SD) years and 80.5% was female. Average UPFs consumption was 17.8% of total food intake in grams and 37% of total energy intake. Those who consumed greater amounts of UPFs had a poorer overall diet quality. Adjusted linear regression models showed that closer proximity and larger availability to any type of food retailer was associated with lower UPFs consumption (both in grams and kilocalories). Somewhat stronger significant associations were found for proximity to restaurants (β = − 1.6%, 95% confidence interval (CI) = − 2.6; − 0.6), and supermarkets (β = − 2.2%, 95%CI = − 3.3; − 1.1); i.e., Individuals living within 500 m from the closest supermarket, as compared to 1500 m, had 2.6% less calories from UPFs. No differences were found on analyses stratified for urbanisation and education. Conclusions Using various measures of exposure to the food environment, we found that exposure to restaurants and supermarkets was associated with somewhat lower consumption of UPFs.

scholarly journals Socioeconomic inequalities in the food environment and body composition among school-aged children: a fixed-effects analysis

2021 ◽  
Author(s):  
Famke J. M. Mölenberg ◽  
Joreintje D. Mackenbach ◽  
Maartje P. Poelman ◽  
Susana Santos ◽  
Alex Burdorf ◽  
...  
Keyword(s):  
Food Environment ◽  
Fast Food ◽  
Fixed Effects ◽  
Maternal Education ◽  
Socioeconomic Inequalities ◽  
Fat Free Mass ◽  
Linear Regression Models ◽  
Individual Level ◽  
Food Outlets ◽  
Median Period

Abstract Background There is limited evidence regarding socioeconomic inequalities of exposure to the food environment and its contribution to childhood obesity. Methods We used data from 4235 children from the Generation R Study, a large birth-cohort conducted in the city of Rotterdam, The Netherlands. We included 11,277 person-observations of body mass index (BMI) and 6240 person-observations of DXA-derived fat mass index (FMI) and fat-free mass index (FFMI) when children were between 4 and 14 years. We applied linear regression models to evaluate changes in the relative and absolute exposure of fast-food outlets, and the healthiness of the food environment within 400 m from home by maternal education. Furthermore, we used individual-level fixed-effects models to study changes in the food environment to changes in BMI, FMI and FFMI. Results Children from lower educated mothers were exposed to more fast-food outlets at any time-point between the age of 4 and 14 years. Over a median period of 7.1 years, the absolute (0.6 fast-food outlet (95% CI: 0.4–0.8)) and relative (2.0%-point (95% CI: 0.7–3.4)) amount of fast-food outlets increased more for children from lower as compared to higher educated mothers. The food environment became more unhealthy over time, but no differences in trends were seen by maternal education level. Changes in the food environment were not associated with subsequent changes in BMI, FMI and FFMI. For children from lower educated mothers not exposed to fast-food at first, we found some evidence that the introduction of fast-food was associated with small increases in BMI. Conclusions Our findings provide evidence of widening inequalities in exposure to fast-food in an already poor food environment. Access to more fast-food outlets does not seem to have an additional impact on BMI in contemporary contexts with ubiquitous fast-food outlets.

scholarly journals Association between Neighborhood Food Environment and Body Mass Index among Older Adults in Beijing, China: A Cross-Sectional Study

2020 ◽  
Vol 17 (20) ◽  
pp. 7658
Author(s):  
Man Zhang ◽  
Wen Guo ◽  
Na Zhang ◽  
Hairong He ◽  
Yu Zhang ◽  
...  
Keyword(s):  
Older Adults ◽  
Body Mass Index ◽  
Body Mass ◽  
Food Environment ◽  
Fast Food ◽  
Buffer Zone ◽  
Convenience Stores ◽  
Neighborhood Food Environment ◽  
Fast Food Restaurants ◽  
Beijing China

Objective: To investigate the association between the neighborhood food environment and body mass index (BMI) among Chinese older adults. Methods: A multi-stage stratified random sampling method was used to recruit participants from 12 communities in Beijing, China, in 2019. Participants (n = 1764, 1034 women) in this study were older adults aged 65 to 80. We collected the participants’ basic information, measured their height and weight, and calculated their BMI. Neighborhood food environments were measured by the density of and proximity to different food outlets using the Baidu Map Application Programming Interface. Adjusted multiple linear regression was performed to estimate the association between the food environment and BMI. Results: Participants had a mean age of 69.7 ± 4.32 years old and an average BMI of 26.3 ± 3.50 kg/m2. Among the three types of stores, convenience stores had the easiest access, followed by greengrocers and supermarkets. Sit-down restaurants had the best access among different restaurants, followed by Chinese fast-food restaurants, and western fast-food restaurants had the worst access. Easier access to greengrocers (β = 0.281, p < 0.001) and sit-down restaurants (β = 0.304, p < 0.001) was associated with higher BMI in the 250 m buffer zone. More supermarkets were associated with higher BMI in the 500 m buffer zone (β = 0.593, p < 0.001). Access to convenience stores was positively associated with BMI in the 800 m buffer zone (β = 0.057, p < 0.001). Better access to Chinese fast-food restaurants was associated with higher BMI (β = 0.071, p = 0.001), and better access to western fast- food restaurants was associated with lower BMI (β = −0.400, p < 0.001) in the 1000 m buffer zone. There was a negative association between the nearest distance to greengrocers and BMI (β = −0.004, p < 0.001). Conclusion: Although we found some significant associations between the neighborhood food environment and obesity, the current results are not strong enough to draw specific conclusions. Policymakers will need to rely on more evidence to derive concrete policy recommendations.

scholarly journals Association between junk food consumption and fast-food outlet access near school among Quebec secondary-school children: findings from the Quebec Health Survey of High School Students (QHSHSS) 2010–11

2016 ◽  
Vol 20 (5) ◽  
pp. 927-937 ◽  
Author(s):  
Nicoleta Cutumisu ◽  
Issouf Traoré ◽  
Marie-Claude Paquette ◽  
Linda Cazale ◽  
Hélène Camirand ◽  
...  
Keyword(s):  
High School ◽  
High School Students ◽  
Secondary School ◽  
School Children ◽  
Food Environment ◽  
Fast Food ◽  
Junk Food ◽  
Food Outlet ◽  
School Students ◽  
Food Outlets

AbstractObjectiveWe investigated the association between junk food consumption at lunchtime (JCL) and fast-food outlet access near school among secondary-school children in Quebec.DesignA geographic information system database was used to characterize the food environment around a sub-sample of 374 public schools in which 26 655 students were enrolled. The outcome variable was JCL during the previous week, dichotomized into low JCL (none or once)v. high JCL (twice or more). Access to fast-food outlets near school was assessed using an existing database of fast-food outlets in Quebec. Covariates included student (age, sex and self-rated perceived health), family (familial status and parental education) and school (urban/rural status and deprivation) variables. Hierarchical logistic regression models were employed for analyses using PROC GLIMMIX of SAS version 9.3.SettingProvince of Quebec, Canada.SubjectsWe used data from the Quebec Health Survey of High School Students (QHSHSS) 2010–11, a survey of secondary-school Quebec students.ResultsExposure to two or more fast-food outlets within a radius of 750 m around schools was associated with a higher likelihood of excess JCL (OR=1·50; 95 % CI 1·28, 1·75), controlling for the characteristics of the students, their families and their schools.ConclusionsThe food environment surrounding schools can constitute a target for interventions to improve food choices among secondary-school children living in the province of Quebec. Transforming environments around schools to promote healthy eating includes modifying zoning regulations that restrict access to fast-food outlets around schools.

Spatial inequalities of retail food stores may determine availability of healthful food choices in a Brazilian metropolis

2021 ◽  
pp. 1-25
Author(s):  
Mariana Souza Lopes ◽  
Waleska Teixeira Caiaffa ◽  
Amanda Cristina de Souza Andrade ◽  
Ariene Silva do Carmo ◽  
Sharrelle Barber ◽  
...  
Keyword(s):  
Residential Segregation ◽  
Food Environment ◽  
Food Choices ◽  
Food Stores ◽  
Economic Segregation ◽  
Spatial Inequalities ◽  
Proportional Odds Models ◽  
Belo Horizonte ◽  
Retail Food ◽  
Healthful Food

Abstract Objective: To examine the association between economic residential segregation and food environment. Design: Ecological. Food stores categorized according to the NOVA classification were geocoded, and absolute availability was calculated for each neighborhood. Segregation was measured using local Gi* statistic, a measure of the standard deviation (SD) between the economic composition of a neighborhood (the proportion of heads of households in neighborhoods earn monthly income of 0 to 3 minimum wages) and larger metropolitan area, weighted by the economic composition of surrounding neighborhoods. Segregation was categorized as high [most segregated], medium [integrated], and low [less segregated or integrated]. A proportional odds models were used to model the association between segregation and food environment. Setting: Belo Horizonte, Brazil. Participants: Food stores. Results: After adjustment for covariates, neighborhoods characterized by high economic segregation had fewer food stores overall compared to neighborhoods characterized by low segregation [OR=0.56;CI95%=0.45-0.69]. In addition, high segregated neighborhoods were 49% (OR=0.51;95%CI=0.42–0.61) and 45% (OR=0.55;95% CI=0.45–0.67) less likely to have a high number of food stores that predominantly marketed ultra-processed foods and mixed food stores, respectively, as compared to their counterparts. Conclusions: Economic segregation is associated with differences in the distribution of food stores. Both low and high segregation territories should be prioritized by public policies to ensure healthy and adequate nutrition as a right for all communities. The former must continue to be protected from access to unhealthy commercial food outlets while the latter must be the locus of actions that limit the availability of unhealthy commercial food store.

Density of Neighborhood Fast-Food Outlets Is Associated with Increased Obesity Risk in Older Adults

2008 ◽  
Vol 40 (Supplement) ◽  
pp. S255
Author(s):  
Fuzhong Li ◽  
Peter Harmer ◽  
Bradley J. Cardinal ◽  
Naruepon Vongjaturapat
Keyword(s):  
Older Adults ◽  
Fast Food ◽  
Obesity Risk ◽  
Food Outlets

scholarly journals 4430 Coffee Shops and Fast-food Restaurants: Potential Neighborhood Resources for Cognitive Health and Wellbeing Among Aging Americans

2020 ◽  
Vol 4 (s1) ◽  
pp. 4-4
Author(s):  
Jessica Finlay ◽  
Michael Esposito ◽  
Sandra Tang ◽  
Iris Gomez-Lopez ◽  
Dominique Sylvers ◽  
...  
Keyword(s):  
Older Adults ◽  
Mixed Methods ◽  
Cognitive Decline ◽  
Racial Differences ◽  
Fast Food ◽  
Later Life ◽  
Linear Regression Models ◽  
Cognitive Health ◽  
Fast Food Restaurants ◽  
Coffee Shops

OBJECTIVES/GOALS: Environmental factors may significantly increase the risk of or buffer against Alzheimer’s disease and related dementias, yet strategies to address cognitive decline and impairment to date largely overlook the role of neighborhoods. This mixed-methods study is the first to examine potential links between access to eateries and cognitive function. The goal is to inform place-specific interventions to help aging individuals reduce risk for cognitive impairment through neighborhood community and design. METHODS/STUDY POPULATION: Following an exploratory sequential mixed-methods design, seated and mobile interviews with 125 adults aged 55-92 (mean age 71) living in the Minneapolis (Minnesota) metropolitan area suggest that eateries, including coffee shops and fast-food restaurants, represent popular neighborhood destinations for older adults and sources of wellbeing. To test the hypothesis that these sites, and the benefits they confer, are associated with cognitive welfare, we analyzed data from urban and suburban dwelling participants in the REasons for Geographic And Racial Differences in Stroke (REGARDS) study, a national racially diverse sample of older Americans followed since 2003 (n = 16,404, average age at assessment 72 years). RESULTS/ANTICIPATED RESULTS: Qualitative thematic analysis of how older adults perceived and utilized local eateries include sites of familiarity and comfort; physical and economic accessibility; sociability with friends, family, staff, and customers; and entertainment (e.g., destinations for outings and walks, free newspapers to read). Quantitative results from multilevel linear regression models demonstrate a positive association between density of eateries and cognitive functioning. Taken together, these results complicate our understanding of fast-food settings as possible sites of wellbeing through social interaction and leisure activities. DISCUSSION/SIGNIFICANCE OF IMPACT: The results contribute new evidence towards an emerging ecological model of cognitive health. Understanding whether and how retail food environments can help buffer against cognitive decline among older adults provides novel opportunities to promote wellbeing in later life through community interventions and neighborhood design.

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