PREVALENCE AND FACTORS ASSOCIATED WITH OBESITY AMONG ADULT AT THE KAMPUNG KOLAM, EAST COAST MALAYSIAN PENINSULA-A CROSS SECTIONAL STUDY

Objective: This study assesses the prevalence of obesity and its associated factors among adults aged 18 y and above at the Kampaung kolam, Kuala Terengganu, Malaysia.Methods: This cross-sectional survey comprised of a semi-structured face to face interview questionnaire and collected anthropometric measurements and sex specific waist circumference in cm. The study population was 70 in total with 21 (30%) males and 49 (70%) females aged 18 y and above were selected by universal sampling. Body mass index (BMI) was used for weight status and sex specific waist circumference (WC) in cm was used for assessment of abdominal or central obesity at risk of metabolic complications associated with obesity.Results: Among men, the prevalence of underweight was 9.5%, normal weight 57.1%, overweight 14.3% and obesity 19.1%, while among women, the prevalence of underweight was 12.2%, normal weight 53.1%, overweight 14.3% and obesity 20.4%. Overall, 18 (25.7%) was obese and 52 (74.3%) was non-obese while sex specific WC in cm 19 (27.1%) was abdominal obese who were at risk of metabolic complication associated with obesity and 51 (72.9%) was not at risk. In chi-square association tests revealed that among respondents, currently married, unemployed and having family history with obesity were associated with generalized obesity while respondents who were currently married and having fast food frequently were associated with abdominal obesity and respondents who being currently married, unemployed and having fast food frequently were more likely to obese in generalized as well as abdominally.Conclusion: There was no association between generalized, abdominal and generalized and abdominal obesity with age, gender, education, flat floor structure, dietary patterns and habits, physical activities, sleep pattern and knowledge and attitude level towards obesity but those factors can be utilized in effective health promotion programmers of weight management strategies by targeting those factors in design for prevention of hypertension, diabetes and related cardio vascular diseases CVD.

Download Full-text

Alarming Rates of Obesity and Diabetes in Urban Africa: A Case Study in Bamako, Mali

Current Developments in Nutrition ◽

10.1093/cdn/nzaa043_066 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 215-215

Author(s):

Yves Kameli ◽

Joseph Meunier ◽

Stephane BESANCON ◽

Mathilde Savy ◽

Yves Martin-Prevel

Keyword(s):

At Risk ◽

Waist Circumference ◽

Abdominal Obesity ◽

Task Force ◽

Overweight And Obesity ◽

Age Group ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Cut Points ◽

Obesity And Diabetes

Abstract Objectives Sahelian cities are growing very fast with changes in lifestyles and rise in obesity and associated chronic diseases. Reliable data on the nutritional situation in African cities is dreadfully missing. The aim of this study was to estimate overweight and obesity rates and the risk of pre-diabetes and diabetes in Bamako in order to trigger appropriate prevention measures. Methods From November 2019 to January 2020, a cross-sectional survey was conducted among a representative sample of 2040 households in Bamako, Mali. In each household, a random selection of individuals was stratified on age groups: 12–17 y, 18–29 y, 30–49 y, ≥50 y. Anthropometric measurements (weight, height, waist circumference) and plasma fasting glycemia (PFG) using Hemocue® devices were performed according to international procedures. The prevalence of overweight and obesity were defined by Body Mass Index (BMI) values using WHO cut-points for adults (25 kg/m2 ≤ BMI < 30 kg/m2 and BMI ≥ 30 kg/m2, respectively) and International Obesity Task Force cut-points for adolescents (IOTF-25 and IOTF-30, respectively). Abdominal obesity was defined by a waist circumference ≥88 cm for women and ≥102 cm for men. Risks of pre-diabetes and diabetes were defined by a PFG between 100 and 125 mg/dl and ≥126 mg/dl, respectively. Results All ages combined, the prevalence of overweight was 19.5% among men (n = 1933) and 24.4% among women (n = 2724) (P < 0.0001). The prevalence of obesity was 6.2% among men and 21.0% among women (P < 0.0001). We also found that 29.9% of women presented abdominal obesity vs 5.7% in men (P < 0.0001). Women older than 30 y (n = 1395) were the most affected, however women aged 12–17 y (n = 670) and 18–29 y (n = 881) presented alarming figures too (11.5% and 21.2% of them were overweight, respectively). Globally, 13.3% of individuals were at risk of pre-diabetes and 2.5% at risk of diabetes, with no significant gender differences. The risk of pre-diabetes ranged from 10.2% in the 12–17 y age-group to 17.8% in the ≥50 y age-group. Conclusions Our data calls for urgent actions to tackle the burden of overweight and obesity, especially among women, and to minimize the risk of diabetes and other associated non-communicable diseases in Bamako. Funding Sources French Embassy of Mali, French Institute of Research for sustainable Development (IRD).

Download Full-text

Awareness and knowledge about weight status and management: results from the 1 d sensitization campaign ‘Obesity Day’ in northern Italy

Public Health Nutrition ◽

10.1017/s136898001100005x ◽

2011 ◽

Vol 14 (10) ◽

pp. 1813-1822 ◽

Cited By ~ 4

Author(s):

Michela Barichella ◽

Alexis E Malavazos ◽

Giuseppe Fatati ◽

Emanuele Cereda

Keyword(s):

Physical Activity ◽

Weight Management ◽

Health Care Professionals ◽

Weight Control ◽

Weight Status ◽

Normal Weight ◽

Cross Sectional Survey ◽

Obese Adults ◽

Cross Sectional

AbstractObjectiveTo evaluate the awareness and knowledge about weight status and its management.DesignA 1 d cross-sectional survey. Basic anthropometric assessments (weight, height, BMI and waist circumference) and a self-administered questionnaire were considered.SettingNineteen Clinical Nutrition or Endocrinology and Metabolic Disorders Units or Dietetics Services in the Italian region of Lombardy.SubjectsAll adults attending the ‘Obesity Day’ initiative.ResultsA total of 914 participants (605 female and 309 male) were recruited. Although most of the participants (83·5 %) considered obesity to be a disease, 38·5 % were likely to misperceive their weight status. In particular, 38·8 % of normal-weight adults believed themselves to be overweight, whereas 71·1 % and 37·5 % of classes I and II/III obese adults classified themselves as being overweight and mildly obese, respectively. However, most of the overweight (90·2 %), mildly (96·8 %) and moderately/severely obese adults (99·1 %) recognized the need to lose weight. In all, 37·8 % of the sample underestimated the role of physical activity in weight management. Interestingly, only 17·2 % of dieters (previous or current) declared being advised by their doctor to lose weight. Multivariate models revealed that higher age, low education and higher BMI were important determinants of poor weight control and management. In addition, previous dieting appeared not to provide better knowledge, whereas the role of physical activity was recognized mainly by those practising it.ConclusionsThe present study suggests that in Italy knowledge about weight management should be improved not only in the general population but also among health-care professionals. To confirm this finding, there is now the rationale for a nationally representative survey. New educational programmes can be designed on the basis of the information collected.

Download Full-text

CZĘSTOŚĆ WYSTĘPOWANIA ORAZ CZYNNIKI SKORELOWANE Z BÓLEM MIESIĄCZKOWYM U ZDROWYCH STUDENTEK

Pomeranian Journal of Life Sciences ◽

10.21164/pomjlifesci.39 ◽

2016 ◽

Vol 60 (2) ◽

Author(s):

Iwona Teul ◽

Katarzyna Kliś ◽

Krzysztof Jarzębak ◽

Iwona Wronka

Keyword(s):

Waist Circumference ◽

Abdominal Obesity ◽

Age At Menarche ◽

Menstrual Disorders ◽

Menstrual Pain ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Anonymous Questionnaire ◽

Younger Age ◽

Correct Weight

Introduction: Menstrual disorders generally affect the daily activities of females, and menstrual pain is a common gynaecological complaint in westernized societies. The aim of the study was to determine the prevalence of, and the factors related to, menstrual pain in young, healthy women.Material and methods: Data from 600 university students were obtained during the cross sectional survey. Students were asked to complete an anonymous questionnaire. Information on the women’s socioeconomic status, age at menarche, and menstrual cycle characteristics: i.e. the length and regularity of cycles, the duration of menstrual flow, and the occurrence of menstrual pain, headache and back pain during the cycles were asked about. Each person’s height, weight and waist circumference were measured, and the following indices: BMI, WHR, and WHtR were calculated.Results: 29.8% of the surveyed students reported the occurrence of moderate pain during menstruation, and 21.7% reported the occurrence of severe menstrual pain. Significant differences were observed in the prevalence of menstrual pain with relation to age at menarche and the amount and distribution of adipose tissue. Menstrual pain was more prevalent among women who experienced menarche at a younger age. Among overweight and obese students, as well as among students with abdominal obesity, menstrual pain was more frequent than among those with correct weight and correct waist circumference. Moreover, psychological stress was associated with menstrual pain.Conclusion: The results of this study show that a significant percentage of young women complain of menstrual pain. Menstrual pain is associated with early age at menarche, obesity and abdominal obesity.

Download Full-text

The prevalence of metabolic syndrome and its association with body fat distribution in middle-aged individuals from Indonesia and the Netherlands: a cross-sectional analysis of two population-based studies

Diabetology & Metabolic Syndrome ◽

10.1186/s13098-019-0503-1 ◽

2020 ◽

Vol 12 (1) ◽

Cited By ~ 13

Author(s):

Fathimah S. Sigit ◽

Dicky L. Tahapary ◽

Stella Trompet ◽

Erliyani Sartono ◽

Ko Willems van Dijk ◽

...

Keyword(s):

Metabolic Syndrome ◽

Waist Circumference ◽

The Netherlands ◽

Abdominal Obesity ◽

Dutch Population ◽

Middle Aged ◽

Cross Sectional ◽

Metabolic Complications ◽

Men And Women ◽

The Metabolic Syndrome

Abstract Background The prevalence of metabolic syndrome varies among populations with different ethnicities. Asian populations develop metabolic complications at lower amounts of adiposity than western populations. The role of abdominal obesity in the metabolic differences between the two populations is poorly understood. Objectives Our objectives were to estimate the prevalence of metabolic syndrome and the relative contribution of its components in the Indonesian and the Dutch population, as well as to examine the associations of overall and abdominal obesity with metabolic syndrome. Methods In this cross-sectional study of middle-aged adults in the Netherlands Epidemiology of Obesity Study (n = 6602) and the Indonesian National Health Surveillance (n = 10,575), metabolic syndrome was defined by the unified IDF and AHA/NHLBI criteria. We performed logistic and linear regressions to examine associations of BMI and waist circumference with the metabolic syndrome, mutually adjusted for waist circumference and BMI. Results The prevalence of metabolic syndrome was 28% and 46% in Indonesian men and women, and 36% and 24% in Dutch men and women. The most prominent components were hypertension (61%) and hyperglycemia (51%) in the Indonesian, and hypertension (62%) and abdominal obesity (40%) in the Dutch population. Per SD in BMI and waist circumference, odds ratios (ORs, 95% CI) of metabolic syndrome were 1.5 (1.3–1.8) and 2.3 (1.9–2.7) in Indonesian men and 1.7 (1.2–2.5) and 2.9 (2.1–4.1) in Dutch men. The ORs of metabolic syndrome were 1.4 (1.2–1.6) and 2.3 (2.0–2.7) in Indonesian women and 1.0 (0.8–1.3) and 4.2 (3.2–5.4) in Dutch women. Conclusion More Indonesian women than men have metabolic syndrome, whereas the opposite is true for the Dutch population. In both the Indonesian and the Dutch populations, hypertension is the primary contributor to the prevalence of metabolic syndrome. In both populations, abdominal adiposity was more strongly associated with metabolic syndrome than overall adiposity.

Download Full-text

Ready-meal consumption: associations with weight status and cooking skills

Public Health Nutrition ◽

10.1017/s1368980010002624 ◽

2010 ◽

Vol 14 (2) ◽

pp. 239-245 ◽

Cited By ~ 101

Author(s):

Klazine van der Horst ◽

Thomas A Brunner ◽

Michael Siegrist

Keyword(s):

Nutritional Value ◽

Weight Status ◽

Strong Predictor ◽

Normal Weight ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Cooking Skills ◽

And Gender ◽

Ready Meal ◽

Meal Consumption

AbstractObjectiveThe ready-meal market has grown considerably in recent years. At the same time, a degradation of traditional cooking skills has been observed. Ready meals are often rich in energy, fat and sugar and lack vegetables; however, studies investigating associations between ready-meal consumption, overweight and cooking skills are lacking. The present study examines whether demographic factors, overweight, beliefs about the nutritional value and taste of ready meals and cooking skills are associated with ready-meal consumption.DesignCross-sectional survey.SettingReady-meal consumption, weight status, cooking skills, beliefs about the taste and nutritional value of ready meals and demographic variables were assessed with self-administered questionnaires. Data were analysed with one-way ANOVA and multiple regression analysis.SubjectsA total of 1017 adults from the German-speaking part of Switzerland.ResultsMen reported being more positive about ready meals and having fewer cooking skills compared with women. Overweight adults (BMI > 25 kg/m2) were more positive about nutrients and vitamins in ready meals compared with normal-weight adults. Ready-meal consumption was associated with cooking skills (β = −0·192), age (β =− 0·228), overweight (β = 0·129), nutritional value (β = −0·131), taste (β = −0·126), working status (β = 0·096) and gender (β = 0·084).ConclusionsCooking skills were identified as a strong predictor of ready-meal consumption. The importance of cooking skills as a barrier to healthy eating should be explored, as it is plausible that cooking skills will further decrease in the future. Next, the study provided evidence for an association between ready-meal consumption and overweight. Further research should examine the importance of ready meals for the overweight epidemic.

Download Full-text

The Prevalence of Abdominal Obesity and Its Correlates among the Adults in Dodoma Region, Tanzania: A Community-Based Cross-Sectional Study

Advances in Medicine ◽

10.1155/2018/6123156 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8 ◽

Cited By ~ 7

Author(s):

Mariam John Munyogwa ◽

Abdalla Hussein Mtumwa

Keyword(s):

Waist Circumference ◽

Abdominal Obesity ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Noncommunicable Diseases ◽

Cross Sectional Survey ◽

Community Based ◽

Cross Sectional ◽

Logistic Regression Models

Introduction. Overweight and obesity are a threat to the public health following their association with noncommunicable diseases, such as type 2 diabetes mellitus, cardiovascular disease, and some cancers. Despite this fact, the information on overweight and obesity, particularly in most developing countries, is still scarce to address the problem. This article partly addresses the gap through the findings of a cross-sectional survey that was conducted in Dodoma Region, Central Tanzania, to determine the prevalence and correlates of abdominal obesity among adults. Methods. Using a community-based cross-sectional survey, data were generated from the participants who aged 18 years and above. Simple random sampling and Kish selection table techniques were used to get the sample who responded through a face-to-face-administered questionnaire. Waist circumference was measured using the guideline of the WHO protocol of measuring waist and hip circumference. Abdominal obesity is defined as a condition with waist circumference >102 cm for men and >88 cm for women. Prevalence was computed with a 95% confidence interval. Simple and multiple logistic regression models were fitted to identify the risk factors associated with abdominal obesity. Results. A total of 840 respondents took part in the study. The overall prevalence of abdominal obesity was found to be 24.88% (209/840). The prevalence of abdominal obesity was significantly higher among women than men (35.14% vs. 6.89%, p<0.0001) and higher among urban dwellers (33.56%) than their rural counterparts (15.56%). Correlates of abdominal obesity was found to be gender, marital status, place of residence, age, education level, and the time used in watching television. Conclusion. This study revealed a high prevalence of abdominal obesity among the people living in the Dodoma Region. Increased age, urban residence, more time spent on television, less walking per day, and being ever married were all associated with having abdominal obesity in this population.

Download Full-text

Association between obesity and chronic obstructive pulmonary disease in Moroccan adults: Evidence from the BOLD study

SAGE Open Medicine ◽

10.1177/20503121211031428 ◽

2021 ◽

Vol 9 ◽

pp. 205031212110314

Author(s):

Abdelilah Benslimane ◽

Vanessa Garcia-Larsen ◽

Khaoula El Kinany ◽

Amina Alaoui Chrifi ◽

Zineb Hatime ◽

...

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Body Mass Index ◽

Waist Circumference ◽

Pulmonary Disease ◽

Body Mass ◽

Abdominal Obesity ◽

Chronic Obstructive ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Obstructive Pulmonary Disease

Objective: The Moroccan cross-sectional study aimed to investigate obesity in association to chronic obstructive pulmonary disease in Fez city. Methods: A cross-sectional survey was carried out in Moroccan adults. Anthropometric and spirometry measurements were performed using standardized guidelines. Results: Among the 744 participants, 53.9% of were women, with a mean age of 55.27 years (SD = 10.29). Nearly all women declared themselves to be never smokers, while 21% of men were current smokers. Overall, chronic obstructive pulmonary disease prevalence decreased with body mass index ( p = 0.01) and waist circumference ( p < 0.001). The same trends were also observed in women. The adjusted regression analysis showed a significant independent association between chronic obstructive pulmonary disease and decreasing overweight (ORa: 0.66; CI95% (0.40–0.98)), obesity (ORa: 0.66 CI95%: (0.36–0.89)), and a decreasing waist circumference-abdominal obesity (ORa: 0.58 CI95%: (0.34–0.99)) in the whole population. The same association remains significant in women for overweight (ORa: 0.18 CI95%: (0.06–0.54)) and for waist circumference-abdominal obesity (ORa: 0.40 CI95%: (0.19–0.85)). All these associations disappeared for men. Conclusion: Chronic obstructive pulmonary disease decreases with the increase in body mass index and waist circumference. The effect of waist circumference on the chronic obstructive pulmonary disease was greater among women, regardless of the tobacco factor. A multicenter study would help to confirm the accuracy of these findings in a larger sample of the Moroccan population. Developed lifestyle programs in patients with chronic obstructive pulmonary disease should be considered.

Download Full-text

The Association Between Single-Child Status and Risk of Abdominal Obesity: Result From a Cross-Sectional Study of China

Frontiers in Pediatrics ◽

10.3389/fped.2021.697047 ◽

2021 ◽

Vol 9 ◽

Author(s):

Di Gao ◽

Yanhui Li ◽

Zhaogeng Yang ◽

Ying Ma ◽

Manman Chen ◽

...

Keyword(s):

Logistic Regression ◽

Abdominal Obesity ◽

Regression Models ◽

Weight Status ◽

Cross Sectional Study ◽

High Risk Population ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Logistic Regression Models ◽

Single Child

Background: Obesity has become a serious problem threatening the health of children and adolescents, and China's one-child policy has affected family structure and parenting practice, which may result in several adverse health outcomes. The present study aims to investigate the association between single-child status and the risk of abdominal obesity in Chinese adolescents and also to compare the differences in the risk of unideal energy-related behaviors.Methods: Data were obtained from a school-based cross-sectional survey conducted in seven provinces of China, in 2012. A total of 31,291 students aged 7–17 years were recruited in this study. Anthropometric measurements were conducted to assess height and waist circumference, and questionnaires were used to obtain information of single-child status, parental educational attainment, parental weight status, and offspring energy-related behaviors. Multivariate logistic regression models were used to estimate the odds ratio (OR) and 95% confidence intervals (95% CI) of single-child status and odds of childhood abdominal obesity and energy-related behaviors.Results: The prevalence of abdominal obesity was 18.2% in single children, which was higher than that of non-single children (13.7%). The prevalence was also higher in single children in different sex and residence subgroups. Logistic regression models showed that single children had 1.33 times (OR: 1.33, 95% CI: 1.24–1.43, P < 0.001) higher odds of abdominal obesity compared to non-single children. Single children had 1.08 times higher odds of physical inactivity (OR: 1.08, 95% CI: 1.03–1.14, P = 0.004), 1.13 times higher odds of excessive sugar-sweetened beverages (SSBs) consumption (OR: 1.13, 95% CI: 1.05–1.23, P = 0.002), and 1.08 times more likely to eat out (OR: 1.08, 95% CI: 1.02–1.13, P = 0.006). Those associations were more remarkable in single girls.Conclusion: Being a single child may be associated with a higher odds of childhood abdominal obesity and unhealthy energy-related behaviors. Future interventions and strategies to prevent abdominal obesity should focus on this high-risk population.

Download Full-text

Fast foods perception among adolescents by gender and weight status

Nutrition and Health ◽

10.1177/0260106016685724 ◽

2016 ◽

Vol 23 (1) ◽

pp. 39-45 ◽

Cited By ~ 1

Author(s):

Sabika S Allehdan ◽

Reema F Tayyem ◽

Hiba A Bawadi ◽

Narmeen J Al-Awwad ◽

Mariam Al-Mannai ◽

...

Keyword(s):

Fast Food ◽

Weight Status ◽

Task Force ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Fast Foods ◽

Validated Questionnaire ◽

Significant Difference ◽

The Difference ◽

Self Service

Background: Fast food restaurants have become widespread in both developed and developing countries due to nutritional and economic transitions. The frequency of fast food intake is relatively high among adolescents; however, fast food consumption is positively associated with total energy intake and obesity in adolescents. Objective: This study aimed to examine the perception of Jordanian adolescents towards fast foods relative to gender and obesity. Methods: A cross-sectional survey was conducted on 400 boys and 395 girls, aged 15–18 years. The adolescents completed a validated questionnaire to measure the perception of adolescents towards fast foods during the year 2013–2014. Weight and height were measured. Numbers who were non-overweight, overweight, and obese were calculated for each age and sex using the International Obesity Task Force (IOTF) standard. Results: The majority of participants perceived foods which are eaten as sandwiches as fast foods. A significant difference between boy and girl adolescents was reported regarding perception of French fries ( p < 0.012), fried chicken ( p < 0.001), fattayer ( p < 0.001), foul (boiled broad beans) sandwich ( p < 0.001), falafel sandwich ( p < 0.044) and fried eggs sandwich ( p < 0.001) as fast foods. Girls were significantly more enthusiastic than boys to consider cuscusi plate ( p < 0.001), rice dishes ( p < 0.002), Chinese foods ( p < 0.001), Indian foods ( p < 0.010), Mexican foods ( p < 0.011), and Italian foods ( p < 0.004) as non-fast foods. The difference between obese and non-obese regarding the perception of fast foods was only significant among boy participants. Western or non-Arab foods, food prepared fast and eaten fast in self-service outlets, and food rich in calories were significantly perceived as fast food by Jordanian adolescents ( p < 0.05). Conclusions: The perception of foods as fast foods or non-fast foods was significantly different between both genders as well as in obese and non-obese male Jordanian adolescents.

Download Full-text

Residential exposure to fast-food restaurants and its association with diet quality, overweight and obesity in the Netherlands: a cross-sectional analysis in the EPIC-NL cohort

Nutrition Journal ◽

10.1186/s12937-021-00713-5 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Marjolein C. Harbers ◽

Joline W.J. Beulens ◽

Jolanda MA Boer ◽

Derek Karssenberg ◽

Joreintje D. Mackenbach ◽

...

Keyword(s):

Older Adults ◽

Diet Quality ◽

Fast Food ◽

Weight Status ◽

Multinomial Logistic Regression ◽

Normal Weight ◽

Overweight And Obesity ◽

Cross Sectional ◽

Fast Food Restaurants ◽

Relative Exposure

Abstract Background Unhealthy food environments may contribute to unhealthy diets and risk of overweight and obesity through increased consumption of fast-food. Therefore, we aimed to study the association of relative exposure to fast-food restaurants (FFR) with overall diet quality and risk of overweight and obesity in a sample of older adults. Methods We analyzed cross-sectional data of the EPIC-NL cohort (n = 8,231). Data on relative FFR exposure was obtained through linkage of home address in 2015 with a retail outlet database. We calculated relative exposure to FFR by dividing the densities of FFR in street-network buffers of 400, 1000, and 1500 m around the home of residence by the density of all food retailers in the corresponding buffer. We calculated scores on the Dutch Healthy Diet 2015 (DHD15) index using data from a validated food-frequency questionnaire. BMI was categorized into normal weight (BMI < 25), overweight (25 ≤ BMI < 30), and obesity (BMI ≥ 30). We used multivariable linear regression (DHD15-index) and multinomial logistic regression (weight status), using quartiles of relative FFR exposure as independent variable, adjusting for lifestyle and environmental characteristics. Results Relative FFR exposure was not significantly associated with DHD15-index scores in the 400, 1000, and 1500 m buffers (βQ4vsQ1= -0.21 [95 %CI: -1.12; 0.70]; βQ4vsQ1= -0.12 [95 %CI: -1.10; 0.87]; βQ4vsQ1 = 0.37 [95 %CI: -0.67; 1.42], respectively). Relative FFR exposure was also not related to overweight in consecutive buffers (ORQ4vsQ1=1.10 [95 %CI: 0.97; 1.25]; ORQ4vsQ1=0.97 [95 %CI: 0.84; 1.11]; ORQ4vsQ1= 1.04 [95 %CI: 0.90–1.20]); estimates for obesity were similar to those of overweight. Conclusions A high proportion of FFR around the home of residence was not associated with diet quality or overweight and obesity in this large Dutch cohort of older adults. We conclude that although the food environment may be a determinant of food choice, this may not directly translate into effects on diet quality and weight status. Methodological improvements are warranted to provide more conclusive evidence.

Download Full-text