Associations of built food environment with body mass index and waist circumference among youth with diabetes

被引:30
作者
Lamichhane, Archana P. [1 ]
Puett, Robin [1 ,2 ,3 ]
Porter, Dwayne E. [2 ]
Bottai, Matteo [1 ]
Mayer-Davis, Elizabeth J. [4 ,5 ]
Liese, Angela D. [1 ]
机构
[1] Univ S Carolina, Dept Epidemiol & Biostat, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
[2] Univ S Carolina, Dept Environm Hlth Sci, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
[3] Univ S Carolina, S Carolina Canc Prevent & Control Program, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
[4] Univ N Carolina, Dept Nutr, Gillings Sch Global Publ Hlth, Chapel Hill, NC USA
[5] Univ N Carolina, Sch Med, Chapel Hill, NC USA
关键词
Accessibility; Availability; Adiposity; BMI z-score; Waist circumference; Built food environment; Fast food outlet; Supermarket; DISEASE RISK-FACTORS; US CHILDREN; PREVALENCE; OVERWEIGHT; OBESITY; AVAILABILITY; NEIGHBORHOOD; ADOLESCENTS; RESTAURANTS; SEARCH;
D O I
10.1186/1479-5868-9-81
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: Youth with diabetes are at increased risk for obesity and cardiovascular disease complications. However, less is known about the influence of built food environment on health outcomes in this population. The aim of this study was to explore the associations of accessibility and availability of supermarkets and fast food outlets with Body Mass Index (BMI) z-score and waist circumference among youth with diabetes. Methods: Information on residential location and adiposity measures (BMI z-score and waist circumference) for 845 youths with diabetes residing in South Carolina was obtained from the South Carolina site of the SEARCH for Diabetes in Youth study. Food outlets data obtained from the South Carolina Department of Health and Environmental Control and InfoUSA were merged based on names and addresses of the outlets. The comprehensive data on franchised supermarket and fast food outlets was then used to construct three accessibility and availability measures around each youth's residence. Results: Increased number and density of chain supermarkets around residence location were associated with lower BMI z-score and waist circumference among youth with diabetes. For instance, for a female child of 10 years of age with height of 54.2 inches and weight of 70.4 pounds, lower supermarket density around residence location was associated with about 2.8-3.2 pounds higher weight, when compared to female child of same age, height and weight with highest supermarket density around residence location. Similarly, lower supermarket density around residence location was associated with a 3.5-3.7 centimeter higher waist circumference, when compared to residence location with the highest supermarket density. The associations of number and density of chain fast food outlets with adiposity measures, however, were not significant. No significant associations were observed between distance to the nearest supermarket and adiposity measures. However, contrary to our expectation, increased distance to the nearest fast food outlet was associated with higher BMI z-score, but not with waist circumference. Conclusions: Food environments conducive to healthy eating may significantly influence health behaviors and outcomes. Efforts to increase the availability of supermarkets providing options/selections for health-promoting foods may significantly improve the dietary intake and reduce adiposity among youth with diabetes.
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页数:11
相关论文
共 47 条
[1]  
[Anonymous], 2009, STAT IND REP FRUITS
[2]  
[Anonymous], 2009, MEDSCAPE J MED
[3]  
[Anonymous], 2000, VITAL HLTH STAT
[4]  
Babey SH., 2008, Designed for Disease: The Link Between Local Food Environments and Obesity and Diabetes
[5]   Neighborhood playgrounds, fast food restaurants, and crime: relationships to overweight in low-income preschool children [J].
Burdette, HL ;
Whitaker, RC .
PREVENTIVE MEDICINE, 2004, 38 (01) :57-63
[6]   Availability of More Healthful Food Alternatives in Traditional, Convenience, and Nontraditional Types of Food Stores in Two Rural Texas Counties [J].
Bustillos, Brenda ;
Sharkey, Joseph R. ;
Anding, Jenna ;
McIntosh, Alex .
JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION, 2009, 109 (05) :883-889
[7]  
Census Bureau, 2001, CENS 2000 SUMM FIL 1
[8]   Availability of healthier options in traditional and nontraditional rural fast-food outlets [J].
Creel, Jennifer S. ;
Sharkey, Joseph R. ;
McIntosh, Alex ;
Anding, Jenna ;
Huber, J. Charles, Jr. .
BMC PUBLIC HEALTH, 2008, 8 (1)
[9]   Proximity of Fast-Food Restaurants to Schools and Adolescent Obesity [J].
Davis, Brennan ;
Carpenter, Christopher .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2009, 99 (03) :505-510
[10]   Mapping access to food in a deprived area: the development of price and availability indices [J].
Donkin, Angela J. M. ;
Dowler, Elizabeth A. ;
Stevenson, Simon J. ;
Turner, Sheila A. .
PUBLIC HEALTH NUTRITION, 2000, 3 (01) :31-38