Neighborhood Retail Food Environment and Fruit and Vegetable Intake in a Multiethnic Urban Population

Zenk, Shannon N.; Lachance, Laurie; Schulz, Amy J.; Mentz, Graciela; Kannan, Srimathi; Ridella, William

doi:10.4278/ajhp.071204127

Cited by 228 publications

(210 citation statements)

References 39 publications

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“…38 Zenk et al 39 found that the presence of a grocery store in the neighborhood was associated with, on average, 0.69 more daily FV servings in the full sample. Availability of fresh FV also seem to be greater in more advantaged areas.…”

Section: Discussionmentioning

confidence: 99%

Investigating Environmental Determinants of Diet, Physical Activity, and Overweight among Adults in Sao Paulo, Brazil

et al. 2011

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There is worldwide recognition that the burden of noncommunicable diseases (NCDs) and obesity-related health problems is rapidly increasing in low-and middle-income countries. Environmental determinants of obesity are likely to differ between countries, particularly in those undergoing rapid socioeconomic and nutrition transitions such as Brazil. This study aims to describe some built environment and local food environment variables and to explore their association with the overweight rate and diet and physical activity area-level aggregated indicators of adults living in the city of Sao Paulo, the largest city in Brazil. This formative study includes an ecological analysis of environmental factors associated with overweight across 31 submunicipalities of the city of Sao Paulo using statistical and spatial analyses. Average prevalence of overweight was 41.69% (95% confidence interval 38.74, 44.64), ranging from 27.14% to 60.75% across the submunicipalities. There was a wide geographical variation of both individual diet and physical activity, and indicators of food and built environments, favoring wealthier areas. After controlling for area socioeconomic status, there was a positive correlation between regular fruits and vegetables (FV) intake and density of FV specialized food markets (r=0.497; pG0.001), but no relationship between fastfood restaurant density and overweight prevalence was found. A negative association between overweight prevalence and density of parks and public sport facilities was seen (r=−0.527; pG0.05). Understanding the relationship between local neighborhood environments and increasing rates of poor diet, physical activity, and obesity is essential in countries undergoing rapid economic and urban development, such as Brazil, in order to provide insights for policies to reduce increasing rates of NCDs and food access and health inequalities.

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Section: Discussionmentioning

confidence: 99%

Investigating Environmental Determinants of Diet, Physical Activity, and Overweight among Adults in Sao Paulo, Brazil

et al. 2011

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“…Studies in urban settings of developed countries have reported linkages between food retail and changes in dietary patterns [9,10,26]. Typically, changes in food retail results in increased consumption of energy-dense foods, resulting from greater physical and financial access to highly processed foods.…”

Section: Discussionmentioning

confidence: 99%

“…This characteristic of the urban food environment has also been described as 'food desert', a term used to describe neighborhoods with limited physical and economic access to healthier food options such as fruits, vegetables and other healthy whole foods [6][7][8]. Food deserts, which are often located in poor neighborhoods, are created when supermarkets and other sources of fresh produce are situated, as part of zoning regulations, further away from living areas or require having private transportation to reach [9][10][11]. Because people are increasingly moving to live in urban areas, the relationship between the urban built environment and the food environment has become an important challenge for cities, and more so, when the food environment is linked with dietary behavior and health and nutrition outcomes [12].…”

Section: Introductionmentioning

confidence: 99%

Food retail assessment and family food purchase behavior in Ashongman estates, Ghana

Aryeetey¹,

Oltmans²,

Owusu³

2016

AJFAND

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A key feature of the nutrition transition in developed countries is the rapid transformation of the food system towards increasing availability and access to cheaper, and more processed foods. These changes are associated with alterations in dietary behavior with implications for chronic disease risk. However, the process of change in the food system begins with changes in the food retail system and its subsequent effect on consumer behavior. Currently, little is known about the nature of the food marketplace in emerging economies like Ghana, and also how the changing economy and food retail situation are influencing consumer behavior. The current paper presents a case study of the food retail system and consumer food purchase behavior in suburban Accra. Between May and August 2012, an assessment of food retail outlets was carried out in Ashongman Estates, a suburb of Accra. The study involved observations, in-depth interviews with retailers, and a survey of households. Data from the study allowed classification of retail food vendors across the urban food retail system. In addition, data on food purchase preferences and purchase behavior were obtained from a household survey of 75 randomly selected households in Ashongman Estates. The data showed that traditional markets still constitute the most important source of household food purchases. A majority of households (87%) reported preference for traditional markets, and almost all households (99%) indicated traditional markets as their main source for purchasing household food. Foods available from supermarkets were mainly processed foods. However, processed foods are also commonly available through the traditional markets and minimarkets. The preference for traditional markets was attributed to greater variety of foods, lower price, and proximity of food source. Minimarket vendors, including corner stores, table top vendors, hawkers, and fuel station shops that are located within the community, served as an additional food source, complementing food purchases from the traditional markets. The study concluded that although traditional markets remain the main source of household food, interventions are needed to ensure that food markets in the community include access to a variety of fresh produce rather than promote processed foods, in order to promote consumer health.

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“…Despite the evidence available for the USA (6,11,12) , Australia (13) and Europe (8,9) regarding the effects of the local food environment on diet, the field is relatively new in low-or middle-income countries (14)(15)(16)(17) . The unique contribution of our study relies in exploring the role of the urban retail food environment on healthy and unhealthy eating in a rapidly changing, yet understudied, urban and unequal setting in Latin America (18) .…”

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confidence: 99%

The role of the local retail food environment in fruit, vegetable and sugar-sweetened beverage consumption in Brazil

Duran

Almeida²,

Latorre³

et al. 2015

Public Health Nutr.

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Objective: To examine the relationship between the local retail food environment and consumption of fruits and vegetables (FV) and sugar-sweetened beverages (SSB) in São Paulo, Brazil, as well as the moderation effects of income in the studied relationships. Design: Cross-sectional study design that drew upon neighbourhood-and individual-level data. For each participant, community (density and proximity) and community food environment (availability, variety, quality and price) measures of FV and SSB were assessed in retail food stores and specialized fresh produce markets within 1·6 km of their homes. Poisson generalized estimating equations (GEE) were used to model the associations of food consumption with food environment measures, adjusted by individual-level characteristics. Setting: São Paulo, Brazil. Subjects: Adults (n 1842) residing in the same census tracts (n 52) in São Paulo, Brazil as those where the neighbourhood-level measures were taken. Results: FV availability in neighbourhoods was associated with regular FV consumption (≥5 times/week; prevalence ratio = 1·41; 95 % CI 1·19, 1·67). Regular FV consumption prevalence was significantly lower among lower-income individuals living in neighbourhoods with fewer supermarkets and fresh produce markets (P-interaction <0·05). A greater variety of SSB was associated with a 15 % increase in regular SSB consumption (≥5 times/week) prevalence, after adjustment for confounding variables. Conclusions: Our findings suggest that the local retail food environment is associated with FV and SSB consumption in a Brazilian urban sample.

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Neighborhood Retail Food Environment and Fruit and Vegetable Intake in a Multiethnic Urban Population

Cited by 228 publications

References 39 publications

Investigating Environmental Determinants of Diet, Physical Activity, and Overweight among Adults in Sao Paulo, Brazil

Investigating Environmental Determinants of Diet, Physical Activity, and Overweight among Adults in Sao Paulo, Brazil

Food retail assessment and family food purchase behavior in Ashongman estates, Ghana

The role of the local retail food environment in fruit, vegetable and sugar-sweetened beverage consumption in Brazil

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