Relationship of Food Availability and Accessibility to Women's Body Weights in Rural Upstate New York

Gantner, Leigh; Olson, Christine M.; Frongillo, Edward A.

doi:10.1080/19320248.2013.816994

Journal of Hunger & Environmental Nutrition

2013

DOI: 10.1080/19320248.2013.816994

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Relationship of Food Availability and Accessibility to Women's Body Weights in Rural Upstate New York

Leigh Gantner

Christine M. Olson

Edward A. Frongillo

Abstract: Food stores within a large area of rural upstate New York (N = 870) were surveyed using the Nutrition Environment Measurement Survey for Stores. Food environments within 5 miles of the women's homes were characterized by (1) the proximity and (2) density of each store type and (3) the average Healthy Food AvailabilityIndex (HFAI) score. Logistic regression analyses predicted the risk of being overweight, obese, and overweight or obese (combined) by food environment characteristics. Greater access to food store… Show more

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“…We present data separately for studies conducted in children from those in adults. Finally, we conducted sensitivity analyses restricting to studies that met certain thresholds of study quality: limited to studies with three or less flaws limited to studies with two or less flaws, and limited to studies that control for neighborhood self‐selection (without flaw 5) .…”

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confidence: 99%

The relationship of the local food environment with obesity: A systematic review of methods, study quality, and results

Cobb

Appel

Franco

et al. 2015

Obesity

414

428

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Objective To examine the relationship between local food environments and obesity and assess the quality of studies reviewed. Methods Systematic keyword searches identified studies from US and Canada that assessed the relationship of obesity to local food environments. We applied a quality metric based on design, exposure and outcome measurement, and analysis. Results We identified 71 studies representing 65 cohorts. Overall, study quality was low; 60 studies were cross-sectional. Associations between food outlet availability and obesity were predominantly null. Among non-null associations, we saw a trend toward inverse associations between supermarket availability and obesity (22 negative, 4 positive, 67 null) and direct associations between fast food and obesity (29 positive, 6 negative, 71 null) in adults. We saw direct associations between fast food availability and obesity in lower income children (12 positive, 7 null). Indices including multiple food outlets were most consistently associated with obesity in adults (18 expected, 1 not expected, 17 null). Limiting to higher quality studies did not affect results. Conclusions Despite the large number of studies, we found limited evidence for associations between local food environments and obesity. The predominantly null associations should be interpreted cautiously due to the low quality of available studies.

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mentioning

confidence: 99%

The relationship of the local food environment with obesity: A systematic review of methods, study quality, and results

Cobb

Appel

Franco

et al. 2015

Obesity

414

428

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Measures of the food environment: A systematic review of the field, 2007–2015

Lytle¹,

Sokol²

2017

Health & Place

227

196

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Association of community food environment and obesity among US adults: a geographical information system analysis

Chen

Creger

Howard

et al. 2018

J Epidemiol Community Health

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BackgroundEmerging studies have investigated the contribution of food environment to obesity in the USA. However, the findings were inconsistent. Methodological explanations for the inconsistent findings included: (1) using individual store/restaurant exposure as food environment indicator, and (2) not accounting for non-stationarity assumption. This study aimed to describe the spatial distribution of obesity and examine the association between community food environment and obesity, and the variation of magnitude and direction of this association across the USA.MethodsData from 20 897 adults who participated in the REasons for Geographic and Racial Differences in Stroke study and completed baseline assessment between January 2003 and October 2007 were eligible in analysis. Hot Spot analysis was used to assess the spatial distribution of obesity. The association between community food environment and obesity and the variation of this association across the USA were examined using global ordinary least squares regression and local geographically weighted regression.ResultsHigher body mass index (BMI) clusters were more likely to locate in socioeconomically disadvantaged, rural, minority neighbourhoods with a smaller population size, while lower BMI clusters were more likely to appear in more affluent, urban neighbourhoods with a higher percentage of non-Hispanic white residences. There was an overall significant, inverse association between community food environment and obesity (β=−0.0210; p<0.0001). Moreover, the magnitude and direction of this association varied significantly across the US regions.ConclusionsThe findings underscored the need for geographically tailored public health interventions and policies to address unique local food environment issues to achieve maximum effects on obesity prevention.

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Relationship of Food Availability and Accessibility to Women's Body Weights in Rural Upstate New York

Cited by 3 publications

References 33 publications

The relationship of the local food environment with obesity: A systematic review of methods, study quality, and results

The relationship of the local food environment with obesity: A systematic review of methods, study quality, and results

Measures of the food environment: A systematic review of the field, 2007–2015

Association of community food environment and obesity among US adults: a geographical information system analysis

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