Document Detail


Associations Between Childhood Obesity and the Availability of Food Outlets in the Local Environment: A Retrospective Cross-Sectional Study.
MedLine Citation:
PMID:  24200247     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Purpose . Examine whether individual-level childhood obesity is related to residential availability of fast food and healthy food outlets. Design . Retrospective cross-sectional study. Setting . Perth, Western Australia Subjects . A total of 1850 children aged 5 to 15 years in 2005-2010 who participated in the Western Australian Health and Wellbeing Surveillance System survey. Measures . Geographical Information Systems were used to calculate a range of measures of fast food and healthy food outlet access and availability. For example, distance to nearest and access and density measures within 800 m and 3 km of each child's residence were all tested. Analysis . Multivariate logistic regression analysis, controlling for individual-level sociodemographic factors and lifestyle behaviors. Results . An increasing number of healthy food outlets within 800 m of a child's home was associated with a significantly reduced risk of being overweight/obese in all models tested. After controlling for age, physical activity, time spent sedentary, weekly takeaway consumption, area disadvantage, and count of fast food outlets, each additional healthy food outlet within 800 m was associated with a 20% decrease in the likelihood of a child being overweight or obese (odds ratio: .800, 95% confidence intervals: .686-.933). Conclusion . The local food environment around children's homes has an independent effect on child weight status. These findings highlight the importance of the built environment as a potential contributor towards child health, which should be considered when developing community health promotion programs.
Authors:
Laura J Miller; Sarah Joyce; Shannon Carter; Grace Yun
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-11-7
Journal Detail:
Title:  American journal of health promotion : AJHP     Volume:  -     ISSN:  0890-1171     ISO Abbreviation:  Am J Health Promot     Publication Date:  2013 Nov 
Date Detail:
Created Date:  2013-11-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8701680     Medline TA:  Am J Health Promot     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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