Document Detail


The Women's Health Initiative: The food environment, neighborhood socioeconomic status, BMI, and blood pressure.
MedLine Citation:
PMID:  21660076     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Using data (n = 60,775 women) from the Women's Health Initiative Clinical Trial (WHI CT)-a national study of postmenopausal women aged 50-79 years-we analyzed cross-sectional associations between the availability of different types of food outlets in the 1.5 miles surrounding a woman's residence, census tract neighborhood socioeconomic status (NSES), BMI, and blood pressure (BP). We simultaneously modeled NSES and food outlets using linear and logistic regression models, adjusting for multiple sociodemographic factors, population density and random effects at the tract and metropolitan statistical area (MSA) level. We found significant associations between NSES, availability of food outlets and individual-level measurements of BMI and BP. As grocery store/supermarket availability increased from the 10th to the 90th percentile of its distribution, controlling for confounders, BMI was lower by 0.30 kg/m(2). Conversely, as fast-food outlet availability increased from the 10th to the 90th percentile, BMI was higher by 0.28 kg/m(2). When NSES increased from the 10th to the 90th percentile of its distribution, BMI was lower by 1.26 kg/m(2). As NSES increased from the 10th to the 90th percentile, systolic and diastolic BP were lower by 1.11 mm Hg and 0.40 mm Hg, respectively. As grocery store/supermarket outlet availability increased from the 10th and 90th percentiles, diastolic BP was lower by 0.31 mm Hg. In this national sample of postmenopausal women, we found important independent associations between the food and socioeconomic environments and BMI and BP. These findings suggest that changes in the neighborhood environment may contribute to efforts to control obesity and hypertension.
Authors:
Tamara Dubowitz; Madhumita Ghosh-Dastidar; Christine Eibner; Mary E Slaughter; Meenakshi Fernandes; Eric A Whitsel; Chloe E Bird; Adria Jewell; Karen L Margolis; Wenjun Li; Yvonne L Michael; Regina A Shih; Joann E Manson; José J Escarce
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, N.I.H., Extramural     Date:  2011-06-09
Journal Detail:
Title:  Obesity (Silver Spring, Md.)     Volume:  20     ISSN:  1930-739X     ISO Abbreviation:  Obesity (Silver Spring)     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-03-28     Completed Date:  2012-07-03     Revised Date:  2014-09-08    
Medline Journal Info:
Nlm Unique ID:  101264860     Medline TA:  Obesity (Silver Spring)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  862-71     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Blood Pressure*
Body Mass Index*
Environment Design*
Female
Health Behavior
Humans
Income / statistics & numerical data*
Middle Aged
Obesity / epidemiology*
Residence Characteristics*
Restaurants
Risk Factors
Social Environment
United States / epidemiology
Urban Population
Women's Health*
Grant Support
ID/Acronym/Agency:
40 R01HL084425/HL/NHLBI NIH HHS; N01WH22110/WH/WHI NIH HHS; N01WH24152/WH/WHI NIH HHS; N01WH32100/WH/WHI NIH HHS; N01WH32101/WH/WHI NIH HHS; N01WH32102/WH/WHI NIH HHS; N01WH32105/WH/WHI NIH HHS; N01WH32106/WH/WHI NIH HHS; N01WH32108/WH/WHI NIH HHS; N01WH32109/WH/WHI NIH HHS; N01WH32111/WH/WHI NIH HHS; N01WH32112/WH/WHI NIH HHS; N01WH32113/WH/WHI NIH HHS; N01WH32115/WH/WHI NIH HHS; N01WH32118/WH/WHI NIH HHS; N01WH32119/WH/WHI NIH HHS; N01WH32122/WH/WHI NIH HHS; N01WH42107/WH/WHI NIH HHS; N01WH42108/WH/WHI NIH HHS; N01WH42109/WH/WHI NIH HHS; N01WH42110/WH/WHI NIH HHS; N01WH42111/WH/WHI NIH HHS; N01WH42112/WH/WHI NIH HHS; N01WH42113/WH/WHI NIH HHS; N01WH42114/WH/WHI NIH HHS; N01WH42115/WH/WHI NIH HHS; N01WH42116/WH/WHI NIH HHS; N01WH42117/WH/WHI NIH HHS; N01WH42118/WH/WHI NIH HHS; N01WH42119/WH/WHI NIH HHS; N01WH42120/WH/WHI NIH HHS; N01WH42121/WH/WHI NIH HHS; N01WH42122/WH/WHI NIH HHS; N01WH42123/WH/WHI NIH HHS; N01WH42124/WH/WHI NIH HHS; N01WH42125/WH/WHI NIH HHS; N01WH42126/WH/WHI NIH HHS; N01WH42129/WH/WHI NIH HHS; N01WH42130/WH/WHI NIH HHS; N01WH42131/WH/WHI NIH HHS; N01WH42132/WH/WHI NIH HHS; N01WH44221/WH/WHI NIH HHS; P30 DK040561/DK/NIDDK NIH HHS; P30 DK040561-15/DK/NIDDK NIH HHS; P50 ES012383/ES/NIEHS NIH HHS; R01 HL084425/HL/NHLBI NIH HHS
Comments/Corrections
Comment In:
Obesity (Silver Spring). 2013 Jan;21(1):2-3   [PMID:  23401317 ]
Obesity (Silver Spring). 2013 Jan;21(1):5-6   [PMID:  23401168 ]

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