| The relationship between the supply of fast-food chains and cardiovascular outcomes. | |
MedLine Citation:
|
PMID: 15913078 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To examine the extent to which inter-regional differences in fast-food concentrations account for variations in all-cause mortality and acute coronary syndromes throughout Ontario, Canada. METHODS: Nine distinct fast-food chains were selected based on top sales data in 2001. The per capita rate of fast-food outlets per region was calculated for each of 380 regions throughout Ontario. Outcome measures, obtained using 2001 vital statistics data and hospital discharge abstracts, included regional per capita mortality rates and acute coronary syndrome hospitalization rates; head trauma served as a comparator. All regional outcomes were adjusted for age, gender, and socio-economic status, and were analyzed as continuous and rank-ordered variables as compared with the provincial average. RESULTS: Mortality and admissions for acute coronary syndromes were higher in regions with greater numbers of fast-food services after adjustment for risk. Risk-adjusted outcomes among regions intensive in fast-food services were more likely to be high outliers for both mortality (Adjusted Odds Ratio (OR): 2.52, 95% confidence intervals (CI): 1.54 - 4.13, p < 0.001) and acute coronary hospitalizations (Adjusted OR: 2.62, 95% CI 1.42 - 3.59, p < 0.001) compared to regions with low fast-food service intensity. There was no relationship between the concentration of fast-food outlets and risk-adjusted head-trauma hospitalization rates. INTERPRETATION: Inter-regional cardiac outcome disparities throughout Ontario were partially explained by fast-food service intensity. Such findings emphasize the need to target health promotion and prevention initiatives to highest-risk communities. |
Authors:
|
David A Alter; Karen Eny |
Related Documents
:
|
10345818 - Hospital redesign takes unexpected $2 million bite out of food service costs. 1616408 - Pathology trainee manpower. historical perspectives. 11307888 - Comparisons of microbiological evaluations of selected kitchen areas with visual inspec... 6886268 - Hospital dietetics and food service in developing countries: ii. lebanon. 21078358 - Bioinformatic analysis for allergenicity assessment of bacillus thuringiensis cry prote... 15614568 - Factors affecting the daily rhythm of body temperature of captive mouse lemurs (microce... |
Publication Detail:
|
Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Canadian journal of public health = Revue canadienne de santé publique Volume: 96 ISSN: 0008-4263 ISO Abbreviation: Can J Public Health Publication Date: 2005 May-Jun |
Date Detail:
|
Created Date: 2005-05-25 Completed Date: 2005-06-21 Revised Date: 2013-06-05 |
Medline Journal Info:
|
Nlm Unique ID: 0372714 Medline TA: Can J Public Health Country: Canada |
Other Details:
|
Languages: eng Pagination: 173-7 Citation Subset: IM |
Affiliation:
|
Institute for Clinical Evaluative Sciences, Toronto, ON. david.alter@ices.on.ca |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cardiovascular Diseases
/
epidemiology,
mortality* Craniocerebral Trauma / epidemiology Dietary Fats / administration & dosage* Food Supply / classification Geography Hospitalization / statistics & numerical data* Humans Logistic Models Odds Ratio Ontario / epidemiology Prevalence Restaurants / classification, statistics & numerical data* Risk Assessment* |
| Chemical | |
Reg. No./Substance:
|
0/Dietary Fats |
| Comments/Corrections | |
Comment In:
|
Can J Public Health. 2005 Sep-Oct;96(5):339
[PMID:
16238149
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The unbearable lightness of "light" cigarettes: a comparison of smoke yields in six varieties of Can...
Next Document: Estimating the under-reporting rate for infectious gastrointestinal illness in Ontario.