Document Detail

The relationship between the supply of fast-food chains and cardiovascular outcomes.
MedLine Citation:
PMID:  15913078     Owner:  NLM     Status:  MEDLINE    
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.
David A Alter; Karen Eny
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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    
Institute for Clinical Evaluative Sciences, Toronto, ON.
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MeSH Terms
Cardiovascular Diseases / epidemiology,  mortality*
Craniocerebral Trauma / epidemiology
Dietary Fats / administration & dosage*
Food Supply / classification
Hospitalization / statistics & numerical data*
Logistic Models
Odds Ratio
Ontario / epidemiology
Restaurants / classification,  statistics & numerical data*
Risk Assessment*
Reg. No./Substance:
0/Dietary Fats
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

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