Walker B, Shashank A, Gasevic D, Schuurman N, Poirier P, Teo K, Rangarajan S, Yusuf S, Lear SA (2019)
Publication Type: Journal article
Publication year: 2019
Book Volume: 28
Pages Range: 40-45
Journal Issue: 1
DOI: 10.1002/oby.22614
Objective: This study aimed to identify the association between the food environment and obesity. Methods: BMI and waist circumference (WC) were measured in 8,076 participants from three cities. The number of fast-food restaurants, full-service restaurants, bars/pubs, markets, and liquor stores within 500 m of each participant was documented. The association between the food environment (ratio of fast-food to full-service restaurants, ratio of bars/pubs to liquor stores, and presence of markets) with obesity (BMI ≥ 30 kg/m2) and abdominal obesity (WC ≥ 102 cm for males or WC ≥ 88 cm for females) was investigated, adjusted for age, sex, education level, neighborhood deprivation, neighborhood type, and total hours per week of walking and taking into account city-level clustering. Results: The ratios of fast-food to full-service restaurants and of bars/pubs to liquor stores were positively associated with obesity (OR = 1.05 [CI: 1.02-1.09] and OR = 1.08 [CI: 1.04-1.13], respectively). The ratio of bars/pubs to liquor stores was positively associated with abdominal obesity (OR = 1.10 [CI: 1.05-1.14]). There was no association between markets and either obesity or abdominal obesity. Conclusions: Features of the food environment have varying associations with obesity. These features have an additive effect, and future studies should not focus on only one feature in isolation.
APA:
Walker, B., Shashank, A., Gasevic, D., Schuurman, N., Poirier, P., Teo, K.,... Lear, S.A. (2019). The Local Food Environment and Obesity: Evidence from Three Cities. Obesity, 28(1), 40-45. https://doi.org/10.1002/oby.22614
MLA:
Walker, Blake, et al. "The Local Food Environment and Obesity: Evidence from Three Cities." Obesity 28.1 (2019): 40-45.
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