Associations of built environment and proximity of food outlets with weight status: Analysis from 14 cities in 10 countries

Publication date: Available online 22 October 2019Source: Preventive MedicineAuthor(s): Thomas Cochrane, Yan Yu, Rachel Davey, Ester Cerin, Kelli L. Cain, Terry L. Conway, Jacqueline Kerr, Lawrence D. Frank, James E. Chapman, Marc A. Adams, Duncan Macfarlane, Delfien Van Dyck, Poh-Chin Lai, Olga L. Sarmiento, Jens Troelsen, Deborah Salvo, Rodrigo Reis, Josef Mitáš, Grant Schofield, Neville OwenAbstractThe study aimed to examine associations of neighborhood built environments and proximity of food outlets (BE measures) with body weight status using pooled data from an international study (IPEN Adult). Objective BE measures were calculated using geographic information systems for 10,008 participants (4463 male, 45%) aged 16–66 years in 14 cities. Participants self-reported proximity to three types of food outlets. Outcomes were body mass index (BMI) and overweight/obesity status. Male and female weight status associations with BE measures were estimated by generalized additive mixed models. Proportion (95% CI) of overweight (BMI 25 to <30) ranged from 16.6% (13.1, 19.8) to 41.1% (37.3, 44.7), and obesity (BMI ≥ 30) from 2.9% (1.3, 4.4) to 31.3% (27.7, 34.7), with Hong Kong being the lowest and Cuernavaca, Mexico highest for both proportions. Results differed by sex. Greater street intersection density, public transport density and perceived proximity to restaurants (males) were associated with lower odds of overweight/obesity (BMI ≥ 25). Perceived proximit...
Source: Preventive Medicine - Category: International Medicine & Public Health Source Type: research