Understanding the relationship between food environments, deprivation and childhood overweight and obesity: evidence from a cross sectional England-wide study.

Understanding the relationship between food environments, deprivation and childhood overweight and obesity: evidence from a cross sectional England-wide study.
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DOI:
10.1016/j.healthplace.2014.01.007
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发表时间:
2014-05
期刊:
影响因子:
4.8
通讯作者:
Jones A
Jones A
中科院分区:
医学2区
文献类型:
--
作者:
Cetateanu A;Jones A

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使用一个大的横截面英语样本,我们量化了4-5岁和10-11岁儿童的体重状况,食物环境的特点和区域剥夺之间的关联。我们观察到一个社区中不健康食品店的密度与儿童超重和肥胖的患病率之间存在正相关。在其他类型的食品店中观察到相反方向的关联,尽管在调整后,这仅对年龄较大的儿童具有统计学意义。快餐和其他不健康食品店的流行只能解释体重状况和社会经济贫困之间观察到的关联的一小部分。儿童的体重状况可能会受到当地环境的影响,特别是年龄较大的儿童,但由于当地食品环境的特点,肥胖和贫困之间的联系并不明显。在一个大样本的儿童中,体重偏高的普遍性与附近不健康食品店的存在呈正相关。与销售健康食品的商店有关的协会情况正好相反。更多的不健康食品店位于较贫困地区。不健康食品店的数量只是稍微解释了先前观察到的年龄较大的儿童的体重状况和剥夺之间的联系。
Using a large cross sectional English sample, we quantified the association between weight status in children aged 4–5 and 10–11 year, characteristics of the food environment, and area deprivation. We observed a positive association between the density of unhealthy food outlets in a neighbourhood and the prevalence of overweight and obesity in children. An association in the opposite direction was observed for other types of food outlets, although after adjustment this was only statistically significant for older children. The prevalence of fast food and other unhealthy food outlets explained only a small proportion of the observed associations between weight status and socioeconomic deprivation. Children׳s weight status may be influenced by their local environment, particularly older children, but associations between obesity and deprivation do not appear strongly due to local food environment characteristics. In a large sample of children, the prevalence of elevated weight status is positively associated with the presence of unhealthy food outlets in the neighbourhood. The opposite is true for associations with outlets selling healthy foods. A greater number of unhealthy food outlets are located in more deprived areas. The number of unhealthy food outlets only slightly explains the previously observed association between weight status and deprivation in older children.
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