Association between Childhood Obesity and Neighbourhood Accessibility to Fast-Food Outlets: A Nationwide 6-Year Follow-Up Study of 944,487 Children
Association between Childhood Obesity and Neighbourhood Accessibility to Fast-Food Outlets: A Nationwide 6-Year Follow-Up Study of 944,487 Children
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DOI：
10.1159/000481352
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发表时间：
2017-01-01
期刊：
影响因子：
3.6
通讯作者：
Sundquist, Kristina
中科院分区：
文献类型：
--
作者：
Hamano, Tsuyoshi;Li, Xinjun;Sundquist, Kristina
目的：这项为期6年的随访研究的目的是在调整了社区和个人层面的社会人口因素后，检查附近快餐店的可及性是否与诊断的儿童肥胖有关。方法：这项为期6年的随访研究包括瑞典0-14岁的484,677名男孩和459,810名女孩。随访期从2005年1月1日开始，直到因肥胖、死亡、移民而住院/门诊治疗或2010年12月31日研究期结束。采用多水平logistic回归模型（第一级为个人水平因素，第二级为社区水平因素）以95%置信区间（95% ci）计算比值比（ORs）。结果：在随访期间，我们确定了6,968例肥胖病例（3,878名男孩和3,090名女孩）。观察到，生活在快餐店附近的儿童肥胖几率较高（OR = 1.14, 95% CI = 1.07-1.22），调整后这一比例仍然显著（OR = 1.06, 95% CI = 1.00-1.13）。结论：这项前瞻性的全国性研究表明，附近快餐店的可达性与诊断为儿童肥胖的几率增加独立相关。这一发现表明，在制定健康促进计划时应考虑到居住环境。(c) 2017作者：s . Karger GmbH， Freiburg出版
Objectives: The aim of this 6-year follow-up study was to examine whether neighbourhood accessibility to fast-food outlets was associated with diagnosed childhood obesity, after adjustment for neighbourhood-and individual-level socio-demographic factors. Methods: This 6-year follow-up study comprised 484,677 boys and 459,810 girls aged 0-14 years in Sweden. The follow-up period ran from January 1, 2005, until hospitalisation/out-patient treatment for obesity, death, emigration or the end of the study period on December 31, 2010. Multilevel logistic regression models (individual-level factors at the first level and neighbourhood-level factors at the second level) were used to calculate odds ratios (ORs) with 95% confidence intervals (95% CIs). Results: We identified 6,968 obesity cases (3,878 boys and 3,090 girls) during the follow-up period. Higher odds of childhood obesity for those living in neighbourhoods with accessibility to fast-food outlets was observed (OR = 1.14, 95% CI = 1.07-1.22) that remained significant after adjustments (OR = 1.06, 95% CI = 1.00-1.13). Conclusions: This prospective nationwide study showed that the neighbourhood accessibility to fast-food outlets was independently associated with increased odds of diagnosed childhood obesity. This finding implicates that residential environments should be considered when developing health promotion programmes. (c) 2017 The Author(s) Published by S. Karger GmbH, Freiburg