Association of food access and neighbor relationships with diet and underweight among community-dwelling older Japanese.

Association of food access and neighbor relationships with diet and underweight among community-dwelling older Japanese.
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DOI:
10.1016/j.je.2016.12.016
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发表时间:
2017-11
影响因子:
4.7
通讯作者:
Kondo K
Kondo K
中科院分区:
医学3区
文献类型:
--
作者:
Nakamura H;Nakamura M;Okada E;Ojima T;Kondo K

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食物获取对于保持饮食多样性很重要,这预示着体重过轻。这项研究的目的是检查食物获取和邻居关系与饮食和体重不足的关系。我们分析了102,869名年龄在65岁或以上的日本人的横断面数据。通过评估家庭周围1公里内是否存在食品商店来评估食物的可获得性。与邻居的关系水平也被评估。采用logistic回归分析确定食物摄入少和体重过轻的比值比(ORs)和95%置信区间(CIs)。无法获得食物的男女比例为25-30%。低食物获取(OR为1.18;95% CI为男性1.12-1.25,OR为1.26;95% CI为女性1.19-1.33)和与邻居关系较低(OR为1.38;95% CI为男性1.31-1.45,OR为1.57;95% CI为女性1.48-1.67)与男女不经常摄入水果和蔬菜有关。低邻居关系的男性(OR为1.34,95% CI为1.23-1.46)比高邻居关系的男性(OR为1.10,95% CI为1.03-1.18)食物获取少与不经常摄入水果和蔬菜之间的关联更高。食物可得性低是老年人饮食多样性低的一个危险因素。此外,与邻居的高水平关系可能会减轻食物供应不足的有害影响。在日本老年人中,食物获取较少与不经常吃食物有关。与邻居关系不密切也与不经常进食有关。在男性中,食物获取和邻居关系之间的相互作用是显著的。
Food access is important for maintaining dietary variety, which predicts underweight. The aim of this study was to examine the association of food access and neighbor relationships with eating and underweight. We analyzed cross-sectional data from 102,869 Japanese individuals aged 65 years or older. The perceived availability of food was assessed using the presence or absence of food stores within 1 km of the home. Level of relationships with neighbors was also assessed. The odds ratios (ORs) and 95% confidence intervals (CIs) for infrequent food intake and underweight were determined using logistic regression analysis. The proportion of men and women having low access to food was 25–30%. Having low food access (OR 1.18; 95% CI, 1.12–1.25 for men and OR 1.26; 95% CI, 1.19–1.33 for women) and a low level of relationship with neighbors (OR 1.38; 95% CI, 1.31–1.45 for men and OR 1.57; 95% CI, 1.48–1.67 for women) was associated with infrequent intake of fruits and vegetables in both sexes. Association between low food access and infrequent intake of fruits and vegetables was higher among men with low levels of neighbor relationship (OR 1.34; 95% CI, 1.23–1.46) than among men with high levels of relationship (OR 1.10; 95% CI, 1.03–1.18). Low perceived availability of food is a risk factor for low dietary variety among older people. Furthermore, high levels of relationship with neighbors may relieve the harmful effect of low food access. Low food access was associated with infrequent eating of foods in older Japanese. Low level of relationship with neighbors was also associated with infrequent eating. Interaction between food access and neighbor relationships was significant in men.
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