Proximity to supermarkets associated with higher body mass index among overweight and obese preschool-age children.

Proximity to supermarkets associated with higher body mass index among overweight and obese preschool-age children.
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DOI:
10.1016/j.ypmed.2012.11.023
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发表时间:
2013-03
影响因子:
5.1
通讯作者:
Taveras, Elsie M.
Taveras, Elsie M.
中科院分区:
医学2区
文献类型:
--
作者:
Fiechtner, Lauren;Block, Jason;Duncan, Dustin T.;Gillman, Matthew W.;Gortmaker, Steven L.;Melly, Steven J.;Rifas-Shiman, Sheryl L.;Taveras, Elsie M.

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本研究的目的是探讨学龄前儿童的身体质量指数(BMI)的接近食品机构的协会。我们使用了2006年至2009年在马萨诸塞州参加随机对照试验的438名年龄在2-6.9岁之间、BMI ≥第85百分位数的儿童的基线数据。我们使用地理信息系统来确定与六种类型的食品机构的接近程度:1)便利店,2)面包店,咖啡店,糖果店,3)全方位服务的餐馆,4)大型超市,5)小型超市和6)快餐店。主要结果是孩子的BMI。儿童的平均(SD)BMI为19.2(2.4)kg/m2; 35%的儿童居住在距离大型超市≤ 1英里的地方,42%的儿童居住在1至2英里的地方,22%的儿童居住在2英里的地方。与居住在距离大型超市2英里以上的儿童相比,居住在1英里以内的儿童的BMI高出1.06 kg/m2。根据社会经济特征和与快餐店的距离进行调整后,这一估计值降至0.77 kg/m2。生活在距离大型超市和接近其他食品机构的任何其他距离类别与儿童BMI无关。在超重或肥胖的学龄前儿童中,居住在大型超市附近与较高的BMI相关。
The objective of this study is to examine associations of proximity to food establishments with body mass index (BMI) among preschool-age children. We used baseline data from 438 children ages 2–6.9 years with a BMI ≥ 85th percentile participating in a RCT in Massachusetts from 2006 to 2009. We used a geographic information system to determine proximity to six types of food establishments: 1) convenience stores, 2) bakeries, coffee shops, candy stores, 3) full service restaurants, 4) large supermarkets, 5) small supermarkets, and 6) fast-food restaurants. The main outcome was child’s BMI. Children’s mean (SD) BMI was 19.2 (2.4) kg/m2; 35% lived ≤ 1 mile from a large supermarket, 42% lived >1 to 2 miles, and 22% lived >2 miles. Compared to children living >2 miles from a large supermarket, those who lived within 1 mile had a BMI 1.06 kg/m2 higher. Adjustment for socioeconomic characteristics and distance to fast-food restaurants attenuated this estimate to 0.77 kg/m2. Living in any other distance category from a large supermarket and proximity to other food establishments were not associated with child BMI. Living closer to a large supermarket was associated with higher BMI among preschool-age children who were overweight or obese.
DOI: 10.1016/j.ypmed.2012.05.012
发表时间: 2012-08-01
影响因子: 5.1
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发表时间: 2007-01-01
影响因子: 5.5
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DOI: 10.1111/j.1442-200x.2006.02180.x
发表时间: 2006-04-01
影响因子: 1.4
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