Food store accessibility affects nutritional intake through shopping frequency and food intake in middle‐aged to older adults in rural Nagasaki, Japan

Food store accessibility affects nutritional intake through shopping frequency and food intake in middle‐aged to older adults in rural Nagasaki, Japan
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日本长崎农村中老年人的食品商店可及性通过购物频率和食物摄入量影响营养摄入

DOI:
10.1002/ajhb.23725
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发表时间:
2022
影响因子:
2.9
通讯作者:
Ohnishi Mayumi
Ohnishi Mayumi
中科院分区:
医学4区
文献类型:
--
作者:
Kosaka Satoko;Nakao Rieko;Goto Chiho;Umezaki Masahiro;Ohnishi Mayumi

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食物环境是饮食和营养摄入的一个重要决定因素,但迄今为止的研究报告了混合的结果。我们研究了食品商店的可及性和营养摄入量之间的关联中年到老年人在日本农村的国民健康保险enrollees.MethodsThe问卷调查的数据进行了调查,在长崎,日本,为40-74岁的个人。使用地理信息系统(GIS)估计直接离家的距离和食品商店密度。我们关注蛋白质、维生素D和钙的摄入量对虚弱和肌肉减少症的预防作用。为了研究食品商店可及性对营养摄入的影响,我们假设了一个模型,该模型包含食品商店可及性、购物频率、食物摄入频率和营养摄入的一系列关联。我们进行了路径分析,以探索的食物项目被包括在模型中,变量之间的关联,和健身的models.ResultsWe最终获得模型与满意的拟合指数。由此产生的模型包括以下之间的显著关联:1)可及性指标和购物频率,2)两类或四类食物的购物频率和摄入频率,3)摄入频率和营养摄入量.ConclusionsThe结果表明,可及性食品商店,评估从家庭的直接距离和食品商店密度,可以影响蛋白质,维生素D,在日本长崎的中老年人中,通过对购物频率和某些类别食物摄入频率的影响,
ObjectivesThe food environment is an important determinant of dietary and nutritional intake, but studies thus far have reported mixed results. We examined associations between food store accessibility and nutritional intake among middle‐aged to older adults in rural Japan using data from a questionnaire survey of national health insurance enrollees.MethodsThe survey was conducted in Nagasaki, Japan, for individuals aged 40–74 years. Direct distances from home and food store density were estimated using a geographic information system (GIS). We focused on protein, vitamin D, and calcium intake for their preventive effects on frailty and sarcopenia. To examine the effects of food store accessibility on nutritional intake, we hypothesized a model with a chain of associations of food store accessibility, shopping frequency, food intake frequency, and nutritional intake. We performed a path analyses to explore the food items to be included in the models, associations between the variables, and fitness of the models.ResultsWe obtained final models with satisfactory fit indices. The resultant models included significant associations between: 1) accessibility indicators and shopping frequency, 2) shopping frequency and intake frequency for two or four categories of food, and 3) intake frequency and nutritional intake.ConclusionsThe results demonstrated that accessibility to food stores, assessed in terms of direct distance from home and food store density, can affect the intake of protein, vitamin D, and calcium through the effect on shopping frequency and intake frequency of some categories of food items, among middle‐aged to older adults in Nagasaki, Japan.
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