Effects of school neighborhood food environments on childhood obesity at multiple scales: a longitudinal kindergarten cohort study in the USA

Effects of school neighborhood food environments on childhood obesity at multiple scales: a longitudinal kindergarten cohort study in the USA
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DOI:
10.1186/s12916-019-1329-2
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发表时间:
2019-05-22
期刊:
影响因子:
9.3
通讯作者:
Wang, Youfa
Wang, Youfa
中科院分区:
医学1区
文献类型:
--
作者:
Jia, Peng;Xue, Hong;Wang, Youfa

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背景资料:学校附近的食物环境被认为是儿童肥胖的重要贡献者;然而,大规模和纵向研究仍然有限。本研究的目的是研究这种关联及其在多个地理scales.Methods跨性别和城市化的变化:我们使用了美国全国代表性的幼儿纵向研究,幼儿园队列数据,包括7530 churteners随访1998年至2007年。使用人口普查、道路网络和Dun and Bradstreet商业数据集构建了学校和学校邮政编码800 m直线和道路网络缓冲区内11种食品店的时变测量,包括超市、便利店、全方位服务餐厅、快餐店、零售面包店、乳制品店、保健/饮食食品店、糖果店、水果/蔬菜市场、肉/鱼市场和饮料店。结果:在1998-2007年期间,在学校社区便利店增加的儿童中,2007年的身体质量指数(BMI)较高(β =0.39,p
Background: School neighborhood food environment is recognized as an important contributor to childhood obesity; however, large-scale and longitudinal studies remain limited. This study aimed to examine this association and its variation across gender and urbanicity at multiple geographic scales.Methods: We used the US nationally representative Early Childhood Longitudinal Study-Kindergarten cohort data and included 7530 kindergarteners followed up from 1998 to 2007. The Census, road network, and Dun and Bradstreet commercial datasets were used to construct time-varying measurements of 11 types of food outlet within 800-m straight-line and road-network buffer zones of schools and school ZIP codes, including supermarket, convenience store, full-service restaurant, fast-food restaurant, retail bakery, dairy product store, health/dietetic food store, candy store, fruit/vegetable market, meat/fish market, and beverage store. Two-level mixed-effect and cluster-robust logistic regression models were performed to examine the association.Results: A higher body mass index (BMI) in 2007 was observed among children experiencing an increase of convenience stores in school neighborhoods during 1998-2007 (beta=0.39, p