The Neighborhood Food Environment and the Onset of Child-Hood Obesity: A Retrospective Time-Trend Study in a Mid-sized City in China.
The Neighborhood Food Environment and the Onset of Child-Hood Obesity: A Retrospective Time-Trend Study in a Mid-sized City in China.
复制标题
社区饮食环境与儿童肥胖的发生：中国中等城市的回顾性时间趋势研究
DOI：
10.3389/fpubh.2021.688767
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发表时间：
2021
影响因子：
5.2
通讯作者：
Liu K
中科院分区：
文献类型：
--
作者：
Zhou P;Li R;Liu K
如今，肥胖及其相关的慢性疾病已成为一个不断增长的公共卫生问题，从老年人向年轻人蔓延。研究认为，建筑环境，特别是食物环境和步行能力，可能导致儿童肥胖症的流行。在以快速城市化、高人口密度和东方饮食为特征的亚洲国家，人们对这种城市建筑环境如何影响儿童肥胖症的发生知之甚少。本研究以中国某中等城市为研究对象，探讨了食物环境、步行适宜性和社区户外活动空间对儿童体重的影响。本观察性研究采用回顾性时间趋势研究设计，探讨湛江市，中国广东省的一个中等规模的城市，邻里建筑环境和儿童体重之间的关联。使用稳健的多元线性和逻辑回归模型来估计建筑环境与儿童BMI和体重状况之间的关联（即，超重/肥胖和仅肥胖）。本研究发现：（1）西式快餐和中式快餐对儿童体重的影响不同。在社区层面，虽然西式快餐的暴露增加可能会增加儿童BMI和超重和肥胖的风险，但中式快餐的暴露增加反而会降低儿童BMI和超重和肥胖的风险，表明中式快餐对健康有积极的影响。(2)然而，近年来，中式快餐、适宜步行的环境和方便的传统水果/蔬菜市场所带来的积极健康影响已逐渐消失。这项研究是最早同时考虑食品环境对中国城市儿童体重的不同和不断变化的影响的研究之一。研究结果为健康城市设计和食品零售业管理提供了重要启示，以解决亚洲城市年轻一代的肥胖流行病。由于亚洲和西方城市的饮食文化存在显著差异，因此在未来的研究和相关城市规划策略制定中应更加关注健康的饮食环境。
Nowadays, obesity and its associated chronic diseases have become a steadily growing public health problem, spreading from the older to younger age groups. Studies have contended that the built environment, particularly the food environment and walkability, may contribute to the prevalence of childhood obesity. In Asian countries which are characterized by rapid urbanization, high population density and oriental diets, little is known about how such urban built environment affects the onset of childhood obesity. This study juxtaposes the effect of food environment, walkability, and outdoor activity spaces at the neighborhood level upon childhood body weight in a mid-sized city in China. This observational study utilizes a retrospective time-trend study design to examine the associations between neighborhood built environment and children's body weight in Zhanjiang City, a mid-sized city in Guangdong Province, China. Robust multiple linear and logistic regression models were used to estimate associations between the built environments and child BMI and weight status (i.e., overweight/obesity and obesity only). This study finds that: (1) Western-style fast food and Chinese-style fast food have divergent impacts on childhood body weight. At neighborhood level, while increased exposure to Western-style fast food may increase child BMI and the risk of overweight and obesity, increased exposure to Chinese-style fast food, on the contrary, may reduce child BMI and the risk of overweight and obesity, indicating a positive health impact of Chinese-style fast food. (2) However, the positive health impacts brought about by Chinese-style fast food, walkable environments and accessible traditional fruit/vegetable markets have gradually disappeared in recent years. This study is among the first to simultaneously consider the divergent and changing impact of food environment upon childhood body weight in urban China. The findings provide important implications for healthy city design and the management of food retail industry in addressing the obesity epidemic in younger generations living in Asian cities. As prominent differences exist in food culture between Asian and Western cities, more attention should be paid to healthy food environment in future studies and related urban planning strategies formulation.
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影响因子：
3.6
作者：
Hamano, Tsuyoshi;Li, Xinjun;Sundquist, Kristina
通讯作者：
Sundquist, Kristina
影响因子：
1.7
作者：
Leung, SSF;Cole, TJ;Lau, JTF
通讯作者：
Lau, JTF
影响因子：
6.9
作者：
Cobb, Laura K.;Appel, Lawrence J.;Franco, Manuel;Jones-Smith, Jessica C.;Nur, Alana;Anderson, Cheryl A. M.
通讯作者：
Anderson, Cheryl A. M.
DOI：
10.1198/016214508000000841
发表时间：
2008-12-01
影响因子：
3.7
作者：
Anderson, Michael L.
通讯作者：
Anderson, Michael L.
DOI：
10.1186/s12966-016-0369-7
发表时间：
2016-04-06
期刊：
The international journal of behavioral nutrition and physical activity
影响因子：
--
作者：
Gunawardena N;Kurotani K;Indrawansa S;Nonaka D;Mizoue T;Samarasinghe D
通讯作者：
Samarasinghe D