Neighborhood food environment and mortality among older Japanese adults: results from the JAGES cohort study.
Neighborhood food environment and mortality among older Japanese adults: results from the JAGES cohort study.
复制标题
DOI：
10.1186/s12966-018-0732-y
复制
发表时间：
2018-10-19
期刊：
影响因子：
--
通讯作者：
Kondo K
中科院分区：
文献类型：
--
作者：
Tani Y;Suzuki N;Fujiwara T;Hanazato M;Kondo N;Miyaguni Y;Kondo K
以前的研究已经将销售水果和蔬菜的食品商店的可用性较低与不健康的饮食联系起来。然而，健康食品商店的可用性和死亡率之间的纵向关联是未知的。本研究通过老年人的驾驶状态来研究社区食品商店的可用性与死亡率之间的关系。这项研究对日本老年学评估研究的参与者进行了为期三年的随访，这是一项针对65岁或以上日本成年人的基于人群的队列研究。2010年至2013年的死亡率分析了49，511名受访者。社区食品商店的可用性被定义为在一个人的住所的500米或1公里半径内出售水果和蔬菜的食品商店的数量。主观（参与者报告）和客观（基于地理信息系统）的测量被用来评估这一变量。使用考克斯回归模型估计死亡率的风险比（HR）。随访期间共发生2049例死亡。较低的主观可用性的食品商店是显着相关的死亡率增加。与报告最高可用性的参与者相比，报告最低可用性的参与者的年龄和性别调整HR为1.28（95% CI：1.04-1.58; p = 0.02）。在调整社会人口统计学（教育，收入，同居，婚姻状况和就业状况）和环境（驾驶状况，使用公共交通工具和研究地点）状态后，该关联仍然显着（HR = 1.24，95%CI：1.01-1.53，p = 0.04）。这种关联在非汽车用户中更强，其中报告食品商店可用性最低的人的HR为1.61（95%CI：1.08-2.41，p = 0.02）。相比之下，客观可用性与死亡率之间没有显著相关性。健康食品商店的可用性较低，主观衡量，但不客观，与死亡率，特别是在非汽车用户。考虑到随着年龄的增长，流动性下降，生活在一个有很多选择的社区，在步行距离内购买水果和蔬菜可能对健康老龄化很重要。本文的在线版本（10.1186/s12966-018-0732-y）包含补充材料，可供授权用户使用。
Previous research has linked lower availability of food stores selling fruits and vegetables to unhealthy diet. However, the longitudinal association between the availability of healthy food stores and mortality is unknown. This study examined the association between neighborhood availability of food stores and mortality by driving status among older adults. This study drew upon a three-year follow up of participants in the Japan Gerontological Evaluation Study, a population-based cohort study of Japanese adults aged 65 years or older. Mortality from 2010 to 2013 was analyzed for 49,511 respondents. Neighborhood availability of food stores was defined as the number of food stores selling fruits and vegetables within a 500-m or 1-km radius of a person’s residence. Both subjective (participant-reported) and objective (geographic information system-based) measurements were used to assess this variable. Cox regression models were used to estimate hazard ratios (HR) for mortality. A total of 2049 deaths occurred during the follow up. Lower subjective availability of food stores was significantly associated with increased mortality. Compared with participants reporting the highest availability, the age- and sex-adjusted HR for those reporting the lowest availability was 1.28 (95% CI: 1.04–1.58; p = 0.02). The association remained significant after adjustment for sociodemographic (education, income, cohabitation, marital status, and employment status) and environmental (driving status, use of public transportation, and study site) status (HR = 1.24, 95% CI: 1.01–1.53, p = 0.04). This association was stronger among non-car users, among whom the HR for those reporting the lowest availability of food stores was 1.61 (95% CI: 1.08–2.41, p = 0.02). In contrast, no significant association was seen between objective availability and mortality. Lower availability of healthy food stores measured subjectively, but not objectively, was associated with mortality, especially among non-car users. Considering the decline in mobility with age, living in a neighborhood with many options for procuring fruits and vegetables within walking distance may be important for healthy aging. The online version of this article (10.1186/s12966-018-0732-y) contains supplementary material, which is available to authorized users.
登录
查看更多内容
DOI：
10.3390/ijerph121013350
发表时间：
2015-10-23
影响因子：
--
作者：
Hanibuchi T;Nakaya T;Yonejima M;Honjo K
通讯作者：
Honjo K
影响因子：
6.7
作者：
Tani Y;Sasaki Y;Haseda M;Kondo K;Kondo N
通讯作者：
Kondo N
影响因子：
3.2
作者：
Dean, Moira;Raats, Monique M.;Lumbers, Margaret
通讯作者：
Lumbers, Margaret
影响因子：
4.7
作者：
Nakamura H;Nakamura M;Okada E;Ojima T;Kondo K
通讯作者：
Kondo K
影响因子：
6.9
作者：
Matsuo, Tomoaki;Sairenchi, Toshimi;Muto, Takashi
通讯作者：
Muto, Takashi