Investigating the importance of the local food environment for fruit and vegetable intake in older men and women in 20 UK towns: a cross-sectional analysis of two national cohorts using novel methods.
Investigating the importance of the local food environment for fruit and vegetable intake in older men and women in 20 UK towns: a cross-sectional analysis of two national cohorts using novel methods.
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DOI：
10.1186/s12966-017-0581-0
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发表时间：
2017-09-18
期刊：
影响因子：
--
通讯作者：
Lock K
中科院分区：
文献类型：
--
作者：
Hawkesworth S;Silverwood RJ;Armstrong B;Pliakas T;Nanchahal K;Sartini C;Amuzu A;Wannamethee G;Atkins J;Ramsay SE;Casas JP;Morris RW;Whincup PH;Lock K
当地的邻里环境可以影响饮食行为。针对老年人的证据有限，他们可能更依赖当地，可能遭受功能限制，从而放大任何社区影响。使用多层级有序回归分析，我们调查了邻里食物环境的多个维度（通过细节、基于脚的环境审计和二手数据捕获）与自我报告的水果和蔬菜摄入频率之间的关联。这项研究是一项横断面分析，嵌套在英国两个具有全国代表性的队列中：英国区域心脏研究和英国妇女心脏与健康研究。主要关注的是出售水果和蔬菜的食品零售店的密度，快餐店的密度以及食品零售环境多样性的新衡量标准。共有1124名男性和883名女性，年龄在69 - 92岁之间，居住在英国20个城镇。有强有力的证据表明，地区收入剥夺与水果和蔬菜消费之间存在关联，与最贫困地区的研究成员相比，最贫困地区的研究成员估计有27% （95% CI: 7,42）的可能性处于较高的水果和蔬菜消费类别中。我们没有发现一致的证据表明水果和蔬菜消费与一系列其他食品环境领域之间存在关联，包括销售水果和蔬菜的商店密度、销售快餐的场所密度、地区食品零售多样性、地区可步行性、交通可达性或当地食品营销环境。例如，生活在水果和蔬菜出口密度最大的地区的个人，与没有商店的地区相比，处于较高水果和蔬菜消费类别的几率要低2% （95% CI: - 22,21）。虽然环境-饮食关系的小效应不能被忽视，但这项研究表明，老年人受邻里食物环境物理特征的影响比文献中所建议的要小。地区收入剥夺与饮食之间的联系可能抓住了影响老年人食物摄入的社区的一个重要社会方面，值得进一步研究。本文的在线版本（10.1186/s12966-017-0581-0）包含补充材料，可供授权用户使用。
Local neighbourhood environments can influence dietary behavior. There is limited evidence focused on older people who are likely to have greater dependence on local areas and may suffer functional limitations that amplify any neighbourhood impact. Using multi-level ordinal regression analysis we investigated the association between multiple dimensions of neighbourhood food environments (captured by fine-detail, foot-based environmental audits and secondary data) and self-reported frequency of fruit and vegetable intake. The study was a cross-sectional analysis nested within two nationally representative cohorts in the UK: the British Regional Heart Study and the British Women’s Heart and Health Study. Main exposures of interest were density of food retail outlets selling fruits and vegetables, the density of fast food outlets and a novel measure of diversity of the food retail environment. A total of 1124 men and 883 women, aged 69 – 92 years, living in 20 British towns were included in the analysis. There was strong evidence of an association between area income deprivation and fruit and vegetable consumption, with study members in the most deprived areas estimated to have 27% (95% CI: 7, 42) lower odds of being in a higher fruit and vegetable consumption category relative to those in the least deprived areas. We found no consistent evidence for an association between fruit and vegetable consumption and a range of other food environment domains, including density of shops selling fruits and vegetables, density of premises selling fast food, the area food retail diversity, area walkability, transport accessibility, or the local food marketing environment. For example, individuals living in areas with greatest fruit and vegetable outlet density had 2% (95% CI: -22, 21) lower odds of being in a higher fruit and vegetable consumption category relative to those in areas with no shops. Although small effect sizes in environment-diet relationships cannot be discounted, this study suggests that older people are less influenced by physical characteristics of neighbourhood food environments than is suggested in the literature. The association between area income deprivation and diet may be capturing an important social aspect of neighbourhoods that influence food intake in older adults and warrants further research. The online version of this article (10.1186/s12966-017-0581-0) contains supplementary material, which is available to authorized users.
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影响因子：
4.8
作者：
Burns, C. M.;Inglis, A. D.
通讯作者：
Inglis, A. D.
DOI：
10.1111/j.1440-172x.2006.00557.x
发表时间：
2006-04-01
影响因子：
1.9
作者：
Brownie, Sonya
通讯作者：
Brownie, Sonya
影响因子：
5.4
作者：
Auchincloss, Amy H.;Roux, Ana V. Diez;Bertoni, Alain G.
通讯作者：
Bertoni, Alain G.
影响因子：
2.6
作者：
Dean, Wesley R.;Sharkey, Joseph R.
通讯作者：
Sharkey, Joseph R.
影响因子：
4.8
作者：
Black C;Moon G;Baird J
通讯作者：
Baird J