Daily exposure to the retail food environment and the association with child BMI

Background The dose-response relationship between exposure to food environments and obesity has not been widely investigated. This study examined whether increased retail food environment (RFE) exposure in children was associated with a larger body mass index (BMI). Objectives Generate household...

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Main Authors: Amy Mizen, Sarah Rodgers, Richard Fry
Format: Article
Language:English
Published: Swansea University 2018-06-01
Series:International Journal of Population Data Science
Online Access:https://ijpds.org/article/view/520
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author Amy Mizen
Sarah Rodgers
Richard Fry
author_facet Amy Mizen
Sarah Rodgers
Richard Fry
author_sort Amy Mizen
collection DOAJ
description Background The dose-response relationship between exposure to food environments and obesity has not been widely investigated. This study examined whether increased retail food environment (RFE) exposure in children was associated with a larger body mass index (BMI). Objectives Generate household level daily exposure to the RFE for children aged 11-13 years and link these environmental exposure with health data in an anonymised data safe haven. Methods Individually tailored environmental exposures were calculated in a GIS for home and school locations, and modelled walking routes to and from school. Local Authority food outlet data were used to generate the temporally accurate exposures. Exposures were linked to individual level health data in the SAIL databank for a cohort of individuals from south Wales aged 11-13 years, with BMI measurements. A fully adjusted multilevel regression model was fitted to investigate the association of RFE exposure with BMI. Findings Home exposure and exposure along the walk to school was significantly greater for children living in deprived catchments, compared with affluent school catchments (t = -5.25, p<0.05; t = -0.277, p<0.05, respectively). The RFE exposure along the walk home was the only environmental exposure positively associated with a higher BMI (0.22, p<0.05). Conclusions Increased BMI was associated with greater REF exposure along the walk home from school. The findings suggest that the walk home from school may be important for developing interventions and policies to discourage unhealthy eating. Research should be undertaken to better understand child purchasing habits.
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spelling doaj.art-949d02b9ee9a4f0f901364785fdf4ab02023-12-02T11:56:31ZengSwansea UniversityInternational Journal of Population Data Science2399-49082018-06-013210.23889/ijpds.v3i2.520520Daily exposure to the retail food environment and the association with child BMIAmy Mizen0Sarah Rodgers1Richard Fry2Swansea UniversitySwansea UniversitySwansea UniversityBackground The dose-response relationship between exposure to food environments and obesity has not been widely investigated. This study examined whether increased retail food environment (RFE) exposure in children was associated with a larger body mass index (BMI). Objectives Generate household level daily exposure to the RFE for children aged 11-13 years and link these environmental exposure with health data in an anonymised data safe haven. Methods Individually tailored environmental exposures were calculated in a GIS for home and school locations, and modelled walking routes to and from school. Local Authority food outlet data were used to generate the temporally accurate exposures. Exposures were linked to individual level health data in the SAIL databank for a cohort of individuals from south Wales aged 11-13 years, with BMI measurements. A fully adjusted multilevel regression model was fitted to investigate the association of RFE exposure with BMI. Findings Home exposure and exposure along the walk to school was significantly greater for children living in deprived catchments, compared with affluent school catchments (t = -5.25, p<0.05; t = -0.277, p<0.05, respectively). The RFE exposure along the walk home was the only environmental exposure positively associated with a higher BMI (0.22, p<0.05). Conclusions Increased BMI was associated with greater REF exposure along the walk home from school. The findings suggest that the walk home from school may be important for developing interventions and policies to discourage unhealthy eating. Research should be undertaken to better understand child purchasing habits.https://ijpds.org/article/view/520
spellingShingle Amy Mizen
Sarah Rodgers
Richard Fry
Daily exposure to the retail food environment and the association with child BMI
International Journal of Population Data Science
title Daily exposure to the retail food environment and the association with child BMI
title_full Daily exposure to the retail food environment and the association with child BMI
title_fullStr Daily exposure to the retail food environment and the association with child BMI
title_full_unstemmed Daily exposure to the retail food environment and the association with child BMI
title_short Daily exposure to the retail food environment and the association with child BMI
title_sort daily exposure to the retail food environment and the association with child bmi
url https://ijpds.org/article/view/520
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