Linking environment and health data to investigate the association between access to unhealthy food and child BMI

Introduction Modelling the daily exposure environment provides evidence for policy and practice. However, the dose-response relationship between exposure to food environments and obesity has not been widely investigated. This study investigated whether increased retail food environment (RFE) exposur...

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Main Authors: Amy Mizen, Sarah Rodgers, Richard Fry, Ronan Lyons
Format: Article
Language:English
Published: Swansea University 2018-09-01
Series:International Journal of Population Data Science
Online Access:https://ijpds.org/article/view/906
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author Amy Mizen
Sarah Rodgers
Richard Fry
Ronan Lyons
author_facet Amy Mizen
Sarah Rodgers
Richard Fry
Ronan Lyons
author_sort Amy Mizen
collection DOAJ
description Introduction Modelling the daily exposure environment provides evidence for policy and practice. However, the dose-response relationship between exposure to food environments and obesity has not been widely investigated. This study investigated whether increased retail food environment (RFE) exposure in children was associated with a larger body mass index (BMI). Objectives and Approach Individually tailored environmental exposures were calculated in a GIS for home and school locations, and modelled walking routes to and from school. Exposures were linked to individual level health data in the SAIL databank for a cohort of individuals aged 11-13 years from south Wales who had BMI measurements. A fully adjusted multilevel regression model was fitted to investigate the association of RFE exposure with BMI. Based on the distance individuals lived from school, we investigated differences between children who have the potential to walk to school (“walkers” lived 4.8km). Results Home exposure and exposure along the walk to school was significantly greater for children living in deprived catchments, compared with children living in affluent school catchments (t = -5.25, p Conclusion/Implications Increased BMI was associated with greater RFE exposure along the walk home from school. The findings suggest that the walk home from school should be the focus 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-a324b96a301841ebb7440e2e750821872023-12-02T17:15:04ZengSwansea UniversityInternational Journal of Population Data Science2399-49082018-09-013410.23889/ijpds.v3i4.906906Linking environment and health data to investigate the association between access to unhealthy food and child BMIAmy Mizen0Sarah Rodgers1Richard Fry2Ronan Lyons3Farr Institute, Swansea University Medical SchoolSwansea University Medical SchoolNational Centre for Population Health and Wellbeing ResearchFarr Institute, Swansea University Medical SchoolIntroduction Modelling the daily exposure environment provides evidence for policy and practice. However, the dose-response relationship between exposure to food environments and obesity has not been widely investigated. This study investigated whether increased retail food environment (RFE) exposure in children was associated with a larger body mass index (BMI). Objectives and Approach Individually tailored environmental exposures were calculated in a GIS for home and school locations, and modelled walking routes to and from school. Exposures were linked to individual level health data in the SAIL databank for a cohort of individuals aged 11-13 years from south Wales who had BMI measurements. A fully adjusted multilevel regression model was fitted to investigate the association of RFE exposure with BMI. Based on the distance individuals lived from school, we investigated differences between children who have the potential to walk to school (“walkers” lived 4.8km). Results Home exposure and exposure along the walk to school was significantly greater for children living in deprived catchments, compared with children living in affluent school catchments (t = -5.25, p Conclusion/Implications Increased BMI was associated with greater RFE exposure along the walk home from school. The findings suggest that the walk home from school should be the focus for developing interventions and policies to discourage unhealthy eating. Research should be undertaken to better understand child purchasing habits.https://ijpds.org/article/view/906
spellingShingle Amy Mizen
Sarah Rodgers
Richard Fry
Ronan Lyons
Linking environment and health data to investigate the association between access to unhealthy food and child BMI
International Journal of Population Data Science
title Linking environment and health data to investigate the association between access to unhealthy food and child BMI
title_full Linking environment and health data to investigate the association between access to unhealthy food and child BMI
title_fullStr Linking environment and health data to investigate the association between access to unhealthy food and child BMI
title_full_unstemmed Linking environment and health data to investigate the association between access to unhealthy food and child BMI
title_short Linking environment and health data to investigate the association between access to unhealthy food and child BMI
title_sort linking environment and health data to investigate the association between access to unhealthy food and child bmi
url https://ijpds.org/article/view/906
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