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Supermarkets, other food stores, and obesity: the atherosclerosis risk in communities study.

TitleSupermarkets, other food stores, and obesity: the atherosclerosis risk in communities study.
Publication TypeJournal Article
Year of Publication2006
AuthorsMorland K, Diez Roux AV, Wing S
JournalAm J Prev Med
Volume30
Issue4
Pagination333-9
Date Published2006 Apr
ISSN0749-3797
KeywordsAged, Atherosclerosis, Cooking, Cross-Sectional Studies, Diet, Female, Food, Food Industry, Humans, Male, Maryland, Middle Aged, Minnesota, Mississippi, North Carolina, Obesity, Odds Ratio, Residence Characteristics, Risk Factors
Abstract

BACKGROUND: Obesity is a leading public health concern, and although environmental factors have been hypothesized to play a role in the prevention of obesity, little empirical data exist to document their effects. The purpose of this study was to examine whether characteristics of the local food environment are associated with the prevalence of cardiovascular disease risk factors.

METHODS: A cross-sectional study of men and women participating in the third visit (1993-1995) of the Atherosclerosis Risk in Communities (ARIC) Study was conducted in 2004. The analyses included 10,763 ARIC participants residing in one of the 207 eligible census tracts located in the four ARIC-defined geographic areas. Names and addresses of food stores located in Mississippi, North Carolina, Maryland, and Minnesota were obtained from departments of agriculture. Multilevel modeling was used to calculate prevalence ratios of the associations between the presence of specific types of food stores and cardiovascular disease risk factors.

RESULTS: The presence of supermarkets was associated with a lower prevalence of obesity and overweight (obesity prevalence ratio [PR] = 0.83, 95% confidence interval [CI] = 0.75-0.92; overweight PR = 0.94, 95% CI = 0.90-0.98), and the presence of convenience stores was associated with a higher prevalence of obesity and overweight (obesity PR = 1.16, 95% CI = 1.05-1.27; overweight PR = 1.06, 95% CI = 1.02-1.10). Associations for diabetes, high serum cholesterol, and hypertension were not consistently observed.

CONCLUSIONS: Results from this study suggest that characteristics of local food environments may play a role in the prevention of overweight and obesity.

DOI10.1016/j.amepre.2005.11.003
Alternate JournalAm J Prev Med
PubMed ID16530621
Grant ListN01-HC-55015 / HC / NHLBI NIH HHS / United States
N01-HC-55016 / HC / NHLBI NIH HHS / United States
N01-HC-55018 / HC / NHLBI NIH HHS / United States
N01-HC-55019 / HC / NHLBI NIH HHS / United States
N01-HC-55020 / HC / NHLBI NIH HHS / United States
N01-HC-55021 / HC / NHLBI NIH HHS / United States
P60 MD00206 / MD / NIMHD NIH HHS / United States
R03-AG22726 / AG / NIA NIH HHS / United States
R25-ES08206 / ES / NIEHS NIH HHS / United States