The association between the food environment and weight status among eastern North Carolina youth.

Authors:
Stephanie B Jilcott
Stephanie B Jilcott
East Carolina University
United States
Scott Wade
Scott Wade
Victoria University
Australia
Jared T McGuirt
Jared T McGuirt
University of North Carolina at Chapel Hill
United States
Qiang Wu
Qiang Wu
Shanghai Jiao Tong University Affiliated Sixth People's Hospital
China
Suzanne Lazorick
Suzanne Lazorick
Brody School of Medicine
Dr. Justin B Moore, PhD, MS
Dr. Justin B Moore, PhD, MS
Wake Forest School of Medicine
Associate Professor
Implementation Science, Epidemiology
Winston-Salem, NC | United States

Public Health Nutr 2011 Sep 13;14(9):1610-7. Epub 2011 Apr 13.

Department of Public Health, Brody School of Medicine, East Carolina University, 1709 West Sixth Street, Greenville, NC 27834, USA.

Objective: To examine associations between various measures of the food environment and BMI percentile among youth.

Design: Cross-sectional, observational.

Setting: Pitt County, eastern North Carolina.

Subjects: We extracted the electronic medical records for youth receiving well child check-ups from January 2007 to June 2008. We obtained addresses for food venues from two secondary sources and ground-truthing. A geographic information systems database was constructed by geocoding home addresses of 744 youth and food venues. We quantified participants' accessibility to food venues by calculating 'coverage', number of food venues in buffers of 0·25, 0·5, 1 and 5 miles (0·4, 0·8, 1·6 and 8·0 km) and by calculating 'proximity' or distance to the closest food venue. We examined associations between BMI percentile and food venue accessibility using correlation and regression analyses.

Results: There were negative associations between BMI percentile and coverage of farmers' markets/produce markets in 0·25 and 0·5 mile Euclidean and 0·25, 0·5 and 1 mile road network buffers. There were positive associations between BMI percentile and coverage of fast-food and pizza places in the 0·25 mile Euclidean and network buffers. In multivariate analyses adjusted for race, insurance status and rural/urban residence, proximity (network distance) to convenience stores was negatively associated with BMI percentile and proximity to farmers' markets was positively associated with BMI percentile.

Conclusions: Accessibility to various types of food venues is associated with BMI percentile in eastern North Carolina youth. Future longitudinal work should examine correlations between accessibility to and use of traditional and non-traditional food venues.

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September 2011
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References

(Supplied by CrossRef)
Article in Am J Health Promot
Liu et al.
Am J Health Promot 2007
Article in J Nutr
Sharkey et al.
J Nutr 2008
Article in Health Aff (Millwood) Suppl Web Exclusives
Finkelstein et al.
Health Aff (Millwood) Suppl Web Exclusives 2003

Blankenau et al.
2009

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