Journal
OSTEOPOROSIS INTERNATIONAL
Volume 27, Issue 3, Pages 1011-1019Publisher
SPRINGER LONDON LTD
DOI: 10.1007/s00198-015-3340-6
Keywords
Developmental modelling; DXA; Epidemiology; General population studies; Nutrition
Categories
Funding
- Medical Research Council
- British Heart Foundation
- Arthritis Research UK
- Dunhill Medical Trust
- Food Standards Agency
- National Osteoporosis Society
- International Osteoporosis Foundation
- NIHR Southampton Biomedical Research Centre
- University of Southampton
- University Hospital Southampton NHS Foundation Trust
- European Union's Seventh Framework Programme (FP7) [289346]
- UK National Institute for Health Research (NIHR)
- National Institutes of Health Research (NIHR) [DRF-2011-04-015] Funding Source: National Institutes of Health Research (NIHR)
- British Heart Foundation [RG/07/009/23120] Funding Source: researchfish
- Medical Research Council [MC_UU_12011/4, MC_U147585827, U1475000001, MC_U147585819, MC_UU_12011/2, MC_UU_12011/1, U1475000002, MC_UP_A620_1014, MC_UP_A620_1017, MC_UP_A620_1015] Funding Source: researchfish
- National Institute for Health Research [NF-SI-0508-10082, NF-SI-0513-10085, NF-SI-0515-10042, 10/33/04, DRF-2011-04-015] Funding Source: researchfish
- MRC [MC_UP_A620_1017, MC_U147585827, MC_UP_A620_1015, MC_UU_12011/4, MC_U147585819, MC_UU_12011/2] Funding Source: UKRI
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A healthy diet positively influences childhood bone health, but how the food environment relates to bone development is unknown. Greater neighbourhood access to fast-food outlets was associated with lower bone mass among infants, while greater access to healthy speciality stores was associated with higher bone mass at 4 years. Introduction Identifying factors that contribute to optimal childhood bone development could help pinpoint strategies to improve long-term bone health. A healthy diet positively influences bone health from before birth and during childhood. This study addressed a gap in the literature by examining the relationship between residential neighbourhood food environment and bone mass in infants and children. Methods One thousand one hundred and seven children participating in the Southampton Women's Survey, UK, underwent measurement of bone mineral density (BMD) and bone mineral content (BMC) at birth and 4 and/or 6 years by dual-energy X-ray absorptiometry (DXA). Cross-sectional observational data describing food outlets within the boundary of each participant's neighbourhood were used to derive three measures of the food environment: the counts of fast-food outlets, healthy speciality stores and supermarkets. Results Neighbourhood exposure to fast-food outlets was associated with lower BMD in infancy (beta = -0.23 (z-score): 95 % CI -0.38, -0.08) and lower BMC after adjustment for bone area and confounding variables (beta = -0.17 (z-score): 95 % CI -0.32, -0.02). Increasing neighbourhood exposure to healthy speciality stores was associated with higher BMD at 4 and 6 years (beta = 0.16(z-score): 95 % CI 0.00, 0.32 and beta = 0.13(z-score): 95 % CI -0.01, 0.26 respectively). The relationship with BMC after adjustment for bone area and confounding variables was statistically significant at 4 years, but not at 6 years. Conclusions The neighbourhood food environment that pregnant mothers and young children are exposed may affect bone development during early childhood. If confirmed in future studies, action to reduce access to fast-food outlets could have benefits for childhood development and long-term bone health.
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