期刊
PUBLIC HEALTH NUTRITION
卷 18, 期 9, 页码 1698-1705出版社
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S1368980014002316
关键词
Fast food; Obesity; Takeaway; Type 2 diabetes mellitus
资金
- National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care - East Midlands (NIHR CLAHRC - EM)
- Leicester Clinical Trials Unit
- NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit
- National Health Service (NHS) Department of Health Support for Science
- NIHR
- NIHR CLAHRC for Leicestershire, Northamptonshire and Rutland
Objective: We investigated whether a higher number of fast-food outlets in an individual's home neighbourhood is associated with increased prevalence of type 2 diabetes mellitus and related risk factors, including obesity. Design: Cross-sectional study. Setting: Three UK-based diabetes screening studies (one general population, two high-risk populations) conducted between 2004 and 2011. The primary outcome was screen-detected type 2 diabetes. Secondary outcomes were risk factors for type 2 diabetes. Subjects: In total 10 461 participants (mean age 59 years; 53 % male; 21 % non-White ethnicity). Results: There was a higher number of neighbourhood (500 m radius from home postcode) fast-food outlets among non-White ethnic groups (P<0.001) and in socially deprived areas (P<0.001). After adjustment (social deprivation, urban/rural, ethnicity, age, sex), more fast-food outlets was associated with significantly increased odds for diabetes (OR=1.02; 95 % CI 1.00, 1.04) and obesity (OR=1.02; 95 % CI 1.00, 1.03). This suggests that for every additional two outlets per neighbourhood, we would expect one additional diabetes case, assuming a causal relationship between the fast-food outlets and diabetes. Conclusions: These results suggest that increased exposure to fast-food outlets is associated with increased risk of type 2 diabetes and obesity, which has implications for diabetes prevention at a public health level and for those granting planning permission to new fast-food outlets.
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