期刊
PUBLIC HEALTH NUTRITION
卷 24, 期 14, 页码 4572-4581出版社
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S1368980020004437
关键词
Diet quality; Obesity; Food environment; Population health; Children
资金
- Alberta Health
- Canadian Institutes of Health Research (CIHR) Master's Award: Frederick Banting and Charles Best Canada Graduate Scholarship
The study demonstrated that higher absolute number of unhealthy food outlets within school surroundings, along with an increase in the proportion of unhealthy food outlets, negatively affects children's diet quality and weight status.
Objective: Increasing evidence links unhealthy food environments with diet quality and overweight/obesity. Recent evidence has demonstrated that relative food environment measures outperform absolute measures. Few studies have examined the interplay between these two measures. We examined the separate and combined effects of the absolute and relative densities of unhealthy food outlets within 1600 m buffers around elementary schools on children's diet- and weight-related outcomes. Design: This is a cross-sectional study of 812 children from thirty-nine schools. The Youth Healthy Eating Index (Y-HEI) and daily vegetables and fruit servings were derived from the Harvard Food Frequency Questionnaire for Children and Youth. Measured heights and weights determined BMI Z-scores. Food outlets were ranked as healthy, somewhat healthy and unhealthy according to provincial paediatric nutrition guidelines. Multilevel mixed-effects regression models were used to assess the effect of absolute (number) and relative (proportion) densities of unhealthy food outlets within 1600 m around schools on diet quality and weight status. Setting: Two urban centres in the province of Alberta, Canada. Participants: Grade 5 students (10-11 years). Results: For children attending schools with a higher absolute number (36+) of unhealthy food outlets within 1600 m, every 10 % increase in the proportion of unhealthy food outlets was associated with 4 center dot 1 lower Y-HEI score and 0 center dot 9 fewer daily vegetables and fruit. Conclusions: Children exposed to a higher relative density of unhealthy food outlets around a school had lower diet quality, specifically in areas where the absolute density of unhealthy food outlets was also high.
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