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Journal article
Associations of neighbourhood food retail with disability and death in older adults: Cardiovascular Health Study
BMJ nutrition, prevention & health, e000646
01 Dec 2024
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background
A healthier diet is associated with lower chronic disease burden, but the impact of neighbourhood food environments on disability and death in older adults is not known.
MethodsIn the Cardiovascular Health Study, a cohort study of adults aged 65+, we calculated study years until death (years of life (YOL)), study years without activities of daily living (ADL) difficulty (years of able life; YoAL) and percent of study years without ADL difficulty (compression of disability). Linear regression quantified associations of food establishments within 5 km of baseline home address (as a z-score) with each outcome, adjusted for sociodemographic characteristics. Sensitivity analyses considered adjustment for risk factors and comorbidities, multiple imputation, alternate neighbourhood definitions (1-km radial buffer, census tract) and restriction on residential stability.
Results
We included 4298 participants followed for up to 26 years. All food retail establishments were associated with 6 months higher YoAL per SD in the main model (beta, 0.50 years; 95% CI 0.01, 0.98; p=0.046), with similar findings across sensitivity analyses except when restricting on residential stability. Supermarkets and produce markets were associated with compression of disability (beta, 2.31; 95% CI, 0.04, 4.57) and when using 1-km buffers with YOL (beta, 0.23 years; 95% CI 0.03, 0.43) and YoAL (beta, 0.21 years; 95% CI 0.01, 0.41). Non-supermarket food stores were associated with YoAL (beta, 0.67 years; 95% CI, 0.07, 1.27) and compression of disability (beta, 3.03; 95% CI 0.44, 5.62), but significance was not consistent across sensitivity analyses. Fast-food restaurants did not reach statistical significance in any model.
Conclusion
All food retail was associated with YOL without impairment. Neighbourhood food retail access and type may both have roles in extending YOL and years of able life among older adults, but the findings were sensitive to decisions made during measurement and modelling.
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Details
- Title
- Associations of neighbourhood food retail with disability and death in older adults: Cardiovascular Health Study
- Creators
- Roma Bhatia - Beth Israel Deaconess Medical CenterMark Hernandez - Drexel University, Urban Health CollaborativeJonathan Platt - University of IowaAnne Newman - University of PittsburghDavid Siscovick - New York Academy of MedicineKenneth Mukamal - Beth Israel Deaconess Medical CenterGina Lovasi - Drexel University, Urban Health Collaborative
- Publication Details
- BMJ nutrition, prevention & health, e000646
- Publisher
- BMJ Publishing Group LTD
- Number of pages
- 9
- Grant note
- National Heart, Lung, and Blood Institute (NHLBI): HHSN268201200036C, HHSN268201800001C, N01HC55222, N01HC85079, N01HC85080, N01HC85081, N01HC85082, N01HC85083, N01HC85086, 75N92021D00006, U01HL080295, U01HL130114 National Institute of Neurological Disorders and Stroke (NINDS)National Institute on Aging (NIA): R01AG023629, K24AG065525 National Institute on Alcohol Abuse and Alcoholism: R01AA028552 National Institute on Alcohol Abuse and Alcoholism: R01AA028552 Commonwealth Universal Research Enhancement (C.U.R.E) program by Pennsylvania Department of Health: 4100072543 Urban Health Collaborative at Drexel UniversityBuilt Environment and Health Research Group at Columbia University The Cardiovascular Health Study was supported by contracts HHSN268201200036C, HHSN268200800007C,HHSN268201800001C, N01HC55222, N01HC85079, N01HC85080, N01HC85081, N01HC85082, N01HC85083, N01HC85086 and 75N92021D00006 and grants U01HL080295 and U01HL130114 from the National Heart, Lung, and Blood Institute (NHLBI), with additional contribution from the National Institute of Neurological Disorders and Stroke (NINDS). Additional support was provided by R01AG023629 and K24AG065525 from the National Institute on Aging (NIA). A full list of principal CHS investigators and institutions can be found at CHS- NHLBI.org. The geographic analyses were supported by the National Institute of Aging (grants R01AG049970, R01AG049970-S1, R56AG049970), National Institute on Alcohol Abuse and Alcoholism (grant R01AA028552), Commonwealth Universal Research Enhancement (C.U.R.E) program funded by the Pennsylvania Department of Health- 2015 Formula award- SAP #4100072543, the Urban Health Collaborative at Drexel University, and the Built Environment and Health Research Group at Columbia University.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:001374125800001
- Scopus ID
- 2-s2.0-85214477378
- Other Identifier
- 991022005740004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Nutrition & Dietetics