Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology
Objectives. To determine whether proximity to a supermarket modified the effects of an obesity intervention.
Methods. We examined 498 children aged 6 to 12 years with a body mass index (BMI) at or above the 95th percentile participating in an obesity trial in Massachusetts in 2011 to 2013. The practice-based interventions included computerized clinician decision support plus family self-guided behavior change or health coaching. Outcomes were 1-year change in BMI z-score, sugar-sweetened beverage intake, and fruit and vegetable intake. We examined distance to the closest supermarket as an effect modifier.
Results. Distance to supermarkets was an effect modifier of 1-year change in BMI z-score and fruit and vegetable intake but not sugar-sweetened beverage intake. With each 1-mile shorter distance to a supermarket, intervention participants increased their fruit and vegetable intake by 0.29 servings per day and decreased their BMI z-score by -0.04 units relative to controls.
Conclusions. Living closer to a supermarket is associated with greater improvements in fruit and vegetable intake and weight status in an obesity intervention.
Effects of Proximity to Supermarkets on a Randomized Trial Studying Interventions for Obesity
Creators
Lauren Fiechtner - Harvard Pilgrim Health Care
Ken Kleinman - Harvard Pilgrim Health Care
Steven J. Melly - Harvard Pilgrim Health Care
Mona Sharifi - Harvard Pilgrim Health Care
Richard Marshall - Harvard Pilgrim Health Care
Jason Block - Harvard Pilgrim Health Care
Erika R. Cheng - Harvard Pilgrim Health Care
Elsie M. Taveras - Massachusetts General Hospital
Publication Details
American journal of public health (1971), v 106(3), pp 557-562
Publisher
Amer Public Health Assoc Inc
Number of pages
6
Grant note
K12HS022986 / AGENCY FOR HEALTHCARE RESEARCH AND QUALITY; United States Department of Health & Human Services; Agency for Healthcare Research & Quality
UL1RR025758 / NATIONAL CENTER FOR RESEARCH RESOURCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Research Resources (NCRR)
K23HL111211 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
T32HD075727 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
T32DK007477 / NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
1T32HD075727-02 / Eunice Kennedy Shriver National Institute of Child Health and Human Development; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
2T32DK007477-31A1 / National Institute of Diabetes and Digestive and Kidney Diseases; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
K23HL111211-01A1 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
UL1 RR 025758 / Harvard Clinical and Translational Science Center
R 18AE000026 / American Recovery and Reinvestment Act
Resource Type
Journal article
Language
English
Academic Unit
Urban Health Collaborative
Web of Science ID
WOS:000375444800035
Scopus ID
2-s2.0-84959062674
Other Identifier
991021875472604721
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