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Effects of Proximity to Supermarkets on a Randomized Trial Studying Interventions for Obesity
Journal article   Open access   Peer reviewed

Effects of Proximity to Supermarkets on a Randomized Trial Studying Interventions for Obesity

Lauren Fiechtner, Ken Kleinman, Steven J. Melly, Mona Sharifi, Richard Marshall, Jason Block, Erika R. Cheng and Elsie M. Taveras
American journal of public health (1971), v 106(3), pp 557-562
01 Mar 2016
PMID: 26794159
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4880218View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

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.

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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