Journal article
Influence of the food environment on obesity risk in a large cohort of US veterans by community type
Obesity (Silver Spring, Md.)
01 Feb 2024
PMID: 38298108
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The aim of this study was to examine relationships between the food environment and obesity by community type.
Using electronic health record data from the US Veterans Administration Diabetes Risk (VADR) cohort, we examined associations between the percentage of supermarkets and fast-food restaurants with obesity prevalence from 2008 to 2018. We constructed multivariable logistic regression models with random effects and interaction terms for year and food environment variables. We stratified models by community type.
Mean age at baseline was 59.8 (SD = 16.1) years; 93.3% identified as men; and 2,102,542 (41.8%) were classified as having obesity. The association between the percentage of fast-food restaurants and obesity was positive in high-density urban areas (odds ratio [OR] = 1.033; 95% CI: 1.028-1.037), with no interaction by time (p = 0.83). The interaction with year was significant in other community types (p < 0.001), with increasing odds of obesity in each follow-up year. The associations between the percentage of supermarkets and obesity were null in high-density and low-density urban areas and positive in suburban (OR = 1.033; 95% CI: 1.027-1.039) and rural (OR = 1.007; 95% CI: 1.002-1.012) areas, with no interactions by time.
Many healthy eating policies have been passed in urban areas; our results suggest such policies might also mitigate obesity risk in nonurban areas.
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Details
- Title
- Influence of the food environment on obesity risk in a large cohort of US veterans by community type
- Creators
- Pasquale E Rummo - New York UniversityRania Kanchi - New York UniversitySamrachana Adhikari - New York UniversityAndrea R Titus - New York UniversityDavid C Lee - New York UniversityTara McAlexander - Drexel UniversityLorna E Thorpe - New York UniversityBrian Elbel - New York University
- Publication Details
- Obesity (Silver Spring, Md.)
- Publisher
- Wiley
- Grant note
- R01DK124400 / NIDDK NIH HHS U01DP006299-02-00 / CDC HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:001155465200001
- Scopus ID
- 2-s2.0-85184229616
- Other Identifier
- 991021842662104721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Endocrinology & Metabolism
- Nutrition & Dietetics