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Accepted (AM)Open Access (License Unspecified), Open
Journal article
The Women's Health Initiative: The Food Environment, Neighborhood Socioeconomic Status, BMI, and Blood Pressure
Obesity (Silver Spring, Md.), v 20(4), pp 862-871
01 Apr 2012
PMID: 21660076
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Using data (n = 60,775 women) from the Women's Health Initiative Clinical Trial (WHI CT)-a national study of postmenopausal women aged 50-79 years-we analyzed cross-sectional associations between the availability of different types of food outlets in the 1.5 miles surrounding a woman's residence, census tract neighborhood socioeconomic status (NSES), BMI, and blood pressure (BP). We simultaneously modeled NSES and food outlets using linear and logistic regression models, adjusting for multiple sociodemographic factors, population density and random effects at the tract and metropolitan statistical area (MSA) level. We found significant associations between NSES, availability of food outlets and individual-level measurements of BMI and BP. As grocery store/supermarket availability increased from the 10th to the 90th percentile of its distribution, controlling for confounders, BMI was lower by 0.30 kg/m(2). Conversely, as fast-food outlet availability increased from the 10th to the 90th percentile, BMI was higher by 0.28 kg/m(2). When NSES increased from the 10th to the 90th percentile of its distribution, BMI was lower by 1.26 kg/m(2). As NSES increased from the 10th to the 90th percentile, systolic and diastolic BP were lower by 1.11 mm Hg and 0.40 mm Hg, respectively. As grocery store/supermarket outlet availability increased from the 10th and 90th percentiles, diastolic BP was lower by 0.31 mm Hg. In this national sample of postmenopausal women, we found important independent associations between the food and socioeconomic environments and BMI and BP. These findings suggest that changes in the neighborhood environment may contribute to efforts to control obesity and hypertension.
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Details
- Title
- The Women's Health Initiative: The Food Environment, Neighborhood Socioeconomic Status, BMI, and Blood Pressure
- Creators
- Tamara Dubowitz - RAND CorporationMadhumita Ghosh-Dastidar - RAND CorporationChristine Eibner - RAND CorporationMary E. Slaughter - RAND CorporationMeenakshi Fernandes - Abt AssociatesEric A. Whitsel - University of North Carolina at Chapel HillChloe E. Bird - RAND CorporationAdria Jewell - RAND CorporationKaren L. Margolis - University of MinnesotaWenjun Li - University of Massachusetts Medical SchoolYvonne L. Michael - Drexel UniversityRegina A. Shih - RAND CorporationJoAnn E. Manson - Brigham and Women's HospitalJose J. Escarce - University of California, Los Angeles
- Publication Details
- Obesity (Silver Spring, Md.), v 20(4), pp 862-871
- Publisher
- Wiley
- Number of pages
- 10
- Grant note
- R01HL084425 / 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) RAND's Center for Population Health and Health Disparities P30DK040561 / 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) N01WH042110 / WOMEN'S HEALTH INITIATIVE - OFFICE OF THE DIRECTOR NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA 40 R01HL084425 / 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) National Heart, Lung, and Blood Institute, National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) N01WH22110; 24152; 32100-2; 32105-6; 32108-9; 32111-13; 32115; 32118-32119; 32122; 42107-26; 42129-32; 44221 / U.S. Department of Health and Human Services
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000302143300021
- Scopus ID
- 2-s2.0-84859216595
- Other Identifier
- 991019167653704721
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- Collaboration types
- Industry collaboration
- Domestic collaboration
- Web of Science research areas
- Endocrinology & Metabolism
- Nutrition & Dietetics