食物环境对肥胖率的影响:一项州层面的分析。

IF 3.8 Q2 ENDOCRINOLOGY & METABOLISM
Journal of Obesity Pub Date : 2023-06-20 eCollection Date: 2023-01-01 DOI:10.1155/2023/5052613
Elizabeth Cerceo, Elena Sharma, Anne Boguslavsky, Jean-Sebastien Rachoin
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引用次数: 0

摘要

引言:在以食物沙漠或食物沼泽为主的地区,获得健康食品的机会有限可能与肥胖有关。其他不健康行为也可能与肥胖和不良的食物环境有关。方法:采用改良零售食品环境指数(mRFEI)对食品零售商进行评价。使用从行为危险因素监测系统(BRFSS)调查、新泽西州卫生部(NJDOH)和美国人口普查局收集的数据,我们对肥胖与食物环境的相互作用进行了横断面分析,并评估了吸烟、休闲体育活动(LPA)和睡眠不良。结果:新泽西州有17.9%的食物沙漠和9.3%的食物沼泽。mRFEI与肥胖率之间存在统计学上显著的负相关(Pearson’s r-0.13,p<0.001),表明缺乏健康食品与肥胖有关。回归分析与肥胖患病率的增加显著且独立相关(校正后的R平方为0.74,p=0.008)。肥胖与不健康行为呈正相关。每种不健康行为均与mRFEI呈负相关。吸烟、LPA和睡眠的平均患病率结论:肥胖与食物沙漠,尤其是食物沼泽有关。它还与其他不健康行为(吸烟、LPA和睡眠不足)有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Impact of Food Environments on Obesity Rates: A State-Level Analysis.

Impact of Food Environments on Obesity Rates: A State-Level Analysis.

Introduction: Limited access to healthy food in areas that are predominantly food deserts or food swamps may be associated with obesity. Other unhealthy behaviors may also be associated with obesity and poor food environments.

Methods: We calculated Modified Retail Food Environment Index (mRFEI) to assess food retailers. Using data collected from the Behavioral Risk Factor Surveillance System (BRFSS) survey, the NJ Department of Health (NJDOH), and the US Census Bureau, we conducted a cross-sectional analysis of the interaction of obesity with the food environment and assessed smoking, leisure-time physical activity (LPA), and poor sleep.

Results: There were 17.9% food deserts and 9.3% food swamps in NJ. There was a statistically significant negative correlation between mRFEI and obesity rate (Pearson's r -0.13, p < 0.001), suggesting that lack of access to healthy food is associated with obesity. Regression analysis was significantly and independently associated with increased obesity prevalence (adjusted R square 0.74 and p=0.008). Obesity correlated positively with unhealthy behaviors. Each unhealthy behavior was negatively correlated with mRFEI. The mean prevalence for smoking, LPA, and sleep <7 hours was 15.4 (12.5-18.6), 26.5 (22.5-32.3), and 37.3 (34.9-40.4), respectively.

Conclusion: Obesity tracks with food deserts and especially food swamps. It is also correlated with other unhealthy behaviors (smoking, LPA, and poor sleep).

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来源期刊
Journal of Obesity
Journal of Obesity ENDOCRINOLOGY & METABOLISM-
CiteScore
7.50
自引率
3.00%
发文量
19
审稿时长
21 weeks
期刊介绍: Journal of Obesity is a peer-reviewed, Open Access journal that provides a multidisciplinary forum for basic and clinical research as well as applied studies in the areas of adipocyte biology & physiology, lipid metabolism, metabolic syndrome, diabetes, paediatric obesity, genetics, behavioural epidemiology, nutrition & eating disorders, exercise & human physiology, weight control and health risks associated with obesity.
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