Socioeconomic inequalities in the food environment and body composition among school-aged children
| Autor: | Frank J. van Lenthe, Famke J.M. Mölenberg, Alex Burdorf, Maartje P. Poelman, Joreintje D. Mackenbach, Susana Santos |
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| Přispěvatelé: | Epidemiology and Data Science, APH - Health Behaviors & Chronic Diseases, Public Health, Erasmus MC other, Pediatrics |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Index (economics) Inequality Adolescent Epidemiology Endocrinology Diabetes and Metabolism media_common.quotation_subject Medicine (miscellaneous) Childhood obesity Article Body Mass Index Cohort Studies SDG 3 - Good Health and Well-being Environmental health Food Quality Medicine Humans Life Science Mass index Child Consumption and Healthy Lifestyles Socioeconomic inequalities media_common Nutrition Netherlands Preventive medicine Nutrition and Dietetics business.industry digestive oral and skin physiology medicine.disease Cross-Sectional Studies Risk factors Socioeconomic Factors Body Composition Consumptie en Gezonde Leefstijl Generation R Female business Body mass index Food environment |
| Zdroj: | International Journal of Obesity, 45(12), 2554-2561. Nature Publishing Group International Journal of Obesity 45 (2021) 12 Mölenberg, F J M, Mackenbach, J D, Poelman, M P, Santos, S, Burdorf, A & van Lenthe, F J 2021, ' Socioeconomic inequalities in the food environment and body composition among school-aged children : a fixed-effects analysis ', International Journal of Obesity, vol. 45, no. 12, pp. 2554-2561 . https://doi.org/10.1038/s41366-021-00934-y International Journal of Obesity, 45(12), 2554-2561 International Journal of Obesity (2005) |
| ISSN: | 0307-0565 |
| Popis: | Background There is limited evidence regarding socioeconomic inequalities of exposure to the food environment and its contribution to childhood obesity. Methods We used data from 4235 children from the Generation R Study, a large birth-cohort conducted in the city of Rotterdam, The Netherlands. We included 11,277 person-observations of body mass index (BMI) and 6240 person-observations of DXA-derived fat mass index (FMI) and fat-free mass index (FFMI) when children were between 4 and 14 years. We applied linear regression models to evaluate changes in the relative and absolute exposure of fast-food outlets, and the healthiness of the food environment within 400 m from home by maternal education. Furthermore, we used individual-level fixed-effects models to study changes in the food environment to changes in BMI, FMI and FFMI. Results Children from lower educated mothers were exposed to more fast-food outlets at any time-point between the age of 4 and 14 years. Over a median period of 7.1 years, the absolute (0.6 fast-food outlet (95% CI: 0.4–0.8)) and relative (2.0%-point (95% CI: 0.7–3.4)) amount of fast-food outlets increased more for children from lower as compared to higher educated mothers. The food environment became more unhealthy over time, but no differences in trends were seen by maternal education level. Changes in the food environment were not associated with subsequent changes in BMI, FMI and FFMI. For children from lower educated mothers not exposed to fast-food at first, we found some evidence that the introduction of fast-food was associated with small increases in BMI. Conclusions Our findings provide evidence of widening inequalities in exposure to fast-food in an already poor food environment. Access to more fast-food outlets does not seem to have an additional impact on BMI in contemporary contexts with ubiquitous fast-food outlets. |
| Databáze: | OpenAIRE |
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