Associations Between Access to Food Stores and Adolescent Body Mass Index
Abstract
Background Environmental factors such as the availability of local-area food stores may be important contributors to the increasing rate of obesity among U.S. adolescents.Methods Repeated cross-sections of individual-level data on adolescents drawn from the Monitoring the Future surveys linked by geocode identifiers to data on food store availability were used to examine associations between adolescent weight and the availability of four types of grocery food stores that include chain supermarkets, nonchain supermarkets, convenience stores, and other grocery stores, holding constant a variety of other individual- and neighborhood-level influences.Results Increased availability of chain supermarkets was statistically significantly associated with lower adolescent Body Mass Index (BMI) and overweight and that greater availability of convenience stores was statistically significantly associated with higher BMI and overweight. The association between supermarket availability and weight was larger for African-American students compared to white or Hispanic students and larger for students in households in which the mother worked full time.Conclusions Economic and urban planning land use policies which increase the availability of chain supermarkets may have beneficial effects on youths' weight outcomes.
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In 2 studies, relationships between neighborhood supermarket accessibility and health outcomes were stronger in blacks than in whites.
“In 2 of these studies,284,292 relationships were stronger in blacks than in whites.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [292]
Among studies evaluating accessibility to grocery stores, 1 small study found no associations with fruit or vegetable consumption, and 5 of 6 studies, including 1 longitudinal study, found no associations with adiposity.
“Among studies evaluating accessibility to grocery stores, 1 small study found no associations with fruit or vegetable consumption,288 and 5 of 6 studies, including 1 longitudinal study, found no associations with adiposity.173,290,292,293, 298,300”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [292]
Seven cross-sectional studies in adults and children found greater accessibility to neighborhood supermarkets was associated with lower prevalence of adiposity; 1 county-level ecological study did not.
“Seven cross-sectional studies in both adults and children found that greater accessibility to neighborhood supermarkets (presence, number, or distance) was associated with lower prevalence of adiposity290–297; 1 county-level (ecological) study did not.298”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [292]
Four of 6 studies, including 1 longitudinal study, found greater accessibility to a neighborhood convenience store was associated with more adiposity or diabetes.
“Four of 6 studies, including 1 longitudinal study, found that greater accessibility to a neighborhood convenience store was associated with more adiposity or diabetes.173,290,292,293,298,299”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [292]
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- Authors
- Powell, L. M., Auld, M. C., Chaloupka, F. J., O’Malley, P. M., & Johnston, L. D.
- Affiliations
- University of Illinois Chicago (US)
- University of Calgary (CA)
- University of Michigan (US)
- Corresponding author
- Powell, Lisa M.
- Venue
- American Journal of Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2007-10
- Volume
- 33
- Issue
- 4
- Pages
- S301-S307
- ISSN
- 0749-3797 (ISSN-L)
- OpenAlex
- W2116954864
- Cited by
- 443
- References
- 31
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 10 · 2023: 6 · 2022: 6 · 2021: 19 · 2020: 18 · 2019: 21 · 2018: 18 · 2017: 21 · 2016: 19 · 2015: 32 · 2014: 48 · 2013: 40 · 2012: 52
- FWCI
- 29.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
- Keywords
- food store availability, adolescent obesity, body mass index, supermarket chains, convenience stores, neighborhood food environment, overweight, racial and ethnic differences, maternal employment, land use policy, urban planning, adolescent weight
- MeSH terms
- Adolescent, Adult, Child, Data Collection, Female, Food Handling, Food Supply, Humans, Male, United States, Body Mass Index
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