Examining Associations among Obesity and Per Capita Farmers' Markets, Grocery Stores/Supermarkets, and Supercenters in US Counties

Jilcott, Stephanie B.; Keyserling, Thomas; Crawford, Thomas; McGuirt, Jared T.; Ammerman, Alice S.

doi:10.1016/j.jada.2011.01.010

Cited by 82Food Security and Health in Diverse PopulationsObesity, Physical Activity, DietNutrition, Health and Food Behavior

Examining Associations among Obesity and Per Capita Farmers' Markets, Grocery Stores/Supermarkets, and Supercenters in US Counties

Jilcott, Stephanie B., Keyserling, Thomas, Crawford, Thomas, McGuirt, Jared T., Ammerman, Alice S.·2011·Journal of the American Dietetic Association

DOI 10.1016/j.jada.2011.01.010

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Abstract

Fruit and vegetable consumption is an important component of a healthful diet, yet fruits and vegetables are underconsumed, especially among low-income groups with high prevalence rates of obesity. This study used data from the US Department of Agriculture Economic Research Service Food Environment Atlas to examine county-level associations among obesity prevalence and per capita farmers' markets, grocery stores/supermarkets, and supercenters, adjusted for natural amenities, percent black, percent Hispanic, median age, and median household income, stratified by county metropolitan status. In models that included all three of the food venues, supercenters and grocery stores per capita were inversely associated with obesity in the combined (metro and nonmetro) and metro counties. Farmers' markets were not significant in the model for combined (metro and nonmetro) or for metro counties alone, but were significantly inversely related to obesity rates in the model for nonmetro counties. In this ecologic study, density of food venues was inversely associated with county-level obesity prevalence. Thus, future research should examine similar associations at the individual-level.

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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 [297]
Neither of two cross-sectional ecological analyses found significant independent relation between density of farmers' markets and prevalent obesity; 1 analysis observed a significant inverse association with prevalent diabetes.
“Neither analysis found significant independent relation between the density of farmers’ markets and prevalent obesity; 1 analysis observed a significant inverse association with prevalent diabetes.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 [297]

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Authors: Jilcott, S. B., Keyserling, T., Crawford, T., McGuirt, J. T., & Ammerman, A. S.
Affiliations: East Carolina University (US)
Corresponding author: Jilcott, Stephanie B.
ORCID: Keyserling, Thomas
Crawford, Thomas
McGuirt, Jared T.
Ammerman, Alice S.
Venue: Journal of the American Dietetic Association
Publisher: Elsevier BV
Published: 2011-04
Volume: 111
Issue: 4
Pages: 567-572
ISSN: 0002-8223 (ISSN-L)
DOI: 10.1016/j.jada.2011.01.010
OpenAlex: W2056108750
Cited by: 82
References: 25
Citations by year: 2026: 1 · 2025: 2 · 2023: 4 · 2022: 2 · 2021: 3 · 2020: 5 · 2019: 2 · 2018: 2 · 2017: 8 · 2016: 5 · 2015: 12 · 2014: 15 · 2013: 10 · 2012: 9
FWCI: 20.85
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of the American Dietetic Association (publishedVersion)
PubMed (publishedVersion)
Funders: first author's institution
Topics: Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords: obesity prevalence, farmers' markets, grocery stores, supermarkets, supercenters, food environment, fruit and vegetable intake, low-income populations, county-level analysis, natural amenities, racial and ethnic disparities
MeSH terms: Commerce, Costs and Cost Analysis, Demography, Diet, Female, Food Supply, Fruit, Humans, Income, Male, Obesity, Residence Characteristics, United States, Vegetables, Prevalence, United States Department of Agriculture

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Examining Associations among Obesity and Per Capita Farmers' Markets, Grocery Stores/Supermarkets, and Supercenters in US Counties

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