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Proximity of supermarkets is positively associated with diet quality index for pregnancy
Abstract
Objectives To investigate the association between distance to the closest supermarket and a composite measure of diet, the diet quality index for pregnancy (DQI-P) was constructed.Methods Data from the Pregnancy, Infection and Nutrition (PIN) cohort, a prospective study of determinants of preterm birth, were analyzed. Food frequency questionnaires were used to construct DQI-P which includes: servings of grains, vegetables, fruits, folate, iron and calcium intake, percentage of calories from fat, and meal pattern score. Street address of residence, supermarkets, grocery and convenience stores were geocoded. Participants with complete food frequency and address data were included (n = 918). Multinomial logistic regression was used to estimate the conditional association of food outlets on diet quality, controlling for confounders and using a robust variance estimator to account for clustering of neighborhood characteristics.Results Women living greater than 4 miles from a supermarket were more than twice the odds (adjusted odds ratio = 2.16; 95% confidence interval = 1.2, 4.0) of falling into the lowest compared to highest DQI-P tertile compared to women living within 2 miles of a supermarket, after controlling for individual characteristics, other food retail outlets.Conclusion These findings suggest that proximity of food retail outlets influences the diet quality of pregnant women.
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“Four larger cross-sectional studies found that greater accessibility to neighborhood supermarkets (presence, number, or distance) was associated with more healthful dietary habits284–287; 1 small cross-sectional study288 and the only large longitudinal study289 did not.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [285]
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“In 2 smaller studies, living closer to a neighborhood convenience store was associated with more healthful dietary habits among women285 but less healthful dietary habits among adolescent boys.288”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [285]
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Metadata
- Authors
- LARAIA, B.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- LARAIA, B
- ORCID
- LARAIA, B
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2004-11
- Volume
- 39
- Issue
- 5
- Pages
- 869-875
- ISSN
- 0091-7435 (ISSN-L)
- OpenAlex
- W2074961137
- Cited by
- 441
- References
- 38
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 6 · 2023: 9 · 2022: 14 · 2021: 22 · 2020: 14 · 2019: 16 · 2018: 18 · 2017: 22 · 2016: 19 · 2015: 24 · 2014: 30 · 2013: 37 · 2012: 32
- FWCI
- 12.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Scholar Commons (University of South Carolina) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Food Security and Health in Diverse Populations
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- food retail outlets, diet quality, pregnancy, food environment, pregnant women, preterm birth, neighborhood food access, meal patterns, fruit and vegetable intake, folate intake
- MeSH terms
- Adolescent, Adult, Diet, Diet Surveys, Female, Humans, North Carolina, Pregnancy, Cohort Studies, Odds Ratio, Food Industry
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