Cited by 222Obesity, Physical Activity, DietUrban Transport and AccessibilityNutrition, Health and Food Behavior

Relation between local food environments and obesity among adults

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Spence, John C, Cutumisu, Nicoleta, Edwards, Joy, Raine, Kim D, Smoyer-Tomic, Karen·2009·BMC Public Health

Abstract

BACKGROUND: Outside of the United States, evidence for associations between exposure to fast-food establishments and risk for obesity among adults is limited and equivocal. The purposes of this study were to investigate whether the relative availability of different types of food retailers around people's homes was associated with obesity among adults in Edmonton, Canada, and if this association varied as a function of distance between food locations and people's homes. METHODS: Data from a population health survey of 2900 adults (18 years or older) conducted in 2002 was linked with geographic measures of access to food retailers. Based upon a ratio of the number of fast-food restaurants and convenience stores to supermarkets and specialty food stores, a Retail Food Environment Index (RFEI) was calculated for 800 m and 1600 m buffers around people's homes. In a series of logistic regressions, associations between the RFEI and the level of obesity among adults were examined. RESULTS: The median RFEI for adults in Edmonton was 4.00 within an 800 m buffer around their residence and 6.46 within a 1600 m buffer around their residence. Approximately 14% of the respondents were classified as being obese. The odds of a resident being obese were significantly lower (OR = 0.75, 95%CI 0.59 - 0.95) if they lived in an area with the lowest RFEI (below 3.0) in comparison to the highest RFEI (5.0 and above). These associations existed regardless of the covariates included in the model. No significant associations were observed between RFEI within a 1600 m buffer of the home and obesity. CONCLUSION: The lower the ratio of fast-food restaurants and convenience stores to grocery stores and produce vendors near people's homes, the lower the odds of being obese. Thus the proximity of the obesogenic environment to individuals appears to be an important factor in their risk for obesity.

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Research works printed but not linked: 2

  1. Bickel R Multilevel Analysis for Applied Research 2007 New York: The Guilford Press
  2. Raine K Spence JC Boule N Church J Slater L Marko J Gibbons K Hemphill E State of the evidence review on urban environments and healthy weights 2008 Canadian Population Health Initiative, Canadian Institute for Health Information. Ottawa, ON

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Authors
Spence, J. C., Cutumisu, N., Edwards, J., Raine, K. D., & Smoyer-Tomic, K.
Affiliations
  • University of Alberta (CA)
  • Capital District Health Authority (CA)
Corresponding author
Spence, John C
Venue
BMC Public Health
Published
2009-06-18
Volume
9
Issue
1
Pages
192-192
ISSN
1471-2458 (ISSN-L)
OpenAlex
W1973992276
Cited by
222
References
46
Citations by year
2026: 4 · 2025: 5 · 2024: 7 · 2023: 4 · 2022: 12 · 2021: 8 · 2020: 18 · 2019: 15 · 2018: 9 · 2017: 17 · 2016: 13 · 2015: 19 · 2014: 18 · 2013: 17 · 2012: 25
FWCI
18.82
Type
journal article
Language
en
Open access
Locations
  • BMC Public Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
  • Canadian Institutes of Health Research
  • Social Sciences and Humanities Research Council of Canada
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Social Sciences › Transportation › Urban Transport and Accessibility
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
obesity, food environment, fast food restaurants, convenience stores, supermarkets, obesogenic environment, adult obesity risk, Edmonton
MeSH terms
Adult, Alberta, Commerce, Diet Surveys, Feeding Behavior, Female, Humans, Male, Middle Aged, Obesity, Residence Characteristics, Restaurants, Socioeconomic Factors, Prevalence, Food Industry

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