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Neighborhood Food Environment and Walkability Predict Obesity in New York City
Open accessAbstract
Background: Differences in the neighborhood food environment may contribute to disparities in obesity. Objectives: The purpose of this study was to examine the association of neighborhood food environments with body mass index (BMI) and obesity after control for neighborhood walkability. Methods: This study employed a cross-sectional, multilevel analysis of BMI and obesity among 13,102 adult residents of New York City. We constructed measures of the food environment and walkability for the neighborhood, defined as a half-mile buffer around the study subject’s home address. Results: Density of BMI-healthy food outlets (supermarkets, fruit and vegetable markets, and natural food stores) was inversely associated with BMI. Mean adjusted BMI was similar in the first two quintiles of healthy food density (0 and 1.13 stores/km2, respectively), but declined across the three higher quintiles and was 0.80 units lower [95% confidence interval (CI), 0.27–1.32] in the fifth quintile (10.98 stores/km2) than in the first. The prevalence ratio for obesity comparing the fifth quintile of healthy food density with the lowest two quintiles combined was 0.87 (95% CI, 0.78–0.97). These associations remained after control for two neighborhood walkability measures, population density and land-use mix. The prevalence ratio for obesity for the fourth versus first quartile of population density was 0.84 (95% CI, 0.73–0.96) and for land-use mix was 0.91 (95% CI, 0.86–0.97). Increasing density of food outlets categorized as BMI-unhealthy was not significantly associated with BMI or obesity. Conclusions: Access to BMI-healthy food stores is associated with lower BMI and lower prevalence of obesity.
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“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 [296]
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Metadata
- Authors
- Rundle, A., Neckerman, K. M., Freeman, L., Lovasi, G. S., Purciel, M., Quinn, J., Richards, C., Sircar, N., & Weiss, C.
- Affiliations
- Columbia University (US)
- Institute for Social and Economic Research (GB)
- Urban Planning, Graduate School of Architecture, Planning, and Preservation and
- Corresponding author
- Rundle, Andrew
- ORCID
- Venue
- Environmental Health Perspectives
- Publisher
- American Chemical Society (ACS)
- Published
- 2008-10-02
- Volume
- 117
- Issue
- 3
- Pages
- 442-447
- ISSN
- 0091-6765 (ISSN-L)
- 1552-9924
- PMC
- PMC2661915
- OpenAlex
- W1974306396
- Cited by
- 411
- References
- 39
- Citations by year
- 2026: 10 · 2025: 12 · 2024: 17 · 2023: 13 · 2022: 23 · 2021: 20 · 2020: 22 · 2019: 31 · 2018: 23 · 2017: 33 · 2016: 31 · 2015: 31 · 2014: 30 · 2013: 34 · 2012: 40
- FWCI
- 37.53
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- public-domain
- creativecommons.org/licenses/by/4.0/ (vor, 3375 d)
- Locations
- Environmental Health Perspectives (publishedVersion, public-domain)
- Europe PMC (PubMed Central) (publishedVersion, public-domain)
- PubMed Central (publishedVersion, public-domain)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01es014229-04)
- National Institute of Environmental Health Sciences (R01-ES014229, 5R01ES014229)
- Topics
- Social Sciences › Transportation › Urban Transport and Accessibility
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Urban Studies › Urban Green Space and Health
- Keywords
- neighborhood food environment, walkability, obesity, body mass index, food deserts, population density, mixed land use, food access disparities, New York City
- MeSH terms
- Cross-Sectional Studies, Environment, Geography, Humans, New York City, Obesity, Urban Population, Body Mass Index, Prevalence, Walking, Food, Organic
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