Availability and Accessibility of Healthy and Unhealthy Foods in Neighborhood and their Association with Noncommunicable Diseases: A Scoping Review.

IF 0.9 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Indian journal of public health Pub Date : 2024-01-01 Epub Date: 2024-04-04 DOI:10.4103/ijph.ijph_436_23

Barkha Sachdeva, Seema Puri, Bani Tamber Aeri

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Abstract

Abstract: Worldwide, 7 million mortalities and 187.7 million morbidities have been associated with dietary risks. Poor diets emerge because of an obesogenic environment. However, clear evidence indicating an association between food environment and noncommunicable diseases (NCDs) is inconclusive. The present review was conducted to study the associations between the availability/accessibility of healthy/unhealthy foods and the risk of NCDs among adults of the age group above 18. Studies published between 2012 and 2022 were reterived using three databases - PubMed, Google Scholar, and Science Direct. Following Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR), (2018) guidelines and based on the selection criteria, 3034 studies were retrieved, of which 64 were included in this review. Maximum studies were conducted in high-income countries and adopted a cross-sectional study design. Overall, the results of the review illustrate mixed findings. Compared to healthy food, direct associations between obesity and the availability/accessibility of unhealthy foods were reported (n = 12). In case of diabetes, supermarket availability was more likely to be protective (4 positive) compared to negative association with unhealthy food stores (3 associations in 11 studies). For cardiovascular diseases, an increased number of cases with fast-food outlets (n = 6) outnumbered positive associations with healthy food (n = 3). Studies concerning multiple NCDs reported direct association with unhealthy food outlets (n = 5) while inconclusive associations with healthy food. Despite a large number of studies, a weak, inconclusive relationship between food environment and NCDs was found. The use of standardized tools and longitudinal and interventional studies are warranted to rationalize the execution of the policies related to the food environment.

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居民区健康食品和不健康食品的可得性和可及性及其与非传染性疾病的关系：范围审查》。

摘要：全世界有 700 万人的死亡和 1.877 亿人的发病与饮食风险有关。不良饮食的出现是由于肥胖环境造成的。然而，表明饮食环境与非传染性疾病（NCDs）之间存在关联的明确证据尚不确定。本综述旨在研究健康/不健康食品的可用性/可及性与 18 岁以上成年人罹患非传染性疾病风险之间的关系。我们使用 PubMed、Google Scholar 和 Science Direct 三个数据库重新检索了 2012 年至 2022 年间发表的研究。根据《系统综述和荟萃分析首选报告项目扩展范围综述》（PRISMA-ScR）（2018 年）指南和选择标准，共检索到 3034 项研究，其中 64 项被纳入本综述。最多的研究在高收入国家进行，并采用了横断面研究设计。总体而言，综述结果喜忧参半。与健康食品相比，有报道称肥胖与不健康食品的可获得性/可及性直接相关（n = 12）。就糖尿病而言，与不健康食品店的负面关联（11 项研究中的 3 项关联）相比，超市的供应更有可能起到保护作用（4 项正面关联）。就心血管疾病而言，与快餐店（6 项）相关的病例数超过了与健康食品（3 项）相关的正相关病例数。有关多种非传染性疾病的研究报告了与不健康食品店的直接联系（5 项），而与健康食品的联系尚无定论。尽管进行了大量研究，但仍发现食品环境与非传染性疾病之间的关系微弱且不确定。有必要使用标准化工具并进行纵向和干预性研究，以合理执行与食品环境有关的政策。

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来源期刊

Indian journal of public health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

21 weeks

期刊介绍： Indian Journal of Public Health is a peer-reviewed international journal published Quarterly by the Indian Public Health Association. It is indexed / abstracted by the major international indexing systems like Index Medicus/MEDLINE, SCOPUS, PUBMED, etc. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles. The Indian Journal of Public Health publishes articles of authors from India and abroad with special emphasis on original research findings that are relevant for developing country perspectives including India. The journal considers publication of articles as original article, review article, special article, brief research article, CME / Education forum, commentary, letters to editor, case series reports, etc. The journal covers population based studies, impact assessment, monitoring and evaluation, systematic review, meta-analysis, clinic-social studies etc., related to any domain and discipline of public health, specially relevant to national priorities, including ethical and social issues. Articles aligned with national health issues and policy implications are prefered.