Understanding the relationship between limited neighbourhood food access and health outcomes of children with obesity

IF 2.7 3区医学 Q1 PEDIATRICS Pediatric Obesity Pub Date : 2024-08-02 DOI:10.1111/ijpo.13151

Unai Miguel Andres, Beau L. Mansker, Shellye Suttles, Sara K. Naramore

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Abstract

Background

Childhood obesity is a growing worldwide epidemic that requires a biopsychosocial treatment approach to achieve a healthy lifestyle. This study on children in a weight management program examines the relationship between obesity, disease complications, and social determinants of health. We expect that children with higher degrees of obesity are more likely to live in areas lacking access to healthy food and have similar behavioural and socioeconomic characteristics.

Methods

Program participants were identified by neighbourhood food access status based on their home address. The prevalence of comorbidities in the participants was analyzed according to neighbourhood food accessibility. Multivariate regressions evaluated the association between participants' health outcomes and their sociodemographic and geographical characteristics.

Results

A total of 283 (98.3%) participants had a BMI ≥95th percentile for their age and sex and 68 (23.6%) lived in neighbourhoods with limited food access. Almost a third (Adj. R² = 0.3302; p < 0.01) of the variability in study population's BMI was driven by sociodemographic factors, self-reported eating and physical activity behaviours, and had a positive relationship with access to healthy food. Nonetheless, HbA1c had a negative relationship with access to healthy food given the limited variation in the sample of participants with HbA1c levels indicating diabetes.

Conclusion

Children living in neighbourhoods with limited food access had higher BMIs than other program participants. Thus, it is critical to identify children with limited neighbourhood food accessibility and promote societal and legislative change to improve access to healthy food.

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了解有限的邻里食物获取机会与肥胖儿童健康结果之间的关系。

背景：儿童肥胖症是一种日益严重的世界性流行病，需要采用生物-心理-社会治疗方法来实现健康的生活方式。本研究以参加体重管理计划的儿童为对象，探讨肥胖、疾病并发症和健康的社会决定因素之间的关系。我们预计，肥胖程度较高的儿童更有可能生活在缺乏健康食品的地区，并具有类似的行为和社会经济特征：方法：根据家庭住址，按社区食物获取状况确定计划参与者。根据居民区的食物可及性对参与者的合并症患病率进行了分析。多变量回归评估了参与者的健康结果与其社会人口和地理特征之间的关联：共有 283 人（98.3%）的体重指数≥其年龄和性别的第 95 百分位数，68 人（23.6%）居住在食物供应有限的社区。近三分之一的参与者（Adj. R2 = 0.3302; p 结论：生活在食物有限社区的儿童的体重指数≥95%：与其他计划参与者相比，居住在食物有限社区的儿童的体重指数较高。因此，识别附近食物获取受限的儿童并促进社会和立法变革以改善健康食物的获取至关重要。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.