Economic Contextual Factors, Food Consumption, and Obesity among U.S. Adolescents

Powell, Lisa M.; Han, Euna; Chaloupka, Frank J.

doi:10.3945/jn.109.111526

Cited by 94 publications

(77 citation statements)

References 37 publications

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“…Consistent with previous research, 15,20,35 children living in areas with higher-priced fruits and vegetables averaged higher measures of standardized BMI scores, compared with their peers in areas with lowerpriced fruits and vegetables. We found that these associations are driven by changes in the prices of fresh fruits and vegetables rather than frozen or canned.…”

Section: Discussionsupporting

confidence: 77%

Local Food Prices and Their Associations With Children’s Weight and Food Security

2014

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WHAT'S KNOWN ON THIS SUBJECT: A growing body of research suggests that the food environment affects children' s weight. Specifically, living in areas with higher-priced fast foods and soda is associated with lower weight and BMI, whereas higher fruit and vegetable prices demonstrate the opposite association. WHAT THIS STUDY ADDS:Using longitudinal data on lowerincome young children, this study finds that higher-priced fruits and vegetables are associated with higher child BMI, but not food insecurity, and that this relationship is driven by the prices of fresh fruits and vegetables. abstract OBJECTIVES: Both obesity and food insecurity are important public health problems facing young children in the United States. A lack of affordable, healthy foods is one of the neighborhood factors presumed to underlie both food insecurity and obesity among children. We examine associations between local food prices and children' s BMI, weight, and food security outcomes. METHODS:We linked data from the Early Childhood Longitudinal StudyBirth Cohort, a nationally representative study of children from infancy to age 5, to local food price data from the Council for Community and Economic Research (C2ER) Cost-of-Living Index (n = 11 700 observations). Using ordinary least squares (OLS), linear probability, and within-child fixed effects (FE) models, we exploit the variability in food price data over time and among children who move residences focusing on a subsample of households under 300% of the Federal Poverty Level. RESULTS:Results from ordinary least squares and FE models indicate that higher-priced fruits and vegetables are associated with higher child BMI, and this relationship is driven by the prices of fresh (versus frozen or canned) fruits and vegetables. In the FE models, higher-priced soft drinks are associated with a lower likelihood of being overweight, and surprisingly, higher fast food prices are associated with a greater likelihood of being overweight. CONCLUSIONS:Policies that reduce the costs of fresh fruits and vegetables may be effective in promoting healthy weight outcomes among young children. Pediatrics 2014;133:422-430

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Section: Discussionsupporting

confidence: 77%

Local Food Prices and Their Associations With Children’s Weight and Food Security

2014

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“…However, prior studies have produced conflicting findings regarding children's dining choices and weight gain. Some found no association between children's weight gain and differential exposure to food outlets [74][75][76][77][78]. Others found that increased fast food access [79][80][81] or a higher ratio of fast food to full-service restaurants [81] was associated with a higher BMI.…”

Section: Discussionmentioning

confidence: 99%

Understanding Out-of-Home Food Environment, Family Restaurant Choices, and Childhood Obesity with an Agent-Based Huff Model

Peng

2018

Sustainability

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Out-of-home eating plays an increasingly important role in the American diet and weight. This research studied out-of-home food environment and restaurant choices in one rural county of eastern Alabama, United States, and examined the impact on African American children's weight status. A mixed methods approach was used in this study. Questionnaires were collected for 613 African American children at all four public elementary schools in the county. The healthfulness of restaurants was assessed with the Nutrition Environment Measures Survey-Restaurant (NEMS-R). An agent-based model integrated with Huff's model was developed in order to examine family dining patterns with consideration for individual and community socio-demographics; restaurant location, size, and healthfulness; and the spatial dynamics between consumers and food retailers. We found that this model performed well, as evidenced by validation with the 2013-2014 National Health and Nutrition Examination Survey (p, 0.54-0.96), and by comparison with the original Huff model. Frequency of dining at low-quality full-service restaurants (r = 0.084; p <0.05) was associated with rural children's body mass index (BMI) percentile. These findings may increase public awareness of the importance of family restaurant choices as well as the potential unhealthiness of full-service restaurants.

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“…7-8). Similar to Obama and her colleagues' fight to provide healthy food to children of all families (especially those at or below the poverty line), lower-and middleincome neighborhoods in general have 1.25-1.3 times more fast-food restaurants than do the higher income neighborhoods (Lydon et al, 2011;Powell, Han, & Chaloupka, 2010). The authors discussed the reengineering of environments, such that the foods that are more readily available in all neighborhoods are the ones more likely to produce healthier, better balanced meals.…”

Section: Leadership Practicesmentioning

confidence: 99%

The Cost of Affluence: a Closer Look at the Food Industry

Brown

Houmanfar

2015

Behav. Soc. Iss.

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There is often much confusion among consumers in the U.S. as to which food products are healthy for humans and which products are not. One reason why this occurs may be seen in the disconnect among results of various scientific research studies. A prominent example involves one set of research results that indicate that meat and dairy products are healthy for humans to consume (Biesalski, 2005;Pereira & Vincente, 2013), while results from other research indicate that animal-based foods are detrimental to human development and can lead to health issues (Campbell & Campbell, 2006;Esselstyn, 2001). This paper aims to define and identify some externalities/internalities that exist within the food industry as well as utilize a behavioral systems approach, including an analysis of the relevant meta and macrocontingencies and the interlocked relationship formed between the two. Additionally, the three processes of selection within the metacontingency (leadership practices, aggregate product by consumers, and group rules) are addressed as they relate specifically to the food industry in hopes of offering potential solutions for change initiatives at each level. Various strategies for changing the current practices surrounding the production and consumption of potentially harmful food products are also addressed, with a focus on the altering of leadership practices and changes in consumer behavior. By utilizing what we know about organizational practices and how to better those practices through incentives (i.e., tax breaks, cooperatives), we can hope to see healthier options for food available to all U.S. consumers.

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Economic Contextual Factors, Food Consumption, and Obesity among U.S. Adolescents

Cited by 94 publications

References 37 publications

Local Food Prices and Their Associations With Children’s Weight and Food Security

Local Food Prices and Their Associations With Children’s Weight and Food Security

Understanding Out-of-Home Food Environment, Family Restaurant Choices, and Childhood Obesity with an Agent-Based Huff Model

The Cost of Affluence: a Closer Look at the Food Industry

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