Greater access to healthy food outlets in the home and school environment is associated with better dietary quality in young children

Barrett, Michèle; Crozier, Sarah; Lewis, Daniel; Godfrey, Keith M.; Robinson, Siân; Cooper, Cyrus; Inskip, Hazel; Baird, Janis; Vogel, Christina

doi:10.1017/s1368980017002075

Cited by 19 publications

(13 citation statements)

References 53 publications

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“…There were median (IQR) 46 (33-77) food outlets within 1600 m of schools, ranging from eleven to 124 outlets. There were 9 (6-17) Choose Most Often outlets, 6 (3-11) Choose Sometimes outlets and 35 (20-50) CLO outlets (Table 2) (consistent with other food environment literature (24,54) ). The median relative density of CLO outlets within 1600 m of schools was 64•7 % (60•8 %-72•9 %) (Table 2).…”

Section: Resultssupporting

confidence: 83%

Unhealthy food options in the school environment are associated with diet quality and body weights of elementary school children in Canada

Sim

Prowse

Nykiforuk

et al. 2020

Public Health Nutr.

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Objective: Increasing evidence links unhealthy food environments with diet quality and overweight/obesity. Recent evidence has demonstrated that relative food environment measures outperform absolute measures. Few studies have examined the interplay between the two measures. We examined the separate and combined effects of the absolute and relative densities of unhealthy food outlets within 1600 metre buffers around elementary schools on children’s diet- and weight-related outcomes. Design: This is a cross-sectional study of 812 children, from 39 schools. The Youth Healthy Eating Index (Y-HEI) and daily vegetables and fruit servings were derived from the Harvard Food Frequency Questionnaire (FFQ) for Children and Youth. Measured heights and weights determined body mass index (BMI) z-scores. Food outlets were ranked as healthy, somewhat healthy, and unhealthy according to provincial pediatric nutrition guidelines. Multilevel mixed-effects regression models were used to assess the effect of absolute (number) and relative (proportion) densities of unhealthy food outlets within 1600 metres around schools on diet quality and weight status. Setting: Two urban centres in the province of Alberta, Canada. Participants: Grade 5 students (10-11 years). Results: For children attending schools with a higher absolute number (36+) of unhealthy food outlets within 1600 metres, every 10% increase in the proportion of unhealthy food outlets was associated with 4.1 lower Y-HEI score and 0.9 fewer daily vegetables and fruit. Conclusions: Children exposed to a higher relative density of unhealthy food outlets around a school had lower diet quality, specifically in areas where the absolute density of unhealthy food outlets was also high.

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Section: Resultssupporting

confidence: 83%

Unhealthy food options in the school environment are associated with diet quality and body weights of elementary school children in Canada

Sim

Prowse

Nykiforuk

et al. 2020

Public Health Nutr.

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“…Young people spend most of their time either at home or in school, making these two settings central to their daily lives and activity spaces. Despite this, studies have rarely quantified the effect of exposure to both settings considered together ( 26 , 32 , 36 , 39 ) , hampering exploration of the cumulative impact of multiple environmental exposures occurring across the day that may affect diet. A second limitation is an almost exclusive focus on environmental exposures based upon the presence of specific types of food retailers in a given area (i.e.…”

mentioning

confidence: 99%

Associations between home and school neighbourhood food environments and adolescents’ fast-food and sugar-sweetened beverage intakes: findings from the Olympic Regeneration in East London (ORiEL) Study

Shareck

Lewis

Smith³

et al. 2018

Public Health Nutr.

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We found no evidence of an association between absolute exposure to fast-food restaurants and convenience stores around home and school and adolescents' fast-food and SSB intakes. Relative exposure, which measures the local diversity of the neighbourhood food environment, was positively associated with SSB intake. Relative measures of the food environment may better capture the environmental risks for poor diet than absolute measures.

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“…Research studies conducted in high and middle income nations have shown that one’s food environment plays a role in influencing diet quality and obesity risk [ 12 , 13 , 14 , 15 ]. Availability of healthy and unhealthy food options affects purchase decisions and consumption patterns among children and adults [ 16 , 17 , 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

Food Environment in and around Primary School Children’s Schools and Neighborhoods in Two Urban Settings in Kenya

Gewa

Onyango

Opiyo

et al. 2021

IJERPH

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We conducted a cross-sectional study to provide an overview primary school children food environment in two urban settings in Kenya. Six schools, catering to children from low-, medium- and high-income households in the cities of Nairobi and Kisumu in Kenya, participated in the study. Data on types of food places and foods offered were collected and healthy and unhealthy food availability scores calculated for each place. We utilized prevalence ratio analysis to examine associations between food availability, food place characteristics and neighborhood income levels. Altogether, 508 food places, located within 1 km of the schools and the school children’s neighborhoods were observed. Open-air market sellers and kiosks were most common. The proportion of food places with high healthy food availability was 2.2 times greater among food places in Nairobi compared to Kisumu, 1.9 times greater in food places with multiple cashpoints, 1.7 times greater in medium/large sized food places and 1.4 times greater in food places located in high income neighborhoods. These findings highlight differences in availability of healthy foods and unhealthy foods across types of food places and neighborhood income levels and inform public health interventions aimed at promoting healthy food environments in Kenya.

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Greater access to healthy food outlets in the home and school environment is associated with better dietary quality in young children

Abstract: The results strengthen the argument for local authorities to increase the number of healthy food outlets to which young children are exposed.

Cited by 19 publications

References 53 publications

Unhealthy food options in the school environment are associated with diet quality and body weights of elementary school children in Canada

Unhealthy food options in the school environment are associated with diet quality and body weights of elementary school children in Canada

Associations between home and school neighbourhood food environments and adolescents’ fast-food and sugar-sweetened beverage intakes: findings from the Olympic Regeneration in East London (ORiEL) Study

Food Environment in and around Primary School Children’s Schools and Neighborhoods in Two Urban Settings in Kenya

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