Is the local food environment associated with excess body weight in adolescents in São Paulo, Brazil?

Nogueira, Luana Romão; Fontanelli, Mariane de Mello; Aguiar, Breno Souza de; Failla, Marcelo Antunes; Florindo, Alex Antônio; Leme, Ana Carolina Barco; Barbosa, José Elpídio; Fisberg, Regina Mara

doi:10.1590/0102-311x00048619

Cited by 12 publications

(12 citation statements)

References 55 publications

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“…47 Two further fair quality studies reported associations between availability and dietary outcomes although without presenting whether this was statistically significant. 48 49 Further, 10 good studies found a significant association between an availability characteristic and a health outcome [50][51][52][53][54][55][56][57][58][59] as did 2 fair studies 60 61 and 1 further poor study. 62 Additionally, one poor study reported that prevalence of overweight and mean body mass index (BMI) trended in the same direction as the number of 'westernstyle' restaurants and convenience stores, however, no statistics were presented.…”

Section: Bmj Global Healthmentioning

confidence: 96%

The influence of the urban food environment on diet, nutrition and health outcomes in low-income and middle-income countries: a systematic review

et al. 2021

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IntroductionDiet and nutrition are leading causes of global morbidity and mortality. Our study aimed to identify and synthesise evidence on the association between food environment characteristics and diet, nutrition and health outcomes in low-income and middle-income countries (LMICs), relevant to urban settings, to support development and implementation of appropriate interventions.MethodsWe conducted a comprehensive search of 9 databases from 1 January 2000 to 16 September 2020 with no language restrictions. We included original peer-reviewed observational studies, intervention studies or natural experiments conducted in at least one urban LMIC setting and reporting a quantitative association between a characteristic of the food environment and a diet, nutrition or health outcome. Study selection was done independently in duplicate. Data extraction and quality appraisal using the National Heart Lung and Blood Institute checklists were completed based on published reports using a prepiloted form on Covidence. Data were synthesised narratively.Results74 studies met eligibility criteria. Consistent evidence reported an association between availability characteristics in the neighbourhood food environment and dietary behaviour (14 studies, 10 rated as good quality), while the balance of evidence suggested an association with health or nutrition outcomes (17 of 24 relevant studies). We also found a balance of evidence that accessibility to food in the neighbourhood environment was associated with diet (10 of 11 studies) although evidence of an association with health outcomes was contradictory. Evidence on other neighbourhood food environment characteristics was sparse and mixed. Availability in the school food environment was also found to be associated with relevant outcomes. Studies investigating our other primary outcomes in observational studies of the school food environment were sparse, but most interventional studies were situated in schools. We found very little evidence on how workplace and home food environments are associated with relevant outcomes. This is a substantial evidence gap.Conclusion‘Zoning’ or ‘healthy food cart’ interventions to alter food availability may be appropriate in urban LMIC.PROSPERO registration numberCRD42020207475.

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Section: Bmj Global Healthmentioning

confidence: 96%

The influence of the urban food environment on diet, nutrition and health outcomes in low-income and middle-income countries: a systematic review

et al. 2021

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“…This might be due to the increasing trends of childhood and adolescent obesity that have plateaued or even slightly decreased in HICs in the last decade 96,97 . Although the included studies from LMICs were only conducted in Brazil, 28,31 China, 27,29,71 and Malaysia, 42 the three countries are highly representative of their respective regions, and they are all undergoing major socio‐economic transformations. To the best of our knowledge, this analysis was the first to extend research to country‐based economic levels, and despite limited resources in LMICs, their findings are comparable and consistent with previous studies at the regional 98 or individual economic level 85 .…”

Section: Discussionmentioning

confidence: 99%

“…28,29 For instance, Oreskovic et al found an inverse association between FFR accessibility and adolescent weight in highincome towns in Massachusetts, 30 which was consistent with results from a study in Guangdong, China 27 ; Tang et al reported that this association was either insignificant or positive in low-income towns in New Jersey, 26 and two studies in Brazil reached a similar conclusion. 28,31 Additionally, in the study by Williams et al, the availability of FFRs was positively associated with weight problems in boys but showed negative associations in girls 32 ; however, Chen et al reported quite different results. 33 Similar controversial findings exist across age groups.…”

mentioning

confidence: 97%

Association of fast‐food restaurants with overweight and obesity in school‐aged children and adolescents: A systematic review and meta‐analysis

Jiang

Lau

et al. 2022

Obesity Reviews

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We aimed to explore associations between the accessibility of fast-food restaurants (FFRs) and weight-related outcomes in children and adolescents through a systematic review and meta-analysis of studies. We searched three databases for studies published before October 21, 2022. Study quality was assessed using the National Institutes of Health's Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Meta-analysis was performed, and the leave-one-out method was used for sensitivity analysis. A total of 60 studies were included. According to our analysis, FFRs within a smaller buffer radius from residences or that provide unhealthy foods may have a more significant influence on children's and adolescents' weight. Children of younger ages and girls may have a higher possibility of being overweight due to FFRs. Though we could hardly avoid bias, the estimates in lowand middle-income countries (only six studies) are much higher than those in highincome countries (54 studies). More research analyses based on microscope data and individual economic levels are needed. This study yields quantitative results, provides policymakers and urban planners with a theoretical support for building resilient and sustainable human settlements, and promotes the translation of research findings from public health to environmental planning.children and adolescents, fast-food restaurants, food environment, obesity | INTRODUCTIONObesity is a critical public health issue and a risk factor for hypertension, type 2 diabetes, orthopedic complications, cardiovascular disease, and many other diseases. 1,2 There is strong evidence indicating that adulthood obesity stems from childhood, and some traditional diseases arising only in adults are now soaring common for children. 3,4 Besides the effect of obesity on individuals, it causes a

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“…Although studies have provided evidence that a community’s food environment may be associated with nutritional status [ 15 , 16 , 17 ] and food consumption [ 18 , 19 ], there is little research on the association between the food environment and consumption of processed foods [ 20 ]. This investigation is of great importance because it explores the connection between consumption patterns based on food processing and their impact on health and disease conditions [ 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Local Food Environment and Consumption of Ultra-Processed Foods: Cross-Sectional Data from the Nutritionists’ Health Study—NutriHS

Barbosa,

Nielsen,

de Aguiar

et al. 2023

IJERPH

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This study aimed to analyze whether community food environments are associated with individual food consumption among nutrition students and newly graduated nutritionists. This cross-sectional study used data from the Nutritionists’ Health Study cohort, which included 357 undergraduate nutrition students from the city of Fortaleza, Ceará, Brazil. Exposure to the food environment was defined as the proximity and availability of food outlets within a 500 m buffer from the participants’ homes. Food consumption was assessed using a Food Frequency Questionnaire and analyzed according to the NOVA classification. Multi-level linear regression models with fixed effects were used to estimate the presence of food outlets within the buffer and their association with food consumption. The presence of mini-markets in the buffer in the fourth quartile was associated with lower consumption of ultra-processed foods (UPF) when observing socioeconomic and lifestyle conditions (β = −3.29; 95% CI = −6.39 to −0.19). The presence of bakeries and coffee shops was related to lower consumption of ultra-processed foods among participants when observing socioeconomic conditions (β = −3.10; 95% CI = −6.18 to −0.02). There was no clear evidence of an association between the type of food outlet and UPF consumption. The community food environment seemed to influence food consumption among study participants, although clearer and more consistent evidence on this subject is needed.

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Is the local food environment associated with excess body weight in adolescents in São Paulo, Brazil?

Cited by 12 publications

References 55 publications

The influence of the urban food environment on diet, nutrition and health outcomes in low-income and middle-income countries: a systematic review

The influence of the urban food environment on diet, nutrition and health outcomes in low-income and middle-income countries: a systematic review

Association of fast‐food restaurants with overweight and obesity in school‐aged children and adolescents: A systematic review and meta‐analysis

Local Food Environment and Consumption of Ultra-Processed Foods: Cross-Sectional Data from the Nutritionists’ Health Study—NutriHS

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