Examining the interaction of fast-food outlet exposure and income on diet and obesity: evidence from 51,361 UK Biobank participants
Burgoine T, Sarkar C, Webster CJ, Monsivais P
The international journal of behavioral nutrition and physical activity · 103 citas
Etiquetas de revisión
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Cómo se estudió
- Diseño
- Estudio de cohortes (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
- Consumo medido con
- No se indica
Quién lo pagó
- Financiación
- Financiación independiente
- Universidad u hospital
- Washington State University
- Organización sin fines de lucro
- Wellcome Trust
- Gobierno
- United Kingdom Clinical Research Collaboration
- Organización sin fines de lucro
- Cancer Research UK
- Gobierno
- National Institute for Health and Care Research
- Organización sin fines de lucro
- British Heart Foundation
- Universidad u hospital
- Centre for Diet and Activity Research
- Gobierno
- Medical Research Council
- Gobierno
- Economic and Social Research Council
- Organización sin fines de lucro
- British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, National Institute for Health Research
- Subvenciones
- Economic and Social Research Council (ES/G007462/1); Medical Research Council (ES/G007462/1); Economic and Social Research Council (ES/L003201/1); Cancer Research UK (ES/G007462/1); Wellcome Trust (ES/G007462/1); Economic and Social Research Council (ES/L003201/1); Economic and Social Research Council (ES/G007462/1); United Kingdom Clinical Research Collaboration (ES/G007462/1); Medical Research Council (MR/K023187/1); Wellcome Trust (087636/Z/08/Z); Medical Research Council (MC_PC_17228); Wellcome Trust (087636); British Heart Foundation (ES/G007462/1); National Institute for Health and Care Research (ES/G007462/1); Centre for Diet and Activity Research (ES/G007462/1)
Según 10 financiadores declarados y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2018-07-24 · Int J Behav Nutr Phys Act · vol. 15 · número 1 · pág. 71
- Editorial
- BioMed Central
- Citado
- 172 citas · más que el 99% de estudios similares · 10.2× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 86 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Dietary Effects on Health · Nutritional Studies and Diet · Obesity, Physical Activity, Diet
- Palabras clave
- Neighbourhood (mathematics), Biobank, Environmental health, Socioeconomic status, Obesity, Public health, Clinical nutrition, Gerontology, Medicine, Biology, Population, Endocrinology
- MeSH
- adipose tissue, humans, obesity, body weight, body mass index, diet, odds ratio, cohort studies, cross-sectional studies, feeding behavior, environment, residence characteristics, poverty, restaurants, meat products, middle aged, income, biological specimen banks, london, female, male, adiposity, fast foods
4 autores
- Thomas Burgoine🇬🇧 · autor de correspondenciaUniversity of Cambridge; MRC Epidemiology Unit
- Chinmoy Sarkar🇭🇰University of Hong Kong
- Chris J. Webster🇭🇰University of Hong Kong
- Pablo Monsivais🇺🇸🇬🇧Washington State University Spokane; University of Cambridge; MRC Epidemiology Unit
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Household income (as a marker of socioeconomic position) and neighbourhood fast-food outlet exposure may be related to diet and body weight, which are key risk factors for non-communicable diseases. However, the research evidence is equivocal. Moreover, understanding the double burden of these factors is a matter of public health importance. The purpose of this study was to test associations of neighbourhood fast-food outlet exposure and household income, in relation to frequency of consumption of processed meat and multiple measures of adiposity, and to examine possible interactions.
Methods
We employed an observational, cross-sectional study design. In a cohort of 51,361 adults aged 38-72 years in Greater London, UK, we jointly classified participants based on household income (£/year, four groups) and GIS-derived neighbourhood fast-food outlet proportion (counts of fast-food outlets as a percentage of all food outlets, quartiles). Multivariable regression models estimated main effects and interactions (additive and multiplicative) of household income and fast-food outlet proportion on odds of self-reported frequent processed meat consumption (> 1/week), measured BMI (kg/m2), body fat (%), and odds of obesity (BMI ≥ 30).
Results
Income and fast-food proportion were independently, systematically associated with BMI, body fat, obesity and frequent processed meat consumption. Odds of obesity were greater for lowest income participants compared to highest (OR = 1.54, 95% CI: 1.41, 1.69) and for those most-exposed to fast-food outlets compared to least-exposed (OR = 1.51, 95% CI: 1.40, 1.64). In jointly classified models, lowest income and highest fast-food outlet proportion in combination were associated with greater odds of obesity (OR = 2.43, 95% CI: 2.09, 2.84), with relative excess risk due to interaction (RERI = 0.03). Results were similar for frequent processed meat consumption models. There was no evidence of interaction on a multiplicative scale between fast-food outlet proportion and household income on each of BMI (P = 0.230), obesity (P = 0.054) and frequent processed meat consumption (P = 0.725).
Conclusions
Our study demonstrated independent associations of neighbourhood fast-food outlet exposure and household income, in relation to diet and multiple objective measures of adiposity, in a large sample of UK adults. Moreover, we provide evidence of the double burden of low income and an unhealthy neighbourhood food environment, furthering our understanding of how these factors contribute jointly to social inequalities in health.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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