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Association between Childhood Obesity and Neighbourhood Accessibility to Fast-Food Outlets : A Nationwide 6-Year Follow-Up Study of 944,487 Children

Hamano, Tsuyoshi; Li, Xinjun LU ; Sundquist, Jan LU and Sundquist, Kristina LU (2017) In Obesity Facts p.559-568
Abstract

Objectives: The aim of this 6-year follow-up study was to examine whether neighbourhood accessibility to fast-food outlets was associated with diagnosed childhood obesity, after adjustment for neighbourhood- and individual-level socio-demographic factors. Methods: This 6-year follow-up study comprised 484,677 boys and 459,810 girls aged 0-14 years in Sweden. The follow-up period ran from January 1, 2005, until hospitalisation/out-patient treatment for obesity, death, emigration or the end of the study period on December 31, 2010. Multilevel logistic regression models (individual-level factors at the first level and neighbourhood-level factors at the second level) were used to calculate odds ratios (ORs) with 95% confidence intervals... (More)

Objectives: The aim of this 6-year follow-up study was to examine whether neighbourhood accessibility to fast-food outlets was associated with diagnosed childhood obesity, after adjustment for neighbourhood- and individual-level socio-demographic factors. Methods: This 6-year follow-up study comprised 484,677 boys and 459,810 girls aged 0-14 years in Sweden. The follow-up period ran from January 1, 2005, until hospitalisation/out-patient treatment for obesity, death, emigration or the end of the study period on December 31, 2010. Multilevel logistic regression models (individual-level factors at the first level and neighbourhood-level factors at the second level) were used to calculate odds ratios (ORs) with 95% confidence intervals (95% CIs). Results: We identified 6,968 obesity cases (3,878 boys and 3,090 girls) during the follow-up period. Higher odds of childhood obesity for those living in neighbourhoods with accessibility to fast-food outlets was observed (OR = 1.14, 95% CI = 1.07-1.22) that remained significant after adjustments (OR = 1.06, 95% CI = 1.00-1.13). Conclusions: This prospective nationwide study showed that the neighbourhood accessibility to fast-food outlets was independently associated with increased odds of diagnosed childhood obesity. This finding implicates that residential environments should be considered when developing health promotion programmes.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Childhood obesity, Fast-food outlets, Follow-up study, Multilevel analysis
in
Obesity Facts
pages
10 pages
publisher
Karger
external identifiers
  • scopus:85034817769
ISSN
1662-4025
DOI
10.1159/000481352
language
English
LU publication?
yes
id
eb104d6f-7709-41e1-a609-33da79226ca1
date added to LUP
2017-12-14 13:30:22
date last changed
2018-10-28 02:11:11
@article{eb104d6f-7709-41e1-a609-33da79226ca1,
  abstract     = {<p>Objectives: The aim of this 6-year follow-up study was to examine whether neighbourhood accessibility to fast-food outlets was associated with diagnosed childhood obesity, after adjustment for neighbourhood- and individual-level socio-demographic factors. Methods: This 6-year follow-up study comprised 484,677 boys and 459,810 girls aged 0-14 years in Sweden. The follow-up period ran from January 1, 2005, until hospitalisation/out-patient treatment for obesity, death, emigration or the end of the study period on December 31, 2010. Multilevel logistic regression models (individual-level factors at the first level and neighbourhood-level factors at the second level) were used to calculate odds ratios (ORs) with 95% confidence intervals (95% CIs). Results: We identified 6,968 obesity cases (3,878 boys and 3,090 girls) during the follow-up period. Higher odds of childhood obesity for those living in neighbourhoods with accessibility to fast-food outlets was observed (OR = 1.14, 95% CI = 1.07-1.22) that remained significant after adjustments (OR = 1.06, 95% CI = 1.00-1.13). Conclusions: This prospective nationwide study showed that the neighbourhood accessibility to fast-food outlets was independently associated with increased odds of diagnosed childhood obesity. This finding implicates that residential environments should be considered when developing health promotion programmes.</p>},
  author       = {Hamano, Tsuyoshi and Li, Xinjun and Sundquist, Jan and Sundquist, Kristina},
  issn         = {1662-4025},
  keyword      = {Childhood obesity,Fast-food outlets,Follow-up study,Multilevel analysis},
  language     = {eng},
  month        = {11},
  pages        = {559--568},
  publisher    = {Karger},
  series       = {Obesity Facts},
  title        = {Association between Childhood Obesity and Neighbourhood Accessibility to Fast-Food Outlets : A Nationwide 6-Year Follow-Up Study of 944,487 Children},
  url          = {http://dx.doi.org/10.1159/000481352},
  year         = {2017},
}