Associations between children's diets and features of their residential and school neighbourhood food environments

Andraea Van Hulst, Tracie Barnett, Lise Gauvin, Mark DANIEL, Yan Kestens, Madeleine Bird, Katherine Gray, Marie Lambert

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: Among studies of the built environment, few examine neighbourhood food environments in relation to children's diets. We examined the associations of residential and school neighbourhood access to different types of food establishments with children's diets. METHODS: Data from QUALITY (Quebec Adipose and Lifestyle Investigation in Youth), an ongoing study on the natural history of obesity in 630 Quebec youth aged 8-10 years with a parental history of obesity, were analyzed (n=512). Three 24-hour diet recalls were used to assess dietary intake of vegetables and fruit, and sugar-sweetened beverages. Questionnaires were used to determine the frequency of eating/snacking out and consumption of delivered/take-out foods. We characterized residential and school neighbourhood food environments by means of a Geographic Information System. Variables included distance to the nearest supermarket, fast-food restaurant and convenience store, and densities of each food establishment type computed for 1 km network buffers around each child's residence and school. Retail Food Environment indices were also computed. Multivariable logistic regressions (residential access) and generalized estimating equations (school access) were used for analysis.RESULTS:Residential and school neighbourhood access to supermarkets was not associated with children's diets. Residing in neighbourhoods with lower access to fast-food restaurants and convenience stores was associated with a lower likelihood of eating and snacking out. Children attending schools in neighbourhoods with a higher number of unhealthful relative to healthful food establishments scored most poorly on dietary outcomes. CONCLUSIONS: Further investigations are needed to inform policies aimed at shaping neighbourhood-level food purchasing opportunities, particularly for access to fast-food restaurants and convenience stores.
Original languageEnglish
Pages (from-to)48-54
Number of pages7
JournalCanadian Journal of Public Health
Volume103
Issue number3
Publication statusPublished - 2012
Externally publishedYes

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Diet
Food
Fast Foods
Restaurants
Snacks
Quebec
Obesity
Eating
Geographic Information Systems
Beverages
Vegetables
Life Style
Fruit
Buffers
Logistic Models

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Van Hulst, A., Barnett, T., Gauvin, L., DANIEL, M., Kestens, Y., Bird, M., ... Lambert, M. (2012). Associations between children's diets and features of their residential and school neighbourhood food environments. Canadian Journal of Public Health, 103(3), 48-54.
Van Hulst, Andraea ; Barnett, Tracie ; Gauvin, Lise ; DANIEL, Mark ; Kestens, Yan ; Bird, Madeleine ; Gray, Katherine ; Lambert, Marie. / Associations between children's diets and features of their residential and school neighbourhood food environments. In: Canadian Journal of Public Health. 2012 ; Vol. 103, No. 3. pp. 48-54.
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abstract = "OBJECTIVES: Among studies of the built environment, few examine neighbourhood food environments in relation to children's diets. We examined the associations of residential and school neighbourhood access to different types of food establishments with children's diets. METHODS: Data from QUALITY (Quebec Adipose and Lifestyle Investigation in Youth), an ongoing study on the natural history of obesity in 630 Quebec youth aged 8-10 years with a parental history of obesity, were analyzed (n=512). Three 24-hour diet recalls were used to assess dietary intake of vegetables and fruit, and sugar-sweetened beverages. Questionnaires were used to determine the frequency of eating/snacking out and consumption of delivered/take-out foods. We characterized residential and school neighbourhood food environments by means of a Geographic Information System. Variables included distance to the nearest supermarket, fast-food restaurant and convenience store, and densities of each food establishment type computed for 1 km network buffers around each child's residence and school. Retail Food Environment indices were also computed. Multivariable logistic regressions (residential access) and generalized estimating equations (school access) were used for analysis.RESULTS:Residential and school neighbourhood access to supermarkets was not associated with children's diets. Residing in neighbourhoods with lower access to fast-food restaurants and convenience stores was associated with a lower likelihood of eating and snacking out. Children attending schools in neighbourhoods with a higher number of unhealthful relative to healthful food establishments scored most poorly on dietary outcomes. CONCLUSIONS: Further investigations are needed to inform policies aimed at shaping neighbourhood-level food purchasing opportunities, particularly for access to fast-food restaurants and convenience stores.",
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Van Hulst, A, Barnett, T, Gauvin, L, DANIEL, M, Kestens, Y, Bird, M, Gray, K & Lambert, M 2012, 'Associations between children's diets and features of their residential and school neighbourhood food environments', Canadian Journal of Public Health, vol. 103, no. 3, pp. 48-54.

Associations between children's diets and features of their residential and school neighbourhood food environments. / Van Hulst, Andraea; Barnett, Tracie; Gauvin, Lise; DANIEL, Mark; Kestens, Yan; Bird, Madeleine; Gray, Katherine; Lambert, Marie.

In: Canadian Journal of Public Health, Vol. 103, No. 3, 2012, p. 48-54.

Research output: Contribution to journalArticle

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T1 - Associations between children's diets and features of their residential and school neighbourhood food environments

AU - Van Hulst, Andraea

AU - Barnett, Tracie

AU - Gauvin, Lise

AU - DANIEL, Mark

AU - Kestens, Yan

AU - Bird, Madeleine

AU - Gray, Katherine

AU - Lambert, Marie

PY - 2012

Y1 - 2012

N2 - OBJECTIVES: Among studies of the built environment, few examine neighbourhood food environments in relation to children's diets. We examined the associations of residential and school neighbourhood access to different types of food establishments with children's diets. METHODS: Data from QUALITY (Quebec Adipose and Lifestyle Investigation in Youth), an ongoing study on the natural history of obesity in 630 Quebec youth aged 8-10 years with a parental history of obesity, were analyzed (n=512). Three 24-hour diet recalls were used to assess dietary intake of vegetables and fruit, and sugar-sweetened beverages. Questionnaires were used to determine the frequency of eating/snacking out and consumption of delivered/take-out foods. We characterized residential and school neighbourhood food environments by means of a Geographic Information System. Variables included distance to the nearest supermarket, fast-food restaurant and convenience store, and densities of each food establishment type computed for 1 km network buffers around each child's residence and school. Retail Food Environment indices were also computed. Multivariable logistic regressions (residential access) and generalized estimating equations (school access) were used for analysis.RESULTS:Residential and school neighbourhood access to supermarkets was not associated with children's diets. Residing in neighbourhoods with lower access to fast-food restaurants and convenience stores was associated with a lower likelihood of eating and snacking out. Children attending schools in neighbourhoods with a higher number of unhealthful relative to healthful food establishments scored most poorly on dietary outcomes. CONCLUSIONS: Further investigations are needed to inform policies aimed at shaping neighbourhood-level food purchasing opportunities, particularly for access to fast-food restaurants and convenience stores.

AB - OBJECTIVES: Among studies of the built environment, few examine neighbourhood food environments in relation to children's diets. We examined the associations of residential and school neighbourhood access to different types of food establishments with children's diets. METHODS: Data from QUALITY (Quebec Adipose and Lifestyle Investigation in Youth), an ongoing study on the natural history of obesity in 630 Quebec youth aged 8-10 years with a parental history of obesity, were analyzed (n=512). Three 24-hour diet recalls were used to assess dietary intake of vegetables and fruit, and sugar-sweetened beverages. Questionnaires were used to determine the frequency of eating/snacking out and consumption of delivered/take-out foods. We characterized residential and school neighbourhood food environments by means of a Geographic Information System. Variables included distance to the nearest supermarket, fast-food restaurant and convenience store, and densities of each food establishment type computed for 1 km network buffers around each child's residence and school. Retail Food Environment indices were also computed. Multivariable logistic regressions (residential access) and generalized estimating equations (school access) were used for analysis.RESULTS:Residential and school neighbourhood access to supermarkets was not associated with children's diets. Residing in neighbourhoods with lower access to fast-food restaurants and convenience stores was associated with a lower likelihood of eating and snacking out. Children attending schools in neighbourhoods with a higher number of unhealthful relative to healthful food establishments scored most poorly on dietary outcomes. CONCLUSIONS: Further investigations are needed to inform policies aimed at shaping neighbourhood-level food purchasing opportunities, particularly for access to fast-food restaurants and convenience stores.

M3 - Article

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SP - 48

EP - 54

JO - Canadian Journal of Public Health

JF - Canadian Journal of Public Health

SN - 0008-4263

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ER -