Association between activity space exposure to food establishments and individual risk of overweight.

<h4>Objective</h4>Environmental exposure to food sources may underpin area level differences in individual risk for overweight. Place of residence is generally used to assess neighbourhood exposure. Yet, because people are mobile, multiple exposures should be accounted for to assess the...

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Autores principales:	Yan Kestens, Alexandre Lebel, Basile Chaix, Christelle Clary, Mark Daniel, Robert Pampalon, Marius Theriault, S V P Subramanian
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4b4e837d7c8640a9b3499710f349fa94
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spelling	oai:doaj.org-article:4b4e837d7c8640a9b3499710f349fa942021-11-18T07:07:56ZAssociation between activity space exposure to food establishments and individual risk of overweight.1932-620310.1371/journal.pone.0041418https://doaj.org/article/4b4e837d7c8640a9b3499710f349fa942012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22936974/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>Environmental exposure to food sources may underpin area level differences in individual risk for overweight. Place of residence is generally used to assess neighbourhood exposure. Yet, because people are mobile, multiple exposures should be accounted for to assess the relation between food environments and overweight. Unfortunately, mobility data is often missing from health surveys. We hereby test the feasibility of linking travel survey data with food listings to derive food store exposure predictors of overweight among health survey participants.<h4>Methods</h4>Food environment exposure measures accounting for non-residential activity places (activity spaces) were computed and modelled in Montreal and Quebec City, Canada, using travel surveys and food store listings. Models were then used to predict activity space food exposures for 5,578 participants of the Canadian Community Health Survey. These food exposure estimates, accounting for daily mobility, were used to model self-reported overweight in a multilevel framework. Median Odd Ratios were used to assess the proportion of between-neighborhood variance explained by such food exposure predictors.<h4>Results</h4>Estimates of food environment exposure accounting for both residential and non-residential destinations were significantly and more strongly associated with overweight than residential-only measures of exposure for men. For women, residential exposures were more strongly associated with overweight than non-residential exposures. In Montreal, adjusted models showed men in the highest quartile of exposure to food stores were at lesser risk of being overweight considering exposure to restaurants (OR = 0.36 [0.21-0.62]), fast food outlets (0.48 [0.30-0.79]), or corner stores (0.52 [0.35-0.78]). Conversely, men experiencing the highest proportion of restaurants being fast-food outlets were at higher risk of being overweight (2.07 [1.25-3.42]). Women experiencing higher residential exposures were at lower risk of overweight.<h4>Conclusion</h4>Using residential neighbourhood food exposure measures may underestimate true exposure and observed associations. Using mobility data offers potential for deriving activity space exposure estimates in epidemiological models.Yan KestensAlexandre LebelBasile ChaixChristelle ClaryMark DanielRobert PampalonMarius TheriaultS V P SubramanianPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 8, p e41418 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yan Kestens Alexandre Lebel Basile Chaix Christelle Clary Mark Daniel Robert Pampalon Marius Theriault S V P Subramanian Association between activity space exposure to food establishments and individual risk of overweight.
description	<h4>Objective</h4>Environmental exposure to food sources may underpin area level differences in individual risk for overweight. Place of residence is generally used to assess neighbourhood exposure. Yet, because people are mobile, multiple exposures should be accounted for to assess the relation between food environments and overweight. Unfortunately, mobility data is often missing from health surveys. We hereby test the feasibility of linking travel survey data with food listings to derive food store exposure predictors of overweight among health survey participants.<h4>Methods</h4>Food environment exposure measures accounting for non-residential activity places (activity spaces) were computed and modelled in Montreal and Quebec City, Canada, using travel surveys and food store listings. Models were then used to predict activity space food exposures for 5,578 participants of the Canadian Community Health Survey. These food exposure estimates, accounting for daily mobility, were used to model self-reported overweight in a multilevel framework. Median Odd Ratios were used to assess the proportion of between-neighborhood variance explained by such food exposure predictors.<h4>Results</h4>Estimates of food environment exposure accounting for both residential and non-residential destinations were significantly and more strongly associated with overweight than residential-only measures of exposure for men. For women, residential exposures were more strongly associated with overweight than non-residential exposures. In Montreal, adjusted models showed men in the highest quartile of exposure to food stores were at lesser risk of being overweight considering exposure to restaurants (OR = 0.36 [0.21-0.62]), fast food outlets (0.48 [0.30-0.79]), or corner stores (0.52 [0.35-0.78]). Conversely, men experiencing the highest proportion of restaurants being fast-food outlets were at higher risk of being overweight (2.07 [1.25-3.42]). Women experiencing higher residential exposures were at lower risk of overweight.<h4>Conclusion</h4>Using residential neighbourhood food exposure measures may underestimate true exposure and observed associations. Using mobility data offers potential for deriving activity space exposure estimates in epidemiological models.
format	article
author	Yan Kestens Alexandre Lebel Basile Chaix Christelle Clary Mark Daniel Robert Pampalon Marius Theriault S V P Subramanian
author_facet	Yan Kestens Alexandre Lebel Basile Chaix Christelle Clary Mark Daniel Robert Pampalon Marius Theriault S V P Subramanian
author_sort	Yan Kestens
title	Association between activity space exposure to food establishments and individual risk of overweight.
title_short	Association between activity space exposure to food establishments and individual risk of overweight.
title_full	Association between activity space exposure to food establishments and individual risk of overweight.
title_fullStr	Association between activity space exposure to food establishments and individual risk of overweight.
title_full_unstemmed	Association between activity space exposure to food establishments and individual risk of overweight.
title_sort	association between activity space exposure to food establishments and individual risk of overweight.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/4b4e837d7c8640a9b3499710f349fa94
work_keys_str_mv	AT yankestens associationbetweenactivityspaceexposuretofoodestablishmentsandindividualriskofoverweight AT alexandrelebel associationbetweenactivityspaceexposuretofoodestablishmentsandindividualriskofoverweight AT basilechaix associationbetweenactivityspaceexposuretofoodestablishmentsandindividualriskofoverweight AT christelleclary associationbetweenactivityspaceexposuretofoodestablishmentsandindividualriskofoverweight AT markdaniel associationbetweenactivityspaceexposuretofoodestablishmentsandindividualriskofoverweight AT robertpampalon associationbetweenactivityspaceexposuretofoodestablishmentsandindividualriskofoverweight AT mariustheriault associationbetweenactivityspaceexposuretofoodestablishmentsandindividualriskofoverweight AT svpsubramanian associationbetweenactivityspaceexposuretofoodestablishmentsandindividualriskofoverweight
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Association between activity space exposure to food establishments and individual risk of overweight.

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