Int J Health Geogr - Neighborhood food environment and body mass index among Japanese older adults: results from the Aichi Gerontological Evaluation Study (AGES).


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CKGROUND: The majority of studies of the local food environment in relation to obesity risk have been conducted in the US, UK, and Australia. The evidence remains limited to western societies. The aim of this paper is to examine the association of local food environment to body mass index (BMI) in a study of older Japanese individuals.METHODS: The analysis was based on 12,595 respondents from cross-sectional data of the Aichi Gerontological Evaluation Study (AGES), conducted in 2006 and 2007. Using Geographic Information Systems (GIS), we mapped respondents' access to supermarkets, convenience stores, and fast food outlets, based on a street network (both the distance to the nearest stores and the number of stores within 500 m of the respondents' home). Multiple linear regression and logistic regression analyses were performed to examine the association between food environment and BMI.RESULTS: In contrast to previous reports, we found that better access to supermarkets was related to higher BMI. Better access to fast food outlets or convenience stores was also associated with higher BMI, but only among those living alone. The logistic regression analysis, using categorized BMI, showed that the access to supermarkets was only related to being overweight or obese, but not related to being underweight.CONCLUSIONS: Our findings provide mixed support for the types of food environment measures previously used in western settings. Importantly, our results suggest the need to develop culture-specific approaches to characterizing neighborhood contexts when hypotheses are extrapolated across national borders.

Resumo Limpo

ckground major studi local food environ relat obes risk conduct us uk australia evid remain limit western societi aim paper examin associ local food environ bodi mass index bmi studi older japanes individualsmethod analysi base respond crosssect data aichi gerontolog evalu studi age conduct use geograph inform system gis map respond access supermarket conveni store fast food outlet base street network distanc nearest store number store within m respond home multipl linear regress logist regress analys perform examin associ food environ bmiresult contrast previous report found better access supermarket relat higher bmi better access fast food outlet conveni store also associ higher bmi among live alon logist regress analysi use categor bmi show access supermarket relat overweight obes relat underweightconclus find provid mix support type food environ measur previous use western set import result suggest need develop culturespecif approach character neighborhood context hypothes extrapol across nation border

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