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Local food environment and fruit and vegetable consumption: An ecological study
Ecological studies are essential for understanding the environment-diet relationship. The purpose of this study was to describe environmental conditions and their relationship with fruit and vegetable (FV) consumption among Brazilian public health service users in the city of Belo Horizonte. We eval...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5114690/ https://www.ncbi.nlm.nih.gov/pubmed/27872803 http://dx.doi.org/10.1016/j.pmedr.2016.10.015 |
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author | Menezes, Mariana Carvalho Costa, Bruna Vieirade Lima Oliveira, Cláudia Di Lorenzo Lopes, Aline Cristine Souza |
author_facet | Menezes, Mariana Carvalho Costa, Bruna Vieirade Lima Oliveira, Cláudia Di Lorenzo Lopes, Aline Cristine Souza |
author_sort | Menezes, Mariana Carvalho |
collection | PubMed |
description | Ecological studies are essential for understanding the environment-diet relationship. The purpose of this study was to describe environmental conditions and their relationship with fruit and vegetable (FV) consumption among Brazilian public health service users in the city of Belo Horizonte. We evaluated food stores contained within 1600 m buffer zones at 18 Health Academy Programme sites, from 2013 to 2014. Variables at the community (density, proximity and type) and the consumer (sectional location of FV; availability, quality, variety, price and advertising of FV and ultra-processed foods) nutrition environment were measured by direct observation, while aggregate data from users (income and FV consumption) were obtained by interview. Data were analysed using the Kernel intensity estimator, average nearest neighbour value and Local Moran's Index for local spatial autocorrelation. We interviewed 3414 users and analysed 336 food stores. Major geographical variations in the FV consumption were identified. Average consumption was higher (site 2A: 410.5 ± 185.7 g vs. site 4B: 311.2 ± 159.9 g) in neighbourhoods with higher income and concentration of food stores, and better index of access to healthy foods. Sites with poor FV consumption had the most stores with poor access to healthy foods (index in the first tertile, ≤ 10). In conclusion, negative characteristics of the food environment, as seen in the present study, may contribute to low FV consumption, suggesting the need for the development and consolidation of public policies aimed at creating healthy environments through built environment interventions that increase access to and consumption of healthy foods like FV. |
format | Online Article Text |
id | pubmed-5114690 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-51146902016-11-21 Local food environment and fruit and vegetable consumption: An ecological study Menezes, Mariana Carvalho Costa, Bruna Vieirade Lima Oliveira, Cláudia Di Lorenzo Lopes, Aline Cristine Souza Prev Med Rep Regular Article Ecological studies are essential for understanding the environment-diet relationship. The purpose of this study was to describe environmental conditions and their relationship with fruit and vegetable (FV) consumption among Brazilian public health service users in the city of Belo Horizonte. We evaluated food stores contained within 1600 m buffer zones at 18 Health Academy Programme sites, from 2013 to 2014. Variables at the community (density, proximity and type) and the consumer (sectional location of FV; availability, quality, variety, price and advertising of FV and ultra-processed foods) nutrition environment were measured by direct observation, while aggregate data from users (income and FV consumption) were obtained by interview. Data were analysed using the Kernel intensity estimator, average nearest neighbour value and Local Moran's Index for local spatial autocorrelation. We interviewed 3414 users and analysed 336 food stores. Major geographical variations in the FV consumption were identified. Average consumption was higher (site 2A: 410.5 ± 185.7 g vs. site 4B: 311.2 ± 159.9 g) in neighbourhoods with higher income and concentration of food stores, and better index of access to healthy foods. Sites with poor FV consumption had the most stores with poor access to healthy foods (index in the first tertile, ≤ 10). In conclusion, negative characteristics of the food environment, as seen in the present study, may contribute to low FV consumption, suggesting the need for the development and consolidation of public policies aimed at creating healthy environments through built environment interventions that increase access to and consumption of healthy foods like FV. Elsevier 2016-11-03 /pmc/articles/PMC5114690/ /pubmed/27872803 http://dx.doi.org/10.1016/j.pmedr.2016.10.015 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Regular Article Menezes, Mariana Carvalho Costa, Bruna Vieirade Lima Oliveira, Cláudia Di Lorenzo Lopes, Aline Cristine Souza Local food environment and fruit and vegetable consumption: An ecological study |
title | Local food environment and fruit and vegetable consumption: An ecological study |
title_full | Local food environment and fruit and vegetable consumption: An ecological study |
title_fullStr | Local food environment and fruit and vegetable consumption: An ecological study |
title_full_unstemmed | Local food environment and fruit and vegetable consumption: An ecological study |
title_short | Local food environment and fruit and vegetable consumption: An ecological study |
title_sort | local food environment and fruit and vegetable consumption: an ecological study |
topic | Regular Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5114690/ https://www.ncbi.nlm.nih.gov/pubmed/27872803 http://dx.doi.org/10.1016/j.pmedr.2016.10.015 |
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