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Neighborhood physical food environment and cardiovascular risk factors in India: Cross-sectional evidence from APCAPS

There has been increasing interest in associations between neighborhood food environments and cardiovascular risk factors. However, results from high-income countries remain inconsistent, and there has been limited research from low- and middle-income countries. We conducted a cross-sectional analys...

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Autores principales: Li, Yingjun, Mallinson, Poppy Alice Carson, Bhan, Nandita, Turner, Christopher, Bhogadi, Santhi, Sharma, Chitra, Aggarwal, Aastha, Kulkarni, Bharati, Kinra, Sanjay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6857431/
https://www.ncbi.nlm.nih.gov/pubmed/31473412
http://dx.doi.org/10.1016/j.envint.2019.105108
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author Li, Yingjun
Mallinson, Poppy Alice Carson
Bhan, Nandita
Turner, Christopher
Bhogadi, Santhi
Sharma, Chitra
Aggarwal, Aastha
Kulkarni, Bharati
Kinra, Sanjay
author_facet Li, Yingjun
Mallinson, Poppy Alice Carson
Bhan, Nandita
Turner, Christopher
Bhogadi, Santhi
Sharma, Chitra
Aggarwal, Aastha
Kulkarni, Bharati
Kinra, Sanjay
author_sort Li, Yingjun
collection PubMed
description There has been increasing interest in associations between neighborhood food environments and cardiovascular risk factors. However, results from high-income countries remain inconsistent, and there has been limited research from low- and middle-income countries. We conducted a cross-sectional analysis of the third wave follow-up of the Andhra Pradesh children and parents study (APCAPS) (n = 5764, median age 28.8 years) in south India. We examined associations between the neighborhood availability (vendor density per km(2) within 400 m and 1600 m buffers of households) and accessibility (distance from the household to the nearest vendor) of fruit/vegetable and highly processed/take-away food vendors with 11 cardiovascular risk factors, including adiposity measures, glucose-insulin, blood pressure, and lipid profile. In fully adjusted models, higher density of fruit/vegetable vendors within 400 m of participant households was associated with lower systolic blood pressure [−0.09 mmHg, 95% confidence interval (CI): −0.17, −0.02] and diastolic blood pressure (−0.10 mmHg, 95% CI: −0.17, −0.04). Higher density of highly processed/take-away food vendors within 400 m of participant households was associated with higher Body Mass Index (0.01 Kg/m(2), 95% CI: 0.00, 0.01), waist circumference (0.22 mm, 95% CI: 0.05, 0.39), systolic blood pressure (0.03 mmHg, 95% CI: 0.01, 0.06), and diastolic blood pressure (0.03 mmHg, 95% CI: 0.01, 0.05). However, within 1600 m buffer, only association with blood pressure remained robust. No associations were found for between neighborhood accessibility and cardiovascular risk factors. Lower density of fruit/vegetable vendors, and higher density of highly processed/take-away food vendors were associated with adverse cardiovascular risk profiles. Public health policies regarding neighborhood food environments should be encouraged in south India and other rural communities in south Asia.
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spelling pubmed-68574312019-11-21 Neighborhood physical food environment and cardiovascular risk factors in India: Cross-sectional evidence from APCAPS Li, Yingjun Mallinson, Poppy Alice Carson Bhan, Nandita Turner, Christopher Bhogadi, Santhi Sharma, Chitra Aggarwal, Aastha Kulkarni, Bharati Kinra, Sanjay Environ Int Article There has been increasing interest in associations between neighborhood food environments and cardiovascular risk factors. However, results from high-income countries remain inconsistent, and there has been limited research from low- and middle-income countries. We conducted a cross-sectional analysis of the third wave follow-up of the Andhra Pradesh children and parents study (APCAPS) (n = 5764, median age 28.8 years) in south India. We examined associations between the neighborhood availability (vendor density per km(2) within 400 m and 1600 m buffers of households) and accessibility (distance from the household to the nearest vendor) of fruit/vegetable and highly processed/take-away food vendors with 11 cardiovascular risk factors, including adiposity measures, glucose-insulin, blood pressure, and lipid profile. In fully adjusted models, higher density of fruit/vegetable vendors within 400 m of participant households was associated with lower systolic blood pressure [−0.09 mmHg, 95% confidence interval (CI): −0.17, −0.02] and diastolic blood pressure (−0.10 mmHg, 95% CI: −0.17, −0.04). Higher density of highly processed/take-away food vendors within 400 m of participant households was associated with higher Body Mass Index (0.01 Kg/m(2), 95% CI: 0.00, 0.01), waist circumference (0.22 mm, 95% CI: 0.05, 0.39), systolic blood pressure (0.03 mmHg, 95% CI: 0.01, 0.06), and diastolic blood pressure (0.03 mmHg, 95% CI: 0.01, 0.05). However, within 1600 m buffer, only association with blood pressure remained robust. No associations were found for between neighborhood accessibility and cardiovascular risk factors. Lower density of fruit/vegetable vendors, and higher density of highly processed/take-away food vendors were associated with adverse cardiovascular risk profiles. Public health policies regarding neighborhood food environments should be encouraged in south India and other rural communities in south Asia. Elsevier Science 2019-11 /pmc/articles/PMC6857431/ /pubmed/31473412 http://dx.doi.org/10.1016/j.envint.2019.105108 Text en © 2019 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 Article
Li, Yingjun
Mallinson, Poppy Alice Carson
Bhan, Nandita
Turner, Christopher
Bhogadi, Santhi
Sharma, Chitra
Aggarwal, Aastha
Kulkarni, Bharati
Kinra, Sanjay
Neighborhood physical food environment and cardiovascular risk factors in India: Cross-sectional evidence from APCAPS
title Neighborhood physical food environment and cardiovascular risk factors in India: Cross-sectional evidence from APCAPS
title_full Neighborhood physical food environment and cardiovascular risk factors in India: Cross-sectional evidence from APCAPS
title_fullStr Neighborhood physical food environment and cardiovascular risk factors in India: Cross-sectional evidence from APCAPS
title_full_unstemmed Neighborhood physical food environment and cardiovascular risk factors in India: Cross-sectional evidence from APCAPS
title_short Neighborhood physical food environment and cardiovascular risk factors in India: Cross-sectional evidence from APCAPS
title_sort neighborhood physical food environment and cardiovascular risk factors in india: cross-sectional evidence from apcaps
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6857431/
https://www.ncbi.nlm.nih.gov/pubmed/31473412
http://dx.doi.org/10.1016/j.envint.2019.105108
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