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Changes in the Retail Food Environment in Mexican Cities and Their Association with Blood Pressure Outcomes

Shifting food environments in Latin America have potentially contributed to an increase in the consumption of ultra-processed foods and sugar-sweetened beverages, along with decreases in healthy foods, such as fruits and vegetables. Yet, little is known about the impact that such changes in the food...

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Autores principales: Armendariz, Marina, Pérez-Ferrer, Carolina, Basto-Abreu, Ana, Lovasi, Gina S., Bilal, Usama, Barrientos-Gutiérrez, Tonatiuh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8834862/
https://www.ncbi.nlm.nih.gov/pubmed/35162376
http://dx.doi.org/10.3390/ijerph19031353
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author Armendariz, Marina
Pérez-Ferrer, Carolina
Basto-Abreu, Ana
Lovasi, Gina S.
Bilal, Usama
Barrientos-Gutiérrez, Tonatiuh
author_facet Armendariz, Marina
Pérez-Ferrer, Carolina
Basto-Abreu, Ana
Lovasi, Gina S.
Bilal, Usama
Barrientos-Gutiérrez, Tonatiuh
author_sort Armendariz, Marina
collection PubMed
description Shifting food environments in Latin America have potentially contributed to an increase in the consumption of ultra-processed foods and sugar-sweetened beverages, along with decreases in healthy foods, such as fruits and vegetables. Yet, little is known about the impact that such changes in the food environment have on blood pressure in low- and middle-income countries, including Mexico. We utilized individual-level systolic and diastolic blood pressure (SBP and DBP) measures from the 2016 Mexican Health and Nutrition Survey (ENSANUT, n = 2798 adults). Using an inventory of food stores based on the economic census for 2010 and 2016, we calculated the change in the density of fruit and vegetable stores, convenience stores, and supermarkets. Multilevel regression was used to estimate the association between the 2010–2016 food environment neighborhood-level changes with individual-level blood pressure measured in 2016. Declines in neighborhood-level density of fruit and vegetable stores were associated with higher individual SBP (2.67 mmHg, 95% CI: 0.1, 5.2) in unadjusted models, and marginally associated after controlling for individual-level and area-level covariates. Increases in the density of supermarkets were associated with higher blood pressure outcomes among adults with undiagnosed hypertension. Structural interventions targeting the retail food environment could potentially contribute to better nutrition-related health outcomes in Latin American cities.
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spelling pubmed-88348622022-02-12 Changes in the Retail Food Environment in Mexican Cities and Their Association with Blood Pressure Outcomes Armendariz, Marina Pérez-Ferrer, Carolina Basto-Abreu, Ana Lovasi, Gina S. Bilal, Usama Barrientos-Gutiérrez, Tonatiuh Int J Environ Res Public Health Article Shifting food environments in Latin America have potentially contributed to an increase in the consumption of ultra-processed foods and sugar-sweetened beverages, along with decreases in healthy foods, such as fruits and vegetables. Yet, little is known about the impact that such changes in the food environment have on blood pressure in low- and middle-income countries, including Mexico. We utilized individual-level systolic and diastolic blood pressure (SBP and DBP) measures from the 2016 Mexican Health and Nutrition Survey (ENSANUT, n = 2798 adults). Using an inventory of food stores based on the economic census for 2010 and 2016, we calculated the change in the density of fruit and vegetable stores, convenience stores, and supermarkets. Multilevel regression was used to estimate the association between the 2010–2016 food environment neighborhood-level changes with individual-level blood pressure measured in 2016. Declines in neighborhood-level density of fruit and vegetable stores were associated with higher individual SBP (2.67 mmHg, 95% CI: 0.1, 5.2) in unadjusted models, and marginally associated after controlling for individual-level and area-level covariates. Increases in the density of supermarkets were associated with higher blood pressure outcomes among adults with undiagnosed hypertension. Structural interventions targeting the retail food environment could potentially contribute to better nutrition-related health outcomes in Latin American cities. MDPI 2022-01-26 /pmc/articles/PMC8834862/ /pubmed/35162376 http://dx.doi.org/10.3390/ijerph19031353 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Armendariz, Marina
Pérez-Ferrer, Carolina
Basto-Abreu, Ana
Lovasi, Gina S.
Bilal, Usama
Barrientos-Gutiérrez, Tonatiuh
Changes in the Retail Food Environment in Mexican Cities and Their Association with Blood Pressure Outcomes
title Changes in the Retail Food Environment in Mexican Cities and Their Association with Blood Pressure Outcomes
title_full Changes in the Retail Food Environment in Mexican Cities and Their Association with Blood Pressure Outcomes
title_fullStr Changes in the Retail Food Environment in Mexican Cities and Their Association with Blood Pressure Outcomes
title_full_unstemmed Changes in the Retail Food Environment in Mexican Cities and Their Association with Blood Pressure Outcomes
title_short Changes in the Retail Food Environment in Mexican Cities and Their Association with Blood Pressure Outcomes
title_sort changes in the retail food environment in mexican cities and their association with blood pressure outcomes
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8834862/
https://www.ncbi.nlm.nih.gov/pubmed/35162376
http://dx.doi.org/10.3390/ijerph19031353
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