Association between Activity Space Exposure to Food Establishments and Individual Risk of Overweight 英文参考文献.docVIP
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Association between Activity Space Exposure to Food Establishments and Individual Risk of Overweight 英文参考文献
AssociationbetweenActivitySpaceExposuretoFood
EstablishmentsandIndividualRiskofOverweight
YanKestens1,2*,AlexandreLebel2,3,BasileChaix4,ChristelleClary2,MarkDaniel5,RobertPampalon6,
MariusTheriault7,S.V.pSubramanian3
1SocialandPreventiveMedicineDepartment,Universite′ deMontre′al, Montreal,Quebec,Canada,2CRCHUM–MontrealUniversityHospitalResearchCentre,Montre′al,
Quebec,Canada,3HarvardSchoolofPublicHealth,Boston,Massachusetts,UnitedStatesofAmerica,4INSERM–PierreandMarieCurieUniversity,Paris,France,5Samson
InstituteforHealthResearch,UniversityofSouthAustralia,Adelaide,Australia,6INSPQ,QuebecNationalInstituteforPublicHealth,QuebecCity,Quebec,Canada,7ESAD
–EcoleSuperieured’AmenagementetDe′veloppement, QuebecCity,Quebec,Canada
Abstract
Objective:Environmentalexposuretofoodsourcesmayunderpinarealeveldifferencesinindividualriskforoverweight.
Placeofresidenceisgenerallyusedtoassessneighbourhoodexposure.Yet,becausepeoplearemobile,multipleexposures
shouldbeaccountedfortoassesstherelationbetweenfoodenvironmentsandoverweight.Unfortunately,mobilitydatais
oftenmissingfromhealthsurveys.Weherebytestthefeasibilityoflinkingtravelsurveydatawithfoodlistingstoderive
foodstoreexposurepredictorsofoverweightamonghealthsurveyparticipants.
Methods: Food environment exposure measures accounting for non-residential activity places (activity spaces) were
computedandmodelledinMontrealandQuebecCity,Canada,usingtravelsurveysandfoodstorelistings.Modelswere
thenusedtopredictactivityspacefoodexposuresfor5,578participantsoftheCanadianCommunityHealthSurvey.These
food exposure estimates, accounting for daily mobility, were used to model self-reported overweight in a multilevel
framework.MedianOddRatioswereusedtoassesstheproportionofbetween-neighborhoodvarianceexplainedbysuch
foodexposurepredictors.
Results: Estimates of food environment exposure accounting for both residential and non-residential destinations were
significantlyandmorestronglyassociatedwithoverweightthanresidential-onlymeasuresofex
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