scholarly journals A Picture of the Healthful Food Environment in Two Diverse Urban Cities

2010 ◽  
Vol 4 ◽  
pp. EHI.S3594 ◽  
Author(s):  
Rebecca E. Lee ◽  
Katie M. Heinrich ◽  
Ashley V. Medina ◽  
Gail R. Regan ◽  
Jacqueline Y. Reese-Smith ◽  
...  
2015 ◽  
Vol 18 (18) ◽  
pp. 3278-3286 ◽  
Author(s):  
Allison W Watts ◽  
Chris Y Lovato ◽  
Susan I Barr ◽  
Rhona M Hanning ◽  
Louise C Mâsse

AbstractObjectiveTo explore perceived factors that impede or facilitate healthful eating within the home environment among overweight/obese adolescents.DesignIn the present qualitative photovoice study, participants were instructed to take photographs of things that made it easier or harder to make healthful food choices at home. Digital photographs were reviewed and semi-structured interviews were conducted to promote discussion of the photographs. Data were analysed using constant comparative analysis.SettingVancouver, Canada, in 2012–2013.SubjectsTwenty-two overweight/obese adolescents who completed a family-based lifestyle modification intervention.ResultsThe mean age of participants was 14 (sd 1·9) years, 77 % were female and their mean BMI Z-score was 2·4 (sd 0·6). Adolescents talked about six aspects of the home environment that influenced their eating habits (in order of frequency): home cooking, availability and accessibility of foods/beverages, parenting practices, family modelling, celebrations and screen use/studying. In general, homes with availability of less healthful foods, where family members also liked to eat less healthful foods and where healthier foods were less abundant or inaccessible were described as barriers to healthful eating. Special occasions and time spent studying or in front of the screen were also conducive to less healthful food choices. Home cooked meals supported adolescents in making healthier food choices, while specific parenting strategies such as encouragement and restriction were helpful for some adolescents.ConclusionsAdolescents struggled to make healthful choices in their home environment, but highlighted parenting strategies that were supportive. Targeting the home food environment is important to enable healthier food choices among overweight/obese adolescents.


2021 ◽  
pp. 1-25
Author(s):  
Mariana Souza Lopes ◽  
Waleska Teixeira Caiaffa ◽  
Amanda Cristina de Souza Andrade ◽  
Ariene Silva do Carmo ◽  
Sharrelle Barber ◽  
...  

Abstract Objective: To examine the association between economic residential segregation and food environment. Design: Ecological. Food stores categorized according to the NOVA classification were geocoded, and absolute availability was calculated for each neighborhood. Segregation was measured using local Gi* statistic, a measure of the standard deviation (SD) between the economic composition of a neighborhood (the proportion of heads of households in neighborhoods earn monthly income of 0 to 3 minimum wages) and larger metropolitan area, weighted by the economic composition of surrounding neighborhoods. Segregation was categorized as high [most segregated], medium [integrated], and low [less segregated or integrated]. A proportional odds models were used to model the association between segregation and food environment. Setting: Belo Horizonte, Brazil. Participants: Food stores. Results: After adjustment for covariates, neighborhoods characterized by high economic segregation had fewer food stores overall compared to neighborhoods characterized by low segregation [OR=0.56;CI95%=0.45-0.69]. In addition, high segregated neighborhoods were 49% (OR=0.51;95%CI=0.42–0.61) and 45% (OR=0.55;95% CI=0.45–0.67) less likely to have a high number of food stores that predominantly marketed ultra-processed foods and mixed food stores, respectively, as compared to their counterparts. Conclusions: Economic segregation is associated with differences in the distribution of food stores. Both low and high segregation territories should be prioritized by public policies to ensure healthy and adequate nutrition as a right for all communities. The former must continue to be protected from access to unhealthy commercial food outlets while the latter must be the locus of actions that limit the availability of unhealthy commercial food store.


2012 ◽  
Vol 15 (11) ◽  
pp. 2026-2039 ◽  
Author(s):  
Geneviève Mercille ◽  
Lucie Richard ◽  
Lise Gauvin ◽  
Yan Kestens ◽  
Bryna Shatenstein ◽  
...  

AbstractObjectiveTo examine associations between the availability of residential-area food sources and dietary patterns among seniors.DesignCross-sectional analyses. Individual-level data from the NuAge study on nutrition and healthy ageing were merged with geographic information system data on food store availability and area-level social composition. Two dietary patterns reflecting lower- and higher-quality diets (respectively designated ‘western’ and ‘prudent’) were identified from FFQ data. Two food source relative availability measures were calculated for a 500 m road-network buffer around participants’ homes: (i) proportion of fast-food outlets (%FFO) relative to all restaurants and (ii) proportion of stores potentially selling healthful foods (%HFS, healthful food stores) relative to all food stores. Associations between dietary patterns and food source exposure were tested in linear regression models accounting for individual (health and sociodemographic) and area-level (socio-economic and ethnicity) covariates.SettingMontréal metropolitan area, Canada.SubjectsUrban-dwelling older adults (n 751), aged 68 to 84 years.Results%FFO was inversely associated with prudent diet (β = −0·105; P < 0·05) and this association remained statistically significant in models accounting for %HFS. %HFS was inversely associated with lower western diet scores (β = −0·124; P < 0·01). This latter association no longer reached significance once models were adjusted for area-level covariates.ConclusionsIn Montréal, the food environment is related to the diet of older adults but these links are more complex than straightforward. The absence of significant relationships between healthful food stores and prudent diets, and between fast-food outlets and western diets, deserves further investigation.


2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Matthew Lee Smith ◽  
T. S. Sunil ◽  
Camerino I. Salazar ◽  
Sadaf Rafique ◽  
Marcia G. Ory

The American Diabetes Association (ADA) recommends healthful food choices; however, some geographic areas are limited in the types of foods they offer. Little is known about the role of convenience stores as viable channels to provide healthier foods in our “grab and go” society. The purposes of this study were to (1) identify foods offered within convenience stores located in two Bexar County, Texas, ZIP Codes and (2) compare the availability and cost of ADA-recommended foods including beverages, produce, grains, and oils/fats. Data were analyzed from 28 convenience store audits performed in two sociodemographically diverse ZIP Codes in Bexar County, Texas. Chi-squared tests were used to compare food availability, andt-tests were used to compare food cost in convenience stores between ZIP Codes. A significantly larger proportion of convenience stores in more affluent areas offered bananas (χ2=4.17,P=0.003), whole grain bread (χ2=8.33,P=0.004), and baked potato chips (χ2=13.68,P<0.001). On average, the price of diet cola (t=−2.12,P=0.044) and certain produce items (e.g., bananas, oranges, tomatoes, broccoli, and cucumber) was significantly higher within convenience stores in more affluent areas. Convenience stores can play an important role to positively shape a community’s food environment by stocking healthier foods at affordable prices.


2018 ◽  
Vol 21 (5) ◽  
pp. 992-1001 ◽  
Author(s):  
Rebecca Lindberg ◽  
Abbey C Sidebottom ◽  
Brigitte McCool ◽  
Raquel F Pereira ◽  
Arthur Sillah ◽  
...  

AbstractObjectiveThe goals of the present study were to: (i) describe the implementation of a programme to improve the restaurant food environment in a rural community; and (ii) describe how practices changed in community restaurants.DesignThe intervention included a baseline assessment of all community restaurants (n 32) and a report on how they could increase the availability and promotion of healthful options. The assessment focused on sixteen healthy practices (HP) derived from the Nutrition Environment Measures Survey for Restaurants. Restaurants were invited to participate at gold, silver or bronze levels based on the number of HP attained. Participating restaurants received dietitian consultation, staff training and promotion of the restaurant. All community restaurants were reassessed 1·5 years after baseline.SettingThe restaurant programme was part of the Heart of New Ulm Project, a community-based CVD prevention programme in a rural community.SubjectsAll community restaurants (n 32) were included in the study.ResultsOver one-third (38 %) of community restaurants participated in the programme. At baseline, 22 % achieved at least a bronze level. This increased to 38 % at follow-up with most of the improvement among participating restaurants that were independently owned. Across all restaurants in the community, the HP showing the most improvement included availability of non-fried vegetables (63–84 %), fruits (41–53 %), smaller portions and whole grains.ConclusionsFindings demonstrate successes and challenges of improving healthful food availability and promotion in a community-wide restaurant programme.


2013 ◽  
Author(s):  
Stacey Maurer ◽  
Kristen Medina ◽  
Danielle Lespinasse ◽  
Samantha Minski ◽  
Manal Alabduljabbar ◽  
...  

Author(s):  
Shawna Holmes

This paper examines the changes to procurement for school food environments in Canada as a response to changes to nutrition regulations at the provincial level. Interviews with those working in school food environments across Canada revealed how changes to the nutrition requirements of foods and beverages sold in schools presented opportunities to not only improve the nutrient content of the items made available in school food environments, but also to include local producers and/or school gardens in procuring for the school food environment. At the same time, some schools struggle to procure nutritionally compliant foods due to increased costs associated with transporting produce to rural, remote, or northern communities as well as logistic difficulties like spoilage. Although the nutrition regulations have facilitated improvements to food environments in some schools, others require more support to improve the overall nutritional quality of the foods and beverages available to students at school.


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