Multiple pathways from the neighborhood food environment to increased body mass index through dietary behaviors: A structural equation-based analysis in the CARDIA study. (November 2015)

• Record Type: Journal Article
• Authors: Richardson, Andrea S.; Meyer, Katie A.; Howard, Annie Green; Boone-Heinonen, Janne; Popkin, Barry M.; Evenson, Kelly R.; Shikany, James M.; Lewis, Cora E.; Gordon-Larsen, Penny
• Is Part Of: Health & place. Volume 36(2015:Nov.)
• Page Start: 74
• Page End: 87
• Publication Date: 2015-11
• Subjects: BMI Body mass index -- CARDIA Coronary Artery Risk Development in Young Adults -- CFI Comparative fit index -- kg kilogram -- m meter -- SEM Structural equation modeling -- SES Socioeconomic status -- SD Standard deviation -- SSB Sugar-sweetened beverage -- RMSEA Root mean square error approximation -- TLI Tucker–Lewis Index; Geographic information systems -- Neighborhood food environment -- Longitudinal study -- Diet -- Structural equation model -- Body mass index; Health -- Social aspects -- Periodicals; Health services accessibility -- Periodicals; Public health -- Periodicals; Political planning -- Periodicals; Social medicine -- Periodicals; Epidemiology -- Periodicals; Health Policy -- Periodicals; Health Services Accessibility -- Periodicals; Public Health -- Periodicals; Public Policy -- Periodicals; Sociology, Medical -- Periodicals; Épidémiologie -- Périodiques; Politique sanitaire -- Périodiques; Santé, Services de -- Accessibilité -- Périodiques; Health services accessibility; Health -- Social aspects; Political planning; Public health; Social medicine; Periodicals; 613
• DOI: 10.1016/j.healthplace.2015.09.003
• Languages: English
• ISSNs: 1353-8292

Abstract

Abstract: Objectives: To examine longitudinal pathways from multiple types of neighborhood restaurants and food stores to BMI, through dietary behaviors. Methods: We used data from participants ( n =5114) in the United States-based Coronary Artery Risk Development in Young Adults study and a structural equation model to estimate longitudinal (1985–86 to 2005–06) pathways simultaneously from neighborhood fast food restaurants, sit-down restaurants, supermarkets, and convenience stores to BMI through dietary behaviors, controlling for socioeconomic status (SES) and physical activity. Results: Higher numbers of neighborhood fast food restaurants and lower numbers of sit-down restaurants were associated with higher consumption of an obesogenic fast food-type diet. The pathways from food stores to BMI through diet were inconsistent in magnitude and statistical significance. Conclusions: Efforts to decrease the numbers of neighborhood fast food restaurants and to increase the numbers of sit-down restaurant options could influence diet behaviors. Availability of neighborhood fast food and sit-down restaurants may play comparatively stronger roles than food stores in shaping dietary behaviors and BMI. Highlights: We examine longitudinal pathways from food environment to BMI through diet behaviors. Access to restaurants was related to consumption of a fast food-type diet. Access to food stores was inconsistently associated with BMI through diet pathways.