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Multiple Pathways from the Neighborhood Food Environment to Increased Body Mass Index through Dietary Behaviors: A Structural Equation-Based Analysis in the CARDIA Study

Citation

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 (2015). Multiple Pathways from the Neighborhood Food Environment to Increased Body Mass Index through Dietary Behaviors: A Structural Equation-Based Analysis in the CARDIA Study. Health & Place, 36, 74-87. PMCID: PMC4791952

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.

URL

http://dx.doi.org/10.1016/j.healthplace.2015.09.003

Reference Type

Journal Article

Year Published

2015

Journal Title

Health & Place

Author(s)

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

PMCID

PMC4791952