Food environment, income and obesity: a multilevel analysis of a reality of women in Southern Brazil

Detalhes bibliográficos
Autor(a) principal: Vanessa Backes
Data de Publicação: 2019
Outros Autores: Fernanda Bairros, Cristina Borges Cafruni, Steven Cummins, Martine Shareck, Kate Mason, Juvenal Soares Dias-da-Costa, Maria Teresa Anselmo Olinto
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7005
Resumo: The objective of this study was to explore relationships between the neighborhood food environment and obesity in urban women living in São Leopoldo, Rio Grande do Sul State, Brazil. A cross-sectional survey was carried out. This study was conducted with 1,096 women. Structured interviews were conducted using a standard pre-tested questionnaire. Obesity was defined as body mass index (BMI) ≥ 30kg/m2. Circular buffers of 400m in radius were created based on the centroid of the women’s houses who participated, in the 45 census tracts inhabited by them. Neighborhood food establishments were identified through systematic survey of all streets in the study areas and geographical coordinates of shops were collected. Establishments were evaluated using the NEMS tool. The prevalence of obesity was 33% among the women participants. After adjusting for individual variables, supermarkets and healthy food establishments were positively associated with obesity, PR = 1.05 (95%CI: 1.01-1.10), PR = 1.02 (95%CI: 1.00-1.04), respectively, while mean buffer income was negatively associated, PR = 0.64 (95%CI: 0.49-0.83). Neighborhood food environment factors were associated with obesity even after controlled for individual variables, as socioeconomic variables, behavioral and food purchase.
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spelling Food environment, income and obesity: a multilevel analysis of a reality of women in Southern BrazilFeedingObesityWomenThe objective of this study was to explore relationships between the neighborhood food environment and obesity in urban women living in São Leopoldo, Rio Grande do Sul State, Brazil. A cross-sectional survey was carried out. This study was conducted with 1,096 women. Structured interviews were conducted using a standard pre-tested questionnaire. Obesity was defined as body mass index (BMI) ≥ 30kg/m2. Circular buffers of 400m in radius were created based on the centroid of the women’s houses who participated, in the 45 census tracts inhabited by them. Neighborhood food establishments were identified through systematic survey of all streets in the study areas and geographical coordinates of shops were collected. Establishments were evaluated using the NEMS tool. The prevalence of obesity was 33% among the women participants. After adjusting for individual variables, supermarkets and healthy food establishments were positively associated with obesity, PR = 1.05 (95%CI: 1.01-1.10), PR = 1.02 (95%CI: 1.00-1.04), respectively, while mean buffer income was negatively associated, PR = 0.64 (95%CI: 0.49-0.83). Neighborhood food environment factors were associated with obesity even after controlled for individual variables, as socioeconomic variables, behavioral and food purchase.El objetivo de este estudio fue investigar las relaciones entre el entorno alimentario del vecindario y la obesidad en mujeres que viven en áreas urbanas de São Leopoldo, Rio Grande do Sul, Brasil. Se llevó a cabo un estudio transversal. Este estudio se realizó con 1.096 mujeres. Se realizaron entrevistas estructuradas, usando un cuestionario estándar probado previamente. La obesidad se definió como un índice de masa corporal (IMC) ≥ 30kg/m2. Se crearon amortiguadores circulares en un radio de 400m, basados en el centroide de las casas de las mujeres que participaron, en los 45 distritos censales donde residían. Los establecimientos de comida del vecindario fueron identificados mediante un estudio sistemático de todas las calles en las áreas de estudio y también se recabaron las coordenadas geográficas de las tiendas. Los establecimientos fueron evaluados usando el instrumento NEMS. La prevalencia de obesidad fue de un 33% entre las mujeres participantes. Tras el ajuste de las variables individuales, los supermercados y los establecimientos de comida sana estuvieron positivamente asociados con la obesidad, RP = 1,05 (IC95%: 1,01-1,10), RP = 1,02 (IC95%: 1,00-1,04), respectivamente, mientras que un promedio de renta media estuvo negativamente asociado, RP = 0,64 (IC95%: 0,49-0,83). Los factores del vecindario en el entorno alimentario estuvieron asociados con la obesidad incluso después de ser controlados por variables individuales como: socioeconómicas, comportamentales y de compra de comida.O estudo teve como objetivo explorar as relações entre o ambiente alimentar da vizinhança e obesidade em mulheres na área urbana de São Leopoldo, Rio Grande do Sul, Brasil, através de um inquérito transversal. O estudo teve uma amostra de 1.096 mulheres. Foram realizadas entrevistas estruturadas com um questionário padronizado e previamente testado. A obesidade foi definida como índice de massa corporal (IMC) ≥ 30kg/m2. Foram criadas zonas-tampão com raio de 400m em torno do centroide das residências das participantes nos 45 setores censitários. Os estabelecimentos varejistas com venda de alimentos na vizinhança foram identificados através de uma pesquisa sistemática das áreas do estudo, e foram coletadas as coordenadas geográficas dessas lojas. Os estabelecimentos foram avaliados com a ferramenta NEMS. A prevalência de obesidade foi 33% entre as participantes. Depois de ajustar para as variáveis individuais, os supermercados e os estabelecimentos com alimentos saudáveis mostraram uma associação positiva com a obesidade, RP = 1,05 (IC95%: 1,01-1,10), RP = 1,02 (IC95%: 1,00-1,04), respectivamente, enquanto que a renda média da zona-tampão mostrou associação negativa, RP = 0,64 (IC95%: 0,49-0,83). Os fatores de ambiente alimentar da vizinhança estiveram associados à obesidade, mesmo depois de controlar para as variáveis individuais, socioeconômicas, comportamentais e de compra de alimentos.Reports in Public HealthCadernos de Saúde Pública2019-08-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7005Reports in Public Health; Vol. 35 No. 8 (2019): AugustCadernos de Saúde Pública; v. 35 n. 8 (2019): Agosto 1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7005/15252https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7005/15253Vanessa BackesFernanda BairrosCristina Borges CafruniSteven CumminsMartine ShareckKate MasonJuvenal Soares Dias-da-CostaMaria Teresa Anselmo Olintoinfo:eu-repo/semantics/openAccess2024-03-06T15:29:41Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7005Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:08:03.378420Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Food environment, income and obesity: a multilevel analysis of a reality of women in Southern Brazil
title Food environment, income and obesity: a multilevel analysis of a reality of women in Southern Brazil
spellingShingle Food environment, income and obesity: a multilevel analysis of a reality of women in Southern Brazil
Vanessa Backes
Feeding
Obesity
Women
title_short Food environment, income and obesity: a multilevel analysis of a reality of women in Southern Brazil
title_full Food environment, income and obesity: a multilevel analysis of a reality of women in Southern Brazil
title_fullStr Food environment, income and obesity: a multilevel analysis of a reality of women in Southern Brazil
title_full_unstemmed Food environment, income and obesity: a multilevel analysis of a reality of women in Southern Brazil
title_sort Food environment, income and obesity: a multilevel analysis of a reality of women in Southern Brazil
author Vanessa Backes
author_facet Vanessa Backes
Fernanda Bairros
Cristina Borges Cafruni
Steven Cummins
Martine Shareck
Kate Mason
Juvenal Soares Dias-da-Costa
Maria Teresa Anselmo Olinto
author_role author
author2 Fernanda Bairros
Cristina Borges Cafruni
Steven Cummins
Martine Shareck
Kate Mason
Juvenal Soares Dias-da-Costa
Maria Teresa Anselmo Olinto
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Vanessa Backes
Fernanda Bairros
Cristina Borges Cafruni
Steven Cummins
Martine Shareck
Kate Mason
Juvenal Soares Dias-da-Costa
Maria Teresa Anselmo Olinto
dc.subject.por.fl_str_mv Feeding
Obesity
Women
topic Feeding
Obesity
Women
description The objective of this study was to explore relationships between the neighborhood food environment and obesity in urban women living in São Leopoldo, Rio Grande do Sul State, Brazil. A cross-sectional survey was carried out. This study was conducted with 1,096 women. Structured interviews were conducted using a standard pre-tested questionnaire. Obesity was defined as body mass index (BMI) ≥ 30kg/m2. Circular buffers of 400m in radius were created based on the centroid of the women’s houses who participated, in the 45 census tracts inhabited by them. Neighborhood food establishments were identified through systematic survey of all streets in the study areas and geographical coordinates of shops were collected. Establishments were evaluated using the NEMS tool. The prevalence of obesity was 33% among the women participants. After adjusting for individual variables, supermarkets and healthy food establishments were positively associated with obesity, PR = 1.05 (95%CI: 1.01-1.10), PR = 1.02 (95%CI: 1.00-1.04), respectively, while mean buffer income was negatively associated, PR = 0.64 (95%CI: 0.49-0.83). Neighborhood food environment factors were associated with obesity even after controlled for individual variables, as socioeconomic variables, behavioral and food purchase.
publishDate 2019
dc.date.none.fl_str_mv 2019-08-29
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url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7005
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7005/15252
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 35 No. 8 (2019): August
Cadernos de Saúde Pública; v. 35 n. 8 (2019): Agosto
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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collection Cadernos de Saúde Pública
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repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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