In:
American Journal of Public Health, American Public Health Association, Vol. 106, No. 3 ( 2016-03), p. 557-562
Abstract:
Objectives. To determine whether proximity to a supermarket modified the effects of an obesity intervention. Methods. We examined 498 children aged 6 to 12 years with a body mass index (BMI) at or above the 95th percentile participating in an obesity trial in Massachusetts in 2011 to 2013. The practice-based interventions included computerized clinician decision support plus family self-guided behavior change or health coaching. Outcomes were 1-year change in BMI z-score, sugar-sweetened beverage intake, and fruit and vegetable intake. We examined distance to the closest supermarket as an effect modifier. Results. Distance to supermarkets was an effect modifier of 1-year change in BMI z-score and fruit and vegetable intake but not sugar-sweetened beverage intake. With each 1-mile shorter distance to a supermarket, intervention participants increased their fruit and vegetable intake by 0.29 servings per day and decreased their BMI z-score by −0.04 units relative to controls. Conclusions. Living closer to a supermarket is associated with greater improvements in fruit and vegetable intake and weight status in an obesity intervention.
Type of Medium:
Online Resource
ISSN:
0090-0036
,
1541-0048
DOI:
10.2105/AJPH.2015.302986
Language:
English
Publisher:
American Public Health Association
Publication Date:
2016
detail.hit.zdb_id:
2054583-6
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