Greater access to healthy food outlets in the home and school environment is associated with better dietary quality in young children.

Content Provider	Semantic Scholar
Author	Barrett, M. Crozier, Sarah R. Lewis, Daniel Jacob Godfrey, Keith M. Robinson, Sian M. Cooper, Cyrus Inskip, Hazel Baird, Janis Vogel, Christina
Copyright Year	2017
Abstract	OBJECTIVE To explore associations between dietary quality and access to different types of food outlets around both home and school in primary school-aged children. DESIGN Cross-sectional observational study. SETTING Hampshire, UK. SUBJECTS Children (n 1173) in the Southampton Women's Survey underwent dietary assessment at age 6 years by FFQ and a standardised diet quality score was calculated. An activity space around each child's home and school was created using ArcGIS. Cross-sectional observational food outlet data were overlaid to derive four food environment measures: counts of supermarkets, healthy specialty stores (e.g. greengrocers), fast-food outlets and total number of outlets, and a relative measure representing healthy outlets (supermarkets and specialty stores) as a proportion of total retail and fast-food outlets. RESULTS In univariate multilevel linear regression analyses, better diet score was associated with exposure to greater number of healthy specialty stores (β=0·025 sd/store: 95 % CI 0·007, 0·044) and greater exposure to healthy outlets relative to all outlets in children's activity spaces (β=0·068 sd/10 % increase in healthy outlets as a proportion of total outlets, 95 % CI 0·018, 0·117). After adjustment for mothers' educational qualification and level of home neighbourhood deprivation, the relationship between diet and healthy specialty stores remained robust (P=0·002) while the relationship with the relative measure weakened (P=0·095). Greater exposure to supermarkets and fast-food outlets was associated with better diet only in the adjusted models (P=0·017 and P=0·014, respectively). CONCLUSIONS The results strengthen the argument for local authorities to increase the number of healthy food outlets to which young children are exposed.
Starting Page	3316
Ending Page	3325
Page Count	10
File Format	PDF HTM / HTML
DOI	10.1017/S1368980017002075
Alternate Webpage(s)	http://researchonline.lshtm.ac.uk/4298606/1/Greater%20access%20to%20healthy_GREEN%20AAM.pdf
Alternate Webpage(s)	https://www.cambridge.org/core/services/aop-cambridge-core/content/view/53C748D9F0540749DF9AA03C045AE08C/S1368980017002075a.pdf/greater_access_to_healthy_food_outlets_in_the_home_and_school_environment_is_associated_with_better_dietary_quality_in_young_children.pdf
Alternate Webpage(s)	https://researchonline.lshtm.ac.uk/id/eprint/4298606/1/Greater%20access%20to%20healthy%20food%20outlets%20in%20the%20home%20and%20school%20environment%20is%20associated%20with%20better%20dietary%20quality%20in%20young%20children_GOLD%20VoR.pdf
PubMed reference number	28854995
Alternate Webpage(s)	https://doi.org/10.1017/S1368980017002075
Journal	Medline
Volume Number	20
Issue Number	18
Journal	Public health nutrition
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article