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Weight gain in mid-childhood and its relationship with the fast food environment
Matthew Pearce1, Isabelle Bray2, Michael Horswell2
1NHS Gloucestershire Clinical Commissioning Group, Gloucester, UK.
Insights
Greater access to fast-food outlets is linked to significant weight gain in children. This highlights environmental factors contributing to childhood obesity, informing public health interventions.
Area of Science:
- Public Health
- Environmental Health
- Pediatric Health
Background:
- Childhood obesity is a critical public health concern.
- Understanding environmental influences on pediatric weight gain is vital for effective interventions.
Purpose of the Study:
- To investigate the association between children's weight gain and their proximity to fast-food outlets.
- To quantify the relationship between fast-food accessibility and weight gain in mid-childhood.
Main Methods:
- A longitudinal study analyzed data from 1577 children using the National Child Measurement Programme.
- Spatial analysis calculated a weighted accessibility score for fast-food outlets within a 1-km radius of residences.
- Statistical analysis assessed the correlation between deprivation, fast-food access, and significant weight gain.
Main Results:
- Fast-food outlets were more common in deprived areas, showing a moderate association with deprivation scores (r = 0.4, P < 0.01).
- Children with greater access to fast food were 1.89 times more likely to experience significant weight gain (odds ratio = 1.89, P = 0.04) compared to those with no access.
Conclusions:
- Findings support previous research on the prevalence of fast-food outlets in deprived areas.
- This study provides new evidence linking fast-food accessibility to increased weight gain in mid-childhood.
- Environmental factors, such as fast-food availability, play a role in pediatric obesity.
Background:
Childhood obesity is a serious public health issue. Understanding environmental factors and their contribution to weight gain is important if interventions are to be effective.
Aims:
The purpose of this research was to assess the relationship between weight gain in children and accessibility of fast-food outlets.
Methods:
A longitudinal sample of 1577 children was created using two time points from the National Child Measurement Programme in South Gloucestershire (2006/7 and 2012/13). A spatial analysis was conducted using a weighted accessibility score on the number of fast-food outlets within a 1-km network radius of each child's residence to quantify access to fast food.
Results:
The mean accessibility score for all children was 0.73 (standard deviation: 1.14). Fast-food outlets were more prevalent in areas of deprivation. A moderate association was found between deprivation score and accessibilty score (r = 0.4, P < 0.01). Children who had greater access to fast-food outlets were more likely (odds ratio = 1.89, P = 0.04) to gain significant weight (>50 percentile points) compared to children who had no access to fast-food outlets.
Conclusions:
This paper supports previous research that fast-food outlets are more prevalent in areas of deprivation and presents new evidence on fast-food outlets as a potential contributor towards weight gain in mid-childhood.
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