Show simple item record

dc.contributor.authorBurgoine, Thomas
dc.contributor.authorSarkar, Chinmoy
dc.contributor.authorWebster, Chris J
dc.contributor.authorMonsivais, Pablo
dc.date.accessioned2018-09-20T12:06:19Z
dc.date.available2018-09-20T12:06:19Z
dc.date.issued2018-07-24
dc.identifier.issn1479-5868
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/280525
dc.description.abstractBACKGROUND: Household income (as a marker of socioeconomic position) and neighbourhood fast-food outlet exposure may be related to diet and body weight, which are key risk factors for non-communicable diseases. However, the research evidence is equivocal. Moreover, understanding the double burden of these factors is a matter of public health importance. The purpose of this study was to test associations of neighbourhood fast-food outlet exposure and household income, in relation to frequency of consumption of processed meat and multiple measures of adiposity, and to examine possible interactions. METHODS: We employed an observational, cross-sectional study design. In a cohort of 51,361 adults aged 38-72 years in Greater London, UK, we jointly classified participants based on household income (£/year, four groups) and GIS-derived neighbourhood fast-food outlet proportion (counts of fast-food outlets as a percentage of all food outlets, quartiles). Multivariable regression models estimated main effects and interactions (additive and multiplicative) of household income and fast-food outlet proportion on odds of self-reported frequent processed meat consumption (> 1/week), measured BMI (kg/m2), body fat (%), and odds of obesity (BMI ≥ 30). RESULTS: Income and fast-food proportion were independently, systematically associated with BMI, body fat, obesity and frequent processed meat consumption. Odds of obesity were greater for lowest income participants compared to highest (OR = 1.54, 95% CI: 1.41, 1.69) and for those most-exposed to fast-food outlets compared to least-exposed (OR = 1.51, 95% CI: 1.40, 1.64). In jointly classified models, lowest income and highest fast-food outlet proportion in combination were associated with greater odds of obesity (OR = 2.43, 95% CI: 2.09, 2.84), with relative excess risk due to interaction (RERI = 0.03). Results were similar for frequent processed meat consumption models. There was no evidence of interaction on a multiplicative scale between fast-food outlet proportion and household income on each of BMI (P = 0.230), obesity (P = 0.054) and frequent processed meat consumption (P = 0.725). CONCLUSIONS: Our study demonstrated independent associations of neighbourhood fast-food outlet exposure and household income, in relation to diet and multiple objective measures of adiposity, in a large sample of UK adults. Moreover, we provide evidence of the double burden of low income and an unhealthy neighbourhood food environment, furthering our understanding of how these factors contribute jointly to social inequalities in health.
dc.format.mediumElectronic
dc.languageeng
dc.publisherSpringer Science and Business Media LLC
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectAdipose Tissue
dc.subjectHumans
dc.subjectObesity
dc.subjectBody Weight
dc.subjectBody Mass Index
dc.subjectDiet
dc.subjectOdds Ratio
dc.subjectCohort Studies
dc.subjectCross-Sectional Studies
dc.subjectFeeding Behavior
dc.subjectEnvironment
dc.subjectResidence Characteristics
dc.subjectPoverty
dc.subjectRestaurants
dc.subjectMeat Products
dc.subjectMiddle Aged
dc.subjectIncome
dc.subjectBiological Specimen Banks
dc.subjectLondon
dc.subjectFemale
dc.subjectMale
dc.subjectAdiposity
dc.subjectFast Foods
dc.titleExamining the interaction of fast-food outlet exposure and income on diet and obesity: evidence from 51,361 UK Biobank participants.
dc.typeArticle
prism.issueIdentifier1
prism.publicationDate2018
prism.publicationNameInt J Behav Nutr Phys Act
prism.startingPage71
prism.volume15
dc.identifier.doi10.17863/CAM.27894
dcterms.dateAccepted2018-06-28
rioxxterms.versionofrecord10.1186/s12966-018-0699-8
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2018-07-24
dc.contributor.orcidBurgoine, Thomas [0000-0001-6936-3801]
dc.identifier.eissn1479-5868
rioxxterms.typeJournal Article/Review
pubs.funder-project-idWellcome Trust (087636/Z/08/Z)
pubs.funder-project-idEconomic and Social Research Council (ES/G007462/1)
pubs.funder-project-idMedical Research Council (MR/K023187/1)
pubs.funder-project-idESRC (via Cardiff University) (ESRCES/L003201/1)
cam.issuedOnline2018-07-24


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record

Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International