Multiple pathways from the neighborhood food environment to increased body mass index through dietary behaviors: A structural equation-based analysis in the CARDIA study

Andrea S. Richardson; Katie A. Meyer; Annie Green Howard; Janne Boone-Heinonen; Barry M. Popkin; Kelly R. Evenson; James M. Shikany; Cora E. Lewis; Penny Gordon-Larsen

doi:10.1016/j.healthplace.2015.09.003

Multiple pathways from the neighborhood food environment to increased body mass index through dietary behaviors: A structural equation-based analysis in the CARDIA study

Andrea S. Richardson
, Katie A. Meyer
, Annie Green Howard
, Janne Boone-Heinonen
, Barry M. Popkin
, Kelly R. Evenson
, James M. Shikany
, Cora E. Lewis
, Penny Gordon-Larsen

School Of Public Health

Research output: Contribution to journal › Article › peer-review

50 Scopus citations

Abstract

Objectives: To examine longitudinal pathways from multiple types of neighborhood restaurants and food stores to BMI, through dietary behaviors. Methods: We used data from participants (n=5114) in the United States-based Coronary Artery Risk Development in Young Adults study and a structural equation model to estimate longitudinal (1985-86 to 2005-06) pathways simultaneously from neighborhood fast food restaurants, sit-down restaurants, supermarkets, and convenience stores to BMI through dietary behaviors, controlling for socioeconomic status (SES) and physical activity. Results: Higher numbers of neighborhood fast food restaurants and lower numbers of sit-down restaurants were associated with higher consumption of an obesogenic fast food-type diet. The pathways from food stores to BMI through diet were inconsistent in magnitude and statistical significance. Conclusions: Efforts to decrease the numbers of neighborhood fast food restaurants and to increase the numbers of sit-down restaurant options could influence diet behaviors. Availability of neighborhood fast food and sit-down restaurants may play comparatively stronger roles than food stores in shaping dietary behaviors and BMI.

Original language	English (US)
Pages (from-to)	74-87
Number of pages	14
Journal	Health and Place
Volume	36
DOIs	https://doi.org/10.1016/j.healthplace.2015.09.003
State	Published - Dec 1 2015

Funding

The authors would like to acknowledge CARDIA Chief Reviewer Kiarri Kershaw, whose thoughtful suggestions improved the paper. The authors have no financial or other conflict of interest to disclose. Andrea Richardson had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of data analysis. All authors contributed significantly to this work. This work was funded by the National Heart, Lung, and Blood Institute (NHLBI) R01HL104580 . The Coronary Artery Risk Development in Young Adults Study (CARDIA) is supported by contracts HHSN268201300025C , HHSN268201300026C , HHSN268201300027C , HHSN268201300028C , HHSN268201300029C , and HHSN268200900041C from the NHLBI, the Intramural Research Program of the National Institute on Aging (NIA), and an intra-agency agreement between NIA and NHLBI (AG0005). For general support, the authors are grateful to the Carolina Population Center, University of North Carolina at Chapel Hill (Grant R24HD050924 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development [NICHD] ), the Nutrition Obesity Research Center (NORC), University of North Carolina (grant P30DK56350 from the National Institute for Diabetes and Digestive and Kidney Diseases [NIDDK] ), and the UNC Center for Environmental Health and Susceptibility (CEHS), University of North Carolina (Grant P30ES010126 from the National Institute of Environmental Health Sciences [NIEHS] ). NIH had no role in the design or conduct of the study; collection, management, analysis, or interpretation of the data; or preparation, review, or approval of the manuscript. This manuscript has been reviewed by CARDIA for scientific content. There were no potential or real conflicts of financial or personal interest with the financial sponsors of the scientific project.

Funders	Funder number
Nutrition Obesity Research Center
UNC-CH Center for Environmental Health and Susceptibility
Author National Institutes of Health National Institutes of Health National Institutes of Health National Institutes of Health The Bev Hartig Huntington's Disease Foundation National Institutes of Health
National Institute of Aging	AG0005
National Institute of Health National Heart, Lung, and Blood Institute	HHSN268200900041C, R01HL104580, HHSN268201300025C
National Institute of Diabetes and Digestive and Kidney Diseases	P30DK056350
National Institutes of Health/National Institute of Environmental Health Sciences	P30ES010126
The National Institute of Child Health and Human Development	P2CHD050924
North Carolina Central University/University of North Carolina at Chapel Hill	P30DK56350
University of North Carolina at Chapel Hill
Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health
Carolina Population Center, University of North Carolina at Chapel Hill
Central European History Society

Keywords

Body mass index
Diet
Geographic information systems
Longitudinal study
Neighborhood food environment
Structural equation model

ASJC Scopus subject areas

Health(social science)
Sociology and Political Science
Life-span and Life-course Studies

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10.1016/j.healthplace.2015.09.003

Cite this

Richardson, A. S., Meyer, K. A., Howard, A. G., Boone-Heinonen, J., Popkin, B. M., Evenson, K. R., Shikany, J. M., Lewis, C. E., & Gordon-Larsen, P. (2015). Multiple pathways from the neighborhood food environment to increased body mass index through dietary behaviors: A structural equation-based analysis in the CARDIA study. Health and Place, 36, 74-87. https://doi.org/10.1016/j.healthplace.2015.09.003

Richardson, AS, Meyer, KA, Howard, AG, Boone-Heinonen, J, Popkin, BM, Evenson, KR, Shikany, JM, Lewis, CE & Gordon-Larsen, P 2015, 'Multiple pathways from the neighborhood food environment to increased body mass index through dietary behaviors: A structural equation-based analysis in the CARDIA study', Health and Place, vol. 36, pp. 74-87. https://doi.org/10.1016/j.healthplace.2015.09.003

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abstract = "Objectives: To examine longitudinal pathways from multiple types of neighborhood restaurants and food stores to BMI, through dietary behaviors. Methods: We used data from participants (n=5114) in the United States-based Coronary Artery Risk Development in Young Adults study and a structural equation model to estimate longitudinal (1985-86 to 2005-06) pathways simultaneously from neighborhood fast food restaurants, sit-down restaurants, supermarkets, and convenience stores to BMI through dietary behaviors, controlling for socioeconomic status (SES) and physical activity. Results: Higher numbers of neighborhood fast food restaurants and lower numbers of sit-down restaurants were associated with higher consumption of an obesogenic fast food-type diet. The pathways from food stores to BMI through diet were inconsistent in magnitude and statistical significance. Conclusions: Efforts to decrease the numbers of neighborhood fast food restaurants and to increase the numbers of sit-down restaurant options could influence diet behaviors. Availability of neighborhood fast food and sit-down restaurants may play comparatively stronger roles than food stores in shaping dietary behaviors and BMI.",

keywords = "Body mass index, Diet, Geographic information systems, Longitudinal study, Neighborhood food environment, Structural equation model",

author = "Richardson, \{Andrea S.\} and Meyer, \{Katie A.\} and Howard, \{Annie Green\} and Janne Boone-Heinonen and Popkin, \{Barry M.\} and Evenson, \{Kelly R.\} and Shikany, \{James M.\} and Lewis, \{Cora E.\} and Penny Gordon-Larsen",

note = "Funding Information: The authors would like to acknowledge CARDIA Chief Reviewer Kiarri Kershaw, whose thoughtful suggestions improved the paper. The authors have no financial or other conflict of interest to disclose. Andrea Richardson had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of data analysis. All authors contributed significantly to this work. This work was funded by the National Heart, Lung, and Blood Institute (NHLBI) R01HL104580 . The Coronary Artery Risk Development in Young Adults Study (CARDIA) is supported by contracts HHSN268201300025C , HHSN268201300026C , HHSN268201300027C , HHSN268201300028C , HHSN268201300029C , and HHSN268200900041C from the NHLBI, the Intramural Research Program of the National Institute on Aging (NIA), and an intra-agency agreement between NIA and NHLBI (AG0005). For general support, the authors are grateful to the Carolina Population Center, University of North Carolina at Chapel Hill (Grant R24HD050924 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development [NICHD] ), the Nutrition Obesity Research Center (NORC), University of North Carolina (grant P30DK56350 from the National Institute for Diabetes and Digestive and Kidney Diseases [NIDDK] ), and the UNC Center for Environmental Health and Susceptibility (CEHS), University of North Carolina (Grant P30ES010126 from the National Institute of Environmental Health Sciences [NIEHS] ). NIH had no role in the design or conduct of the study; collection, management, analysis, or interpretation of the data; or preparation, review, or approval of the manuscript. This manuscript has been reviewed by CARDIA for scientific content. There were no potential or real conflicts of financial or personal interest with the financial sponsors of the scientific project. ",

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doi = "10.1016/j.healthplace.2015.09.003",

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T1 - Multiple pathways from the neighborhood food environment to increased body mass index through dietary behaviors

T2 - A structural equation-based analysis in the CARDIA study

AU - Richardson, Andrea S.

AU - Meyer, Katie A.

AU - Howard, Annie Green

AU - Boone-Heinonen, Janne

AU - Popkin, Barry M.

AU - Evenson, Kelly R.

AU - Shikany, James M.

AU - Lewis, Cora E.

AU - Gordon-Larsen, Penny

N1 - Funding Information: The authors would like to acknowledge CARDIA Chief Reviewer Kiarri Kershaw, whose thoughtful suggestions improved the paper. The authors have no financial or other conflict of interest to disclose. Andrea Richardson had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of data analysis. All authors contributed significantly to this work. This work was funded by the National Heart, Lung, and Blood Institute (NHLBI) R01HL104580 . The Coronary Artery Risk Development in Young Adults Study (CARDIA) is supported by contracts HHSN268201300025C , HHSN268201300026C , HHSN268201300027C , HHSN268201300028C , HHSN268201300029C , and HHSN268200900041C from the NHLBI, the Intramural Research Program of the National Institute on Aging (NIA), and an intra-agency agreement between NIA and NHLBI (AG0005). For general support, the authors are grateful to the Carolina Population Center, University of North Carolina at Chapel Hill (Grant R24HD050924 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development [NICHD] ), the Nutrition Obesity Research Center (NORC), University of North Carolina (grant P30DK56350 from the National Institute for Diabetes and Digestive and Kidney Diseases [NIDDK] ), and the UNC Center for Environmental Health and Susceptibility (CEHS), University of North Carolina (Grant P30ES010126 from the National Institute of Environmental Health Sciences [NIEHS] ). NIH had no role in the design or conduct of the study; collection, management, analysis, or interpretation of the data; or preparation, review, or approval of the manuscript. This manuscript has been reviewed by CARDIA for scientific content. There were no potential or real conflicts of financial or personal interest with the financial sponsors of the scientific project.

PY - 2015/12/1

Y1 - 2015/12/1

N2 - Objectives: To examine longitudinal pathways from multiple types of neighborhood restaurants and food stores to BMI, through dietary behaviors. Methods: We used data from participants (n=5114) in the United States-based Coronary Artery Risk Development in Young Adults study and a structural equation model to estimate longitudinal (1985-86 to 2005-06) pathways simultaneously from neighborhood fast food restaurants, sit-down restaurants, supermarkets, and convenience stores to BMI through dietary behaviors, controlling for socioeconomic status (SES) and physical activity. Results: Higher numbers of neighborhood fast food restaurants and lower numbers of sit-down restaurants were associated with higher consumption of an obesogenic fast food-type diet. The pathways from food stores to BMI through diet were inconsistent in magnitude and statistical significance. Conclusions: Efforts to decrease the numbers of neighborhood fast food restaurants and to increase the numbers of sit-down restaurant options could influence diet behaviors. Availability of neighborhood fast food and sit-down restaurants may play comparatively stronger roles than food stores in shaping dietary behaviors and BMI.

AB - Objectives: To examine longitudinal pathways from multiple types of neighborhood restaurants and food stores to BMI, through dietary behaviors. Methods: We used data from participants (n=5114) in the United States-based Coronary Artery Risk Development in Young Adults study and a structural equation model to estimate longitudinal (1985-86 to 2005-06) pathways simultaneously from neighborhood fast food restaurants, sit-down restaurants, supermarkets, and convenience stores to BMI through dietary behaviors, controlling for socioeconomic status (SES) and physical activity. Results: Higher numbers of neighborhood fast food restaurants and lower numbers of sit-down restaurants were associated with higher consumption of an obesogenic fast food-type diet. The pathways from food stores to BMI through diet were inconsistent in magnitude and statistical significance. Conclusions: Efforts to decrease the numbers of neighborhood fast food restaurants and to increase the numbers of sit-down restaurant options could influence diet behaviors. Availability of neighborhood fast food and sit-down restaurants may play comparatively stronger roles than food stores in shaping dietary behaviors and BMI.

KW - Body mass index

KW - Diet

KW - Geographic information systems

KW - Longitudinal study

KW - Neighborhood food environment

KW - Structural equation model

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JF - Health and Place

ER -

Multiple pathways from the neighborhood food environment to increased body mass index through dietary behaviors: A structural equation-based analysis in the CARDIA study

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