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Effects of school neighborhood food environments on childhood obesity at multiple scales: A longitudinal kindergarten cohort study in the USA

BMC Medicine May 30, 2019

Jia P, et al. - Using the US nationally representative Early Childhood Longitudinal Study–Kindergarten cohort data, researchers examined the connections between school neighborhood food environments and children’s weight status at multiple geographic scales (800-m road-network buffer, 800-m straight-line buffer, and school ZIP code). Participants in the study were 7530 children. Increasing fast food restaurants in urban schoolchildren and convenience stores in girls and non-urban schoolchildren were linked to the higher risk of obesity. Schoolchildren exposed to meat/fish market decline exhibited a lower risk of obesity, particularly urban schoolchildren. The decrease in dairy product stores, especially boys and urban schoolchildren, was associated with a higher risk of obesity. According to findings, national data in the United States suggest that long-term exposure to the food environment around schools may affect the risk of obesity in children; this association varied across gender and urbanity. This study has significant public health implications for the design and urban planning of future school-based dietary intervention.
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