ArticlePreventive medicine reports2017
Local food environment and fruit and vegetable consumption: An ecological study.
Article in Preventive medicine reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review on Socioeconomic Differences in the Association between the Food Environment and Dietary Behaviors.Nutrients · 2019Pooled it
- Adapting Global Dietary Recommendation Indices to Assess Retail Food Environment Quality: Spatial Insights from Rural and Urban Kenya.Current developments in nutrition · 2026Article
- Policy landscape analysis for fruits and vegetables in four low- and middle-income countries through a food systems approach.PloS one · 2025Article
- Adherence to dietary practices recommended by the Dietary Guidelines for the Brazilian Population among people with obesity: baseline of a community trial carried out at the Health Fitness Program in Belo Horizonte, Brazil, 2022-2023.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025Article
- Prevalence of daily fruit and vegetable intake by socio-economic characteristics, women's empowerment, and climate zone: an ecological study in Latin American cities.Journal of nutritional science · 2025Article
- Consumer nutrition environment measurements for nutrient-dense food availability and food sustainability: a scoping review.Archives of public health = Archives belges de sante publique · 2024Article
- Beyond the Plate: Uncovering Inequalities in Fruit and Vegetable Intake across Indonesian Districts.Nutrients · 2023Article
- Association of the retail food environment, BMI, dietary patterns, and socioeconomic position in urban areas of Mexico.PLOS global public health · 2023Article
- "Academia da Saúde" program: mapping evidence from the largest health promotion community program in Brazil.Frontiers in public health · 2023Review
- The urban built environment and adult BMI, obesity, and diabetes in Latin American cities.Nature communications · 2022Article
- Improving Fruit and Vegetable Accessibility, Purchasing, and Consumption to Advance Nutrition Security and Health Equity in the United States.International journal of environmental research and public health · 2022Article
- Retail food environment in a Brazilian metropolis over the course of a decade: evidence of restricted availability of healthy foods.Public health nutrition · 2022Article
- An explorative study with convenience vegetables in urban Nigeria-The Veg-on-Wheels intervention.PloS one · 2022Article
- Exploring the Geographic Variation in Fruit and Vegetable Purchasing Behaviour Using Supermarket Transaction Data.Nutrients · 2021Article
- Fruit and vegetable consumption among older adults: influence of urban food environment in a medium-sized Brazilian city.Public health nutrition · 2021Article
- An Emergent Framework of the Market Food Environment in Low- and Middle-Income Countries.Current developments in nutrition · 2021Article
- Digital food environment of a Brazilian metropolis: food availability and marketing strategies used by delivery apps.Public health nutrition · 2021Article
- Comparison of food and beverage products' availability, variety, price and quality in German and US supermarkets.Public health nutrition · 2020Article
- Disparities in food consumption between economically segregated urban neighbourhoods.Public health nutrition · 2020Article
- Monotony in the consumption of fruits and vegetables and food environment characteristics.Revista de saude publica · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Ecological studies are essential for understanding the environment-diet relationship. The purpose of this study was to describe environmental conditions and their relationship with fruit and vegetable (FV) consumption among Brazilian public health service users in the city of Belo Horizonte. We evaluated food stores contained within 1600 m buffer zones at 18 Health Academy Programme sites, from 2013 to 2014. Variables at the community (density, proximity and type) and the consumer (sectional location of FV; availability, quality, variety, price and advertising of FV and ultra-processed foods) nutrition environment were measured by direct observation, while aggregate data from users (income and FV consumption) were obtained by interview. Data were analysed using the Kernel intensity estimator, average nearest neighbour value and Local Moran's Index for local spatial autocorrelation. We interviewed 3414 users and analysed 336 food stores. Major geographical variations in the FV consumption were identified. Average consumption was higher (site 2A: 410.5 ± 185.7 g vs. site 4B: 311.2 ± 159.9 g) in neighbourhoods with higher income and concentration of food stores, and better index of access to healthy foods. Sites with poor FV consumption had the most stores with poor access to healthy foods (index in the first tertile, ≤ 10). In conclusion, negative characteristics of the food environment, as seen in the present study, may contribute to low FV consumption, suggesting the need for the development and consolidation of public policies aimed at creating healthy environments through built environment interventions that increase access to and consumption of healthy foods like FV.
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