Evidence map›Paper›PMID 28854995›Full record

Observational studyPublic health nutrition2017

Greater access to healthy food outlets in the home and school environment is associated with better dietary quality in young children.

Millie Barrett, Sarah Crozier, Daniel Lewis, Keith Godfrey, Sian Robinson, Cyrus Cooper, Hazel Inskip, Janis Baird, Christina Vogel

Abstract readObservational Study
In one paragraph

Observational study in Public health nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Fast-food restaurant, unhealthy eating, and childhood obesity: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
    Pooled it
  2. Grocery store access and childhood obesity: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
    Pooled it
  3. Review
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  13. Development of a Teen-Informed Coding Tool to Measure the Power of Food Advertisements.International journal of environmental research and public health · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Millie Barrett1NIHR Southampton Biomedical Research Centre,University Hospital Southampton NHS Foundation Trust and University of Southampton,Southampton,UK.
Sarah Crozier2Medical Research Council Lifecourse Epidemiology Unit,University of Southampton,Southampton General Hospital,Tremona Road,Southampton SO16 6YD,UK.
Daniel Lewis3Department of Social and Environmental Health Research, Faculty of Public Health & Policy,London School of Hygiene & Tropical Medicine,London,UK.
Keith Godfrey1NIHR Southampton Biomedical Research Centre,University Hospital Southampton NHS Foundation Trust and University of Southampton,Southampton,UK.
Sian Robinson1NIHR Southampton Biomedical Research Centre,University Hospital Southampton NHS Foundation Trust and University of Southampton,Southampton,UK.
Cyrus Cooper1NIHR Southampton Biomedical Research Centre,University Hospital Southampton NHS Foundation Trust and University of Southampton,Southampton,UK.
Hazel Inskip1NIHR Southampton Biomedical Research Centre,University Hospital Southampton NHS Foundation Trust and University of Southampton,Southampton,UK.
Janis Baird2Medical Research Council Lifecourse Epidemiology Unit,University of Southampton,Southampton General Hospital,Tremona Road,Southampton SO16 6YD,UK.
Christina Vogel2Medical Research Council Lifecourse Epidemiology Unit,University of Southampton,Southampton General Hospital,Tremona Road,Southampton SO16 6YD,UK.

Funding

British Heart Foundation PG/14/33/30827British Heart Foundation RG/15/17/31749Department of Health DRF-2011-04-015Medical Research Council G0400491Medical Research Council G106/1077Medical Research Council MC_U147574218Medical Research Council MC_U147574222Medical Research Council MC_U147574224Medical Research Council MC_U147574226Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UP_A620_1015Medical Research Council MC_UP_A620_1017Medical Research Council MC_UU_12011/1Medical Research Council MC_UU_12011/2Medical Research Council MC_UU_12011/4Medical Research Council MR/J000094/1
6 · The paper itself

Abstract

objectiveTo explore associations between dietary quality and access to different types of food outlets around both home and school in primary school-aged children.

designCross-sectional observational study.

settingHampshire, UK. SUBJECTS: Children (n 1173) in the Southampton Women's Survey underwent dietary assessment at age 6 years by FFQ and a standardised diet quality score was calculated. An activity space around each child's home and school was created using ArcGIS. Cross-sectional observational food outlet data were overlaid to derive four food environment measures: counts of supermarkets, healthy specialty stores (e.g. greengrocers), fast-food outlets and total number of outlets, and a relative measure representing healthy outlets (supermarkets and specialty stores) as a proportion of total retail and fast-food outlets.

resultsIn univariate multilevel linear regression analyses, better diet score was associated with exposure to greater number of healthy specialty stores (β=0·025 sd/store: 95 % CI 0·007, 0·044) and greater exposure to healthy outlets relative to all outlets in children's activity spaces (β=0·068 sd/10 % increase in healthy outlets as a proportion of total outlets, 95 % CI 0·018, 0·117). After adjustment for mothers' educational qualification and level of home neighbourhood deprivation, the relationship between diet and healthy specialty stores remained robust (P=0·002) while the relationship with the relative measure weakened (P=0·095). Greater exposure to supermarkets and fast-food outlets was associated with better diet only in the adjusted models (P=0·017 and P=0·014, respectively).

conclusionsThe results strengthen the argument for local authorities to increase the number of healthy food outlets to which young children are exposed.

Indexed as

DietDiet, HealthyBody Mass IndexChildChild BehaviorCross-Sectional StudiesEnvironmentFast FoodsFemaleFollow-Up StudiesHealth BehaviorHumansLinear ModelsMaleNutrition AssessmentProspective StudiesActivity spaceChildren’s diet qualityFood outlet exposurePrimary school-aged children

Identifiers

PMID28854995
PMCPMC5700412

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.