ArticlePublic health nutrition2019
Exploring absolute and relative measures of exposure to food environments in relation to dietary patterns among European adults.
Article in Public health nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Spatiotemporal trends in food deserts, food swamps and food environments around schools in Wallonia, Belgium (2008-2024).Archives of public health = Archives belges de sante publique · 2026Article
- Identifying co-occurring neighbourhood environmental patterns and their association with health behaviours in a Dutch urban population at high cardiometabolic risk.BMC public health · 2026Article
- Physical and online food outlet availability and its influence on out-of-home dietary behaviours in Great Britain: A repeated cross-sectional study.SSM - population health · 2025Article
- Neighbourhood exposure to fast-food and sit-down restaurants and estimated 24-hour urinary sodium excretion: a cross-sectional analysis of urban adults from the ORISCAV-LUX 2 study.Public health nutrition · 2025Article
- Food outlet availability differs according to area socioeconomic status in Denmark.BMC public health · 2025Article
- Measuring associations between the food environment and dietary habits: comparing the proportion and density of food outlets.BMC public health · 2024Article
- Fast food proximity and weight gain in childhood and adolescence: Evidence from Great Britain.Health economics · 2024Article
- Assessing the association between food environment and dietary inflammation by community type: a cross-sectional REGARDS study.International journal of health geographics · 2023Article
- Mediators of parental educational differences in the intake of carbonated sugar-sweetened soft drinks among adolescents, and the moderating role of neighbourhood income.Nutrition journal · 2023Article
- What counts? Adding nuance to retail food environment measurement tools in a Canadian context.Public health nutrition · 2023Article
- Exploring the Retail Food Environment Surrounding Two Secondary Schools with Predominantly Pacific Populations in Tonga and New Zealand to Enable the Development of Mapping Methods Appropriate for Testing in a Classroom.International journal of environmental research and public health · 2022Article
- Validation of retail food outlet data from a Danish government inspection database.Nutrition journal · 2022Article
- The association between the presence of fast-food outlets and BMI: the role of neighbourhood socio-economic status, healthy food outlets, and dietary factors.BMC public health · 2022Article
- Assessing physical access to healthy food across United Kingdom: A systematic review of measures and findings.Obesity science & practice · 2022Review
- Association between density of convenience and small grocery stores with diet quality in adults living in Mexico City: A cross sectional study.Frontiers in public health · 2022Article
- Ultra-processed food consumption patterns among older adults in the Netherlands and the role of the food environment.European journal of nutrition · 2021Article
- Residential exposure to fast-food restaurants and its association with diet quality, overweight and obesity in the Netherlands: a cross-sectional analysis in the EPIC-NL cohort.Nutrition journal · 2021Article
- The good, the bad, and the environment: developing an area-based measure of access to health-promoting and health-constraining environments in New Zealand.International journal of health geographics · 2021Article
- Healthy and unhealthy food environments are linked with neighbourhood socio-economic disadvantage: an innovative geospatial approach to understanding food access inequities.Public health nutrition · 2020Article
- Deep phenotyping meets big data: the Geoscience and hEalth Cohort COnsortium (GECCO) data to enable exposome studies in The Netherlands.International journal of health geographics · 2020Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveTo explore the associations of absolute and relative measures of exposure to food retailers with dietary patterns, using simpler and more complex measures.
designCross-sectional survey.
settingUrban regions in Belgium, France, Hungary, the Netherlands and the UK.ParticipantsEuropean adults (n 4942). Supermarkets and local food shops were classified as 'food retailers providing healthier options'; fast-food/takeaway restaurants, cafés/bars and convenience/liquor stores as 'food retailers providing less healthy options'. Simpler exposure measures used were density of healthy and density of less healthy food retailers. More complex exposure measures used were: spatial access (combination of density and proximity) to healthy and less healthy food retailers; density of healthier food retailers relative to all food retailers; and a ratio of spatial access scores to healthier and less healthy food retailers. Outcome measures were a healthy or less healthy dietary pattern derived from a principal component analysis (based on consumption of fruits, vegetables, fish, fast foods, sweets and sweetened beverages).
resultsOnly the highest density of less healthy food retailers was significantly associated with the less healthy dietary pattern (β = -129·6; 95 % CI -224·3, -34·8). None of the other absolute density measures nor any of the relative measures of exposures were associated with dietary patterns.
conclusionsMore complex measures of exposure to food retailers did not produce stronger associations with dietary patterns. We had some indication that absolute and relative measures of exposure assess different aspects of the food environment. However, given the lack of significant findings, this needs to be further explored.
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