ArticleSSM - population health2022
Food environments and obesity: A geospatial analysis of the South Asia Biobank, income and sex inequalities.
Article in SSM - population health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed.
- Alignment of Food Policies and Cardiovascular Disease Burden: Insights from the Literature.Current atherosclerosis reports · 2026Review
- Compliance to tobacco and alcohol zoning regulations around schools in Bangladesh, India, Pakistan and Sri Lanka using environmental mapping data.BMC medicine · 2025Article
- Policy implementation and recommended actions to create healthy food environments using the Healthy Food Environment Policy Index (Food-EPI): a comparative analysis in South Asia.The Lancet regional health. Southeast Asia · 2024Article
- Ready-to-Eat Food Environments and Risk of Incident Heart Failure: A Prospective Cohort Study.Circulation. Heart failure · 2024Article
- Perspectives on Neuronutrition in Prevention and Treatment of Neurological Disorders.Nutrients · 2023Review
- Growing Up Unequal: Disparities of Childhood Overweight and Obesity in Indonesia's 514 Districts.Healthcare (Basel, Switzerland) · 2023Article
- Does the Disparity Patterning Differ between Diagnosed and Undiagnosed Hypertension among Adults? Evidence from Indonesia.Healthcare (Basel, Switzerland) · 2023Article
- District-Level Inequalities in Hypertension among Adults in Indonesia: A Cross-Sectional Analysis by Sex and Age Group.International journal of environmental research and public health · 2022Article
- Stronger association of perceived health with socio-economic inequality during COVID-19 pandemic than pre-pandemic era.BMC public health · 2022Article
- Article
- Food environment and diabetes mellitus in South Asia: A geospatial analysis of health outcome data.PLoS medicine · 2022Article
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21 authors.
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Abstract
introductionIn low-middle income countries (LMICs) the role of food environments on obesity has been understudied. We address this gap by 1) examining the effect of food environments on adults' body size (BMI, waist circumference) and obesity; 2) measuring the heterogeneity of such effects by income and sex.
methodsThis cross-sectional study analysed South Asia Biobank surveillance and environment mapping data for 12,167 adults collected between 2018 and 2020 from 33 surveillance sites in Bangladesh and Sri Lanka. Individual-level data (demographic, socio-economic, and health characteristics) were combined with exposure to healthy and unhealthy food environments measured with geolocations of food outlets (obtained through ground-truth surveys) within 300 m buffer zones around participants' homes. Multivariate regression models were used to assess association of exposure to healthy and unhealthy food environments on waist circumference, BMI, and probability of obesity for the total sample and stratified by sex and income.
findingsThe presence of a higher share of supermarkets in the neighbourhood was associated with a reduction in body size (BMI, β = - 3∙23; p < 0∙0001, and waist circumference, β = -5∙99; p = 0∙0212) and obesity (Average Marginal Effect (AME): -0∙18; p = 0∙0009). High share of fast-food restaurants in the neighbourhood was not significantly associated with body size, but it significantly increased the probability of obesity measured by BMI (AME: 0∙09; p = 0∙0234) and waist circumference (AME: 0∙21; p = 0∙0021). These effects were stronger among females and low-income individuals.
interpretationThe results suggest the availability of fast
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