ArticleThe Journal of nutrition2025
Neighborhood Retail Food Environment, Diet Quality and Type 2 Diabetes Incidence in 4 Dutch Cohorts.
Article in The Journal of nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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13 authors.
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Abstract
backgroundCurrent evidence on the associations between the food environment and type 2 diabetes (T2D) is inconsistent and did not investigate the behavioral mediating pathway.
objectivesTo investigate whether accessibility of food retailers in the residential neighborhood is associated with T2D incidence in 4 Dutch prospective cohorts, and whether this is mediated by diet quality.
methodsIn this prospective multicohort study, we included 4 Dutch cohort studies (n
resultsOver a mean follow-up of 7.5 y, 569 (5.6%) participants developed T2D. Mean(standard deviation [SD]) age in the cohorts ranged from 41.1(12.9) to 67.4(6.8) y. No associations were observed between accessibility of different food retailers and T2D incidence: β
conclusionsSpatial accessibility of food retailers was not associated with risk of T2D. Nevertheless, consistent associations in hypothesized pathways were observed, such that spatial accessibility to healthier food retailers was associated with higher diet quality and spatial accessibility of unhealthier retailers with lower diet quality. Higher diet quality, in turn, was associated with lower T2D risk.
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