Survey-derived activity space-based exposures to fast food outlets and their cross-sectional associations with use of fast food outlets, diet quality and BMI

Joreintje D. Mackenbach*, Michael J. Widener, Emilie van der Gaag, Maria GM Pinho

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

There is a need for conceptual and methodological innovation in food environment-health research. We compared different operationalizations of survey-derived activity space exposures to fast food outlets (FFOs) in associations with use of FFO, diet quality and body mass index (BMI). FFO exposure was determined for home, work and a maximum of sixteen other locations reported by 1728 Dutch adults. Considerable differences in count of FFO between locations were found. Adjusted linear regression analyses resulted in small, unexpected associations with use of FFO, diet quality and BMI, whereby the strength of associations differed between exposure measures. Using home and work areas may be a cost-efficient compromise to capture large parts of the exposure to FFOs.

Original languageEnglish
Article number102966
JournalHealth and Place
Volume79
DOIs
Publication statusPublished - Jan 2023
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2023 The Authors

Keywords

  • Europe
  • Food environment
  • Food retailer
  • Obesity

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