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Effects of Proximity to Supermarkets on a Randomized Trial Studying Interventions for Obesity.

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Title: Effects of Proximity to Supermarkets on a Randomized Trial Studying Interventions for Obesity.
Authors: Fiechtner, Lauren, Kleinman, Ken, Melly, Steven J., Sharifi, Mona, Marshall, Richard, Block, Jason, Cheng, Erika R., Taveras, Elsie M.
Source: American Journal of Public Health. Mar2016, Vol. 106 Issue 3, p557-562. 6p.
Subjects: Prevention of childhood obesity, Supermarkets, Industrial location, Food preferences in children, Randomized controlled trials, Body mass index, Centers for Disease Control & Prevention (U.S.), Fruit, Vegetables, Cluster analysis (Statistics), Confidence intervals, Natural foods, Research funding, Shopping, Health equity, Food security, Data analysis software, Health & social status, Descriptive statistics, Nutritional status, Odds ratio
Geographic Terms: Massachusetts, United States
Abstract: Objectives. To determine whether proximity to a supermarket modified the effects of an obesity intervention. Methods. We examined 498 children aged 6 to 12 years with a body mass index (BMI) at or above the 95 th percentile participating in an obesity trial in Massachusetts in 2011 to 2013. The practice-based interventions included computerized clinician decision support plus family self-guided behavior change or health coaching. Outcomes were 1-year change in BMI z-score, sugar-sweetened beverage intake, and fruit and vegetable intake. We examined distance to the closest supermarket as an effect modifier. Results. Distance to supermarkets was an effect modifier of 1-year change in BMI z-score and fruit and vegetable intake but not sugar-sweetened beverage intake. With each 1 -mile shorter distance to a supermarket, intervention participants increased their fruit and vegetable intake by 0.29 servings per day and decreased their BMI z-score by -0.04 units relative to controls. Conclusions. Living closer to a supermarket is associated with greater improvements in fruit and vegetable intake and weight status in an obesity intervention. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Effects of Proximity to Supermarkets on a Randomized Trial Studying Interventions for Obesity.
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Mar2016, Vol. 106 Issue 3, p557-562. 6p.
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  Data: <searchLink fieldCode="DE" term="%22Prevention+of+childhood+obesity%22">Prevention of childhood obesity</searchLink><br /><searchLink fieldCode="DE" term="%22Supermarkets%22">Supermarkets</searchLink><br /><searchLink fieldCode="DE" term="%22Industrial+location%22">Industrial location</searchLink><br /><searchLink fieldCode="DE" term="%22Food+preferences+in+children%22">Food preferences in children</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Body+mass+index%22">Body mass index</searchLink><br /><searchLink fieldCode="DE" term="%22Centers+for+Disease+Control+%26+Prevention+%28U%2ES%2E%29%22">Centers for Disease Control & Prevention (U.S.)</searchLink><br /><searchLink fieldCode="DE" term="%22Fruit%22">Fruit</searchLink><br /><searchLink fieldCode="DE" term="%22Vegetables%22">Vegetables</searchLink><br /><searchLink fieldCode="DE" term="%22Cluster+analysis+%28Statistics%29%22">Cluster analysis (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Natural+foods%22">Natural foods</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Shopping%22">Shopping</searchLink><br /><searchLink fieldCode="DE" term="%22Health+equity%22">Health equity</searchLink><br /><searchLink fieldCode="DE" term="%22Food+security%22">Food security</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Health+%26+social+status%22">Health & social status</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Nutritional+status%22">Nutritional status</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Massachusetts%22">Massachusetts</searchLink><br /><searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Objectives. To determine whether proximity to a supermarket modified the effects of an obesity intervention. Methods. We examined 498 children aged 6 to 12 years with a body mass index (BMI) at or above the 95 th percentile participating in an obesity trial in Massachusetts in 2011 to 2013. The practice-based interventions included computerized clinician decision support plus family self-guided behavior change or health coaching. Outcomes were 1-year change in BMI z-score, sugar-sweetened beverage intake, and fruit and vegetable intake. We examined distance to the closest supermarket as an effect modifier. Results. Distance to supermarkets was an effect modifier of 1-year change in BMI z-score and fruit and vegetable intake but not sugar-sweetened beverage intake. With each 1 -mile shorter distance to a supermarket, intervention participants increased their fruit and vegetable intake by 0.29 servings per day and decreased their BMI z-score by -0.04 units relative to controls. Conclusions. Living closer to a supermarket is associated with greater improvements in fruit and vegetable intake and weight status in an obesity intervention. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=113090711
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      – Type: doi
        Value: 10.2105/AJPH.2015.302986
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        Text: English
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      – SubjectFull: Prevention of childhood obesity
        Type: general
      – SubjectFull: Supermarkets
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      – SubjectFull: Industrial location
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      – SubjectFull: Food preferences in children
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      – SubjectFull: Randomized controlled trials
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      – SubjectFull: Fruit
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Natural foods
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      – SubjectFull: Massachusetts
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