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Associations of fast food restaurant availability with dietary intake and weight among African Americans in the Jackson Heart study, 2000-2004

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  • Hickson, D.A.
  • Roux, A.V.D.
  • Smith, A.E.
  • Tucker, K.L.
  • Gore, L.D.
  • Zhang, L.
  • Wyatt, S.B.

Abstract

Objectives: We examined the associations of fast food restaurant (FFR) availability with dietary intake and weight among African Americans in the southeastern United States. Methods: We investigated cross-sectional associations of FFR availability with dietary intake and body mass index (BMI) and waist circumference in 4740 African American Jackson Heart Study participants (55.2 ±12.6 years, 63.3% women). We estimated FFR availability using circular buffers with differing radii centered at each participant's geocoded residential location. Results: We observed no consistent associations between FFR availability and BMI or waist circumference. Greater FFR availability was associated with higher energy intake among men and women younger than 55 years, even after adjustment for individual socioeconomic status. For each standard deviation increase in 5-mile FFR availability, the energy intake increased by 138 kilocalories (confidence interval [CI]=70.53, 204.75) for men and 58 kilocalories (CI=8.55, 105.97) for women. We observed similar associations for the 2-mile FFR availability, especially in men. FFR availability was also unexpectedly positively associated with total fiber intake. Conclusions: FFR availability may contribute to greater energy intake in younger African Americans who are also more likely to consume fast food.

Suggested Citation

  • Hickson, D.A. & Roux, A.V.D. & Smith, A.E. & Tucker, K.L. & Gore, L.D. & Zhang, L. & Wyatt, S.B., 2011. "Associations of fast food restaurant availability with dietary intake and weight among African Americans in the Jackson Heart study, 2000-2004," American Journal of Public Health, American Public Health Association, vol. 101(SUPPL. 1), pages 301-309.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2010.300006_1
    DOI: 10.2105/AJPH.2010.300006
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    Cited by:

    1. Cheryl R Clark & Mark J Ommerborn & DeMarc A Hickson & Kya N Grooms & Mario Sims & Herman A Taylor & Michelle A Albert, 2013. "Neighborhood Disadvantage, Neighborhood Safety and Cardiometabolic Risk Factors in African Americans: Biosocial Associations in the Jackson Heart Study," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-10, May.

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