Influence of the food environment on obesity risk in a large cohort of US veterans by community type
Authors' conclusion
Many healthy eating policies have been passed in urban areas; our results suggest such policies might also mitigate obesity risk in nonurban areas.
Study context
- Population
- US veterans in the VA Diabetes Risk (Veterans Administration Diabetes Risk (VADR)) cohort, 2008–2018; mean age 59.8 years, 93.3% men
- Exposure
- Percentage of supermarkets and fast-food restaurants vs obesity, by community type
- Outcome
- Obesity prevalence
- Follow-up
- 2008 to 2018
Methodological detailselectronic health record data, multivariable logistic regression with random effects, stratified by community type
- Electronic health record data
- Multivariable logistic regression with random effects
- Stratified by community type
Main finding
As reported in the abstract
% fast-food restaurants, high-density urban: OR (95% CI 1.028-1.037); no interaction by time (p = 0.83)
1.033
% supermarkets, suburban: OR
1.033
95% CI 1.027–1.039
% supermarkets, rural: OR
1.007
95% CI 1.002–1.012
Observational data: associations, not effects.
Further findings
Obesity prevalence at baseline
- Classified as having obesity
- 2,102,542 (41.8%)
Original publication
Influence of the food environment on obesity risk in a large cohort of US veterans by community type. Obesity (Silver Spring). Published 1 February 2024. doi:10.
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