Exploring the Relation of Spatial Access to Fast Food Outlets With Body Weight: A Mediation Analysis

Joreintje D. Mackenbach, Hélène Charreire, Ketevan Glonti, Helga Bárdos, Harry Rutter, Sofie Compernolle, Ilse De Bourdeaudhuij, Giel Nijpels, Johannes Brug, Jean Michel Oppert, Jeroen Lakerveld

Research output: Contribution to journalArticlepeer-review

27 Citations (SciVal)

Abstract

We examined explanatory pathways for the association between spatial access to fast food outlets and body weight in 5,076 European adults (18+). The total effect of spatial access to fast food outlets on self-reported weight status was examined using regression analyses accounting for clustering at the neighborhood level. Perceived availability and usage of fast food outlets, and fast food consumption, were considered as potential mediators and age, gender, socioeconomic status, and urban region as potential moderators. Spatial access to fast food outlets was not significantly related to weight status. Spatial access to fast food outlets was associated with perceptions about and usage of fast food outlets, and this was in turn associated with greater reported fast food consumption and unhealthier weight status. We found limited evidence for mediation effects and no evidence for effect modification.

Original languageEnglish
Pages (from-to)401-430
Number of pages30
JournalEnvironment and Behavior
Volume51
Issue number4
Early online date1 Jan 2018
DOIs
Publication statusPublished - 1 May 2019

Funding

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Seventh Framework Programme (CORDIS FP7) of the European Commission, HEALTH (FP7-HEALTH-2011-two-stage) [278186].

Keywords

  • accessibility
  • fast food
  • food environment
  • mediation
  • obesity

ASJC Scopus subject areas

  • General Environmental Science

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