Neighborhood Food Outlet Access and Dietary Intake Among Adults with Chronic Kidney Disease: Results from the Chronic Renal Insufficiency Cohort Study

Details

• Personal Author:
  Anderson CAM ; Appel LJ ; Cedillo-Couvert E ; Cornish-Zirker D ; Deo R ; Feldman HI ; Go AS ; Hamm LL ; He J ; Hsu JY ; Lash JP ; Madrigal JM ; Persky V ; Rahman M ; Rao PS ; Ricardo AC ; Saunders MR ; Sha D ; Tan TC ; Townsend RR ; Zenk SN
• Description:
  Background: Healthy diet is essential in the management of chronic kidney disease (CKD) and preventing related comorbidities. Food outlet access has been studied in the general population; however, the influence of the local food environment on dietary intake among people with CKD has not been evaluated. Objectives: This study examined the associations of food outlet density and type of outlets with dietary intake in a multicenter cohort of racially and ethnically diverse patients with CKD. Methods: The Chronic Renal Insufficiency Cohort Study is a multicenter prospective study of patients with CKD that used a validated food frequency questionnaire to capture dietary intake at the baseline visit. This is a cross-sectional analysis of 2,484 participants recruited in 2003-2006 from seven Chronic Renal Insufficiency Cohort Study centers. Food outlet data were used to construct a count of the number of fast-food restaurants, convenience stores, and grocery stores per 10,000 population for each geocoded census block group. Multivariable linear and logistic regression models were used to evaluate the associations between measures of food outlet availability and dietary factors. Results: The proportion of participants living in zeroe, lowe, and highefood outlet density areas differed by gender, race or ethnicity, and income level. Among male subjects, living in areas with zero or the highest number of outlets was associated with having the highest caloric intakes in multivariable models. Male subjects living in areas with zero outlets consumed the highest levels of sodium and phosphorous. Female subjects living in areas with zero outlets had the lowest average intake of calories, sodium, and phosphorous. Among low-income female subjects, close proximity to more outlets was associated with higher calorie consumption. Among all participants, access to fast-food restaurants was not associated with an unhealthy diet score, and access to grocery stores was not associated with a healthy diet score. Conclusions: Average caloric and nutrient intakes differed by outlet availability; however, there were no strong associations with type of food outlet. This should be considered when developing food-focused public health policies. [Description provided by NIOSH]
• Subjects:
  Diet Environmental Exposure Food Handling Food Industry Occupational Health Public Health Race Factors Safety Surveys And Questionnaires
• Keywords:
  Author Keywords: Chronic Kidney Disease Caloric Intake Environmental Exposure Food Food Environments Food Outlets Food Services Kidney Disorders Kidneys Models Public Health Questionnaires Racial Factors

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• ISSN:
  2212-2672
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Illinois ; Louisiana ; Michigan ; OSHA Region 3 ; OSHA Region 5 ; OSHA Region 6 ; Pennsylvania
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  120
• Issue:
  7
• NIOSHTIC Number:
  nn:20061839
• Citation:
  J Acad Nutr Diet 2020 Jul; 120(7):1151-1162
• Contact Point Address:
  Jessica M. Madrigal, MS, Division of Epidemiology & Biostatistics, School of Public Health, University of Illinois at Chicago, 1603 W Taylor St, Room 911, M/C 923, Chicago, IL 60612
• Email:
  jmadri1@uic.edu
• Federal Fiscal Year:
  2020
• Performing Organization:
  University of Illinois at Chicago
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of the Academy of Nutrition and Dietetics
• End Date:
  20290630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:d3e9d359e0f6c522ccf3c75bf557e7db0130773815dad15f7e2e9fee8808d248935d1753944a297189817b12c413d0bc5c31e9d113ee9bf4d898a403b328cdb4
• Download URL:
  https://stacks.cdc.gov/view/cdc/225208/cdc_225208_DS1.pdf
• File Type:
  [PDF - 460.33 KB ]