title: Relation between local food environments and obesity among adults.
abstract: BACKGROUND
  Outside of the United States, evidence for associations between exposure to fast-food establishments and risk for obesity among adults is limited and equivocal. The purposes of this study were to investigate whether the relative availability of different types of food retailers around people's homes was associated with obesity among adults in Edmonton, Canada, and if this association varied as a function of distance between food locations and people's homes.
  
  
  METHODS
  Data from a population health survey of 2900 adults (18 years or older) conducted in 2002 was linked with geographic measures of access to food retailers. Based upon a ratio of the number of fast-food restaurants and convenience stores to supermarkets and specialty food stores, a Retail Food Environment Index (RFEI) was calculated for 800 m and 1600 m buffers around people's homes. In a series of logistic regressions, associations between the RFEI and the level of obesity among adults were examined.
  
  
  RESULTS
  The median RFEI for adults in Edmonton was 4.00 within an 800 m buffer around their residence and 6.46 within a 1600 m buffer around their residence. Approximately 14% of the respondents were classified as being obese. The odds of a resident being obese were significantly lower (OR = 0.75, 95%CI 0.59 - 0.95) if they lived in an area with the lowest RFEI (below 3.0) in comparison to the highest RFEI (5.0 and above). These associations existed regardless of the covariates included in the model. No significant associations were observed between RFEI within a 1600 m buffer of the home and obesity.
  
  
  CONCLUSIONS
  The lower the ratio of fast-food restaurants and convenience stores to grocery stores and produce vendors near people's homes, the lower the odds of being obese. Thus the proximity of the obesogenic environment to individuals appears to be an important factor in their risk for obesity.
authors.affiliation: Faculty of Physical Education and Recreation, University of Alberta, Edmonton, Canada. jc.spence@ualberta.ca
authors.forename: John C
authors.initials: JC
authors.lastname: Spence
authors.forename: Nicoleta
authors.initials: N
authors.lastname: Cutumisu
authors.forename: Joy
authors.initials: J
authors.lastname: Edwards
authors.forename: Kim D
authors.initials: KD
authors.lastname: Raine
authors.forename: Karen
authors.initials: K
authors.lastname: Smoyer-Tomic
mesh_terms: D000328:Adult; D000416:Alberta / Q000453:epidemiology; D003132:Commerce; D004034:Diet Surveys; D005247:Feeding Behavior; D005260:Female; D019649:Food Industry / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000191:economics / Q000453:epidemiology*; D015995:Prevalence; D012111:Residence Characteristics; D012147:Restaurants / Q000145:classification / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors