Association between Availability of Neighborhood Fast Food Outlets and Overweight Among 5⁻18 Year-Old Children in Peninsular Malaysia: A Cross-Sectional Study

A growing number of fast-food outlets in close proximity to residential areas raises a question as to its impact on childhood overweight and obesity. This study aimed at determining the relationship between the availability of fast-food outlets that were in close proximity to residential areas and o...

Full description

Saved in:
Bibliographic Details
Published in:International journal of environmental research and public health 2019-02, Vol.16 (4), p.593
Main Authors: Chee Cheong, Kee, Yoon Ling, Cheong, Kuang Hock, Lim, Mohd Ghazali, Sumarni, Chien Huey, Teh, Che Ibrahim, Mohd Khairuddin, Baharudin, Azli, Siew Man, Cheong, Yong Kang, Cheah, Ahmad, Noor Ani, Yusoff, Ahmad Faudzi
Format: Article
Language:English
Subjects:
Adolescent
Age
Availability
Body weight
Child
Child, Preschool
Children
Cross-Sectional Studies
Ethnicity
Fast food
Fast food industry
Fast Foods - supply & distribution
Female
Food
Food availability
Gender
Geographic Information Systems
Households
Housing
Humans
Logistic Models
Malaysia - epidemiology
Male
Medical research
Metabolic syndrome
Neighborhoods
Obesity
Odds Ratio
Pediatric Obesity - epidemiology
Population
Prevalence
Residence Characteristics - statistics & numerical data
Residential areas
Restaurants - supply & distribution
Rural areas
Sociodemographics
Software
Spatial analysis
Statistical analysis
Supermarkets
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A growing number of fast-food outlets in close proximity to residential areas raises a question as to its impact on childhood overweight and obesity. This study aimed at determining the relationship between the availability of fast-food outlets that were in close proximity to residential areas and overweight among Malaysian children aged 5 to 18 years. Measurement data on the weight and height of 5544 children (2797 boys, 2747 girls) were obtained from the National Health and Morbidity Survey 2011. Overweight (including obesity) is defined as BMI-for-age z-score > +1 SD based on the WHO growth reference. Geographic information system geospatial analysis was performed to determine the number of fast-food outlets within 1000 m radius from the children's residential address. Multiple logistic regression was conducted to examine the association between the availability of fast-food outlets (none or more than one outlet) and overweight with adjustment for age, sex, ethnicity, monthly household income, parental educational level, residential area and supermarket density. Our results showed that the prevalence of overweight was 25.0% and there was a statistically significant association between the density of fast-food outlets and overweight (odds ratio: 1.23, 95% confidence interval: 1.03, 1.47). Our study suggested that the availability of fast-food outlets with close proximity in residential areas was significantly associated with being overweight among children. Limiting the number of fast-food outlets in residential areas could have a significant effect in reducing the prevalence of overweight among Malaysian children.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph16040593