|
|
|
| Research progress on the association between food environment and obesity |
| JIA Menghan1,2, CHEN Pei1,2, LI Xin1,2, SUN Ling1,2
|
1. Hebei Children's Hospital, Shijiazhuang, Hebei 050031, China;
2. Hebei Provincial Clinical Medical Research Center for Children's Health and Disease, Shijiazhuang, Hebei 050031, China |
|
|
|
|
Abstract Obesity is a multi-factorial disease involving genetics, individual behavior, socio-economic status, and environmental factors, and has become a global public health issue. The food environment, as an external factor amenable to direct intervention, affects the development of obesity by shaping individual food acquisition and consumption behaviors. The food environment refers to the physical and social environment where food is accessible, and can be assessed from dimensions such as availability, accessibility, and affordability through geographic information system spatial analysis, field surveys, commercial databases, and questionnaires. Studies indicate that the food environment can influence obesity through the spatial shaping effects of dietary structure and sociobehavioral pathways. A healthy food environment is negatively correlated with the risk of obesity, whereas an unhealthy food environment is positively correlated with the risk of obesity. This paper reviews studies related to the correlation between the food environment and obesity, covering the prevalence of obesity, the definition and assessment methods of the food environment, and the mechanisms by which the food environment affects obesity. It summarizes food environment intervention strategies centered on urban planning, policies and regulations, and community education to provide a reference for obesity prevention and control.
|
|
Received: 22 July 2025
Revised: 04 December 2025
Published: 26 January 2026
|
|
|
|
|
|
[1] 马依拉·买买提.社区食品环境认知调查问卷的编制及社区食品环境与肥胖相关性研究[D].杭州:浙江大学,2019.
[2] HASHEMI JAVAHERI F S,NASIRI JOUNAGHANI M,SAHEBKAR A,et al.The effect of fermented dairy intake and abdominal obesity in adults:a systematic review and dose-response meta-analysis of cohort studies[J/OL].Eat Weight Disord,2025,30(1)[2025-12-04].http://doi.org/10.1007/s40519-025-01733-4.
[3] 钱婧,李萍,许林鑫,等.全球肥胖流行病学特征与诊断标准革新:现状争议与未来方向[J].中国药物与临床,2025,25(6):359-363,341.
[4] WANG J M,LI Q.Promoting effects of the exercise behavioral ecological model on physical activity behaviors of students[J].Am J Health Behav,2023,47(1):109-115.
[5] ZHANG L Y,WANG M Y,DENG C S,et al.Ecological model of health behaviour of hypertensive stroke patients at the end of recovery period[J].J Clin Nurs,2023,32(13-14):3909-3920.
[6] Obesity:preventing and managing the global epidemic.Report of a WHO consultation[J].World Health Organ Tech Rep Ser,2000,894:i-xii,1-253.
[7] 中国营养学会肥胖防控分会,中国营养学会临床营养分会,中华预防医学会行为健康分会,等.中国居民肥胖防治专家共识[J].中国预防医学杂志,2022,23(5):321-339.
[8] FROST L,BENJAMIN E J,FENGER-GRØN M,et al.Body fat,body fat distribution,lean body mass and atrial fibrillation and flutter. A Danish cohort study[J].Obesity(Silver Spring),2014,22(6):1546-1552.
[9] KOSTER A,MURPHY R A,EIRIKSDOTTIR G,et al.Fat distribution and mortality:the AGES-Reykjavik study[J].Obesity(Silver Spring),2015,23(4):893-897.
[10] THAM K W,LIM A Y L,BAUR L A.The global agenda on obesity:what does this mean for Singapore?[J].Singapore Med J,2023,64(3):182-187.
[11] PAN X F,WANG L M,PAN A.Epidemiology and determinants of obesity in China[J].Lancet Diabetes Endocrinol,2021,9(6):373-392.
[12] MHURCHU C N,VANDEVIJVERE S,WATERLANDER W,et al.Monitoring the availability of healthy and unhealthy foods and non-alcoholic beverages in community and consumer retail food environments globally[J].Obes Rev,2013,14(Suppl. 1):108-119.
[13] LIMA DA SILVA J M,OLIVEIRA J S,CASAGRANDE BORGES D,et al.Social inequities in food deserts and food swamps in a northeastern Brazilian capital[J].J Biosoc Sci,2024,56(3):493-503.
[14] BEVEL M S,TSAI M H,PARHAM A,et al.Association of food deserts and food swamps with obesity-related cancer mortality in the US[J].JAMA Oncol,2023,9(7):909-916.
[15] DAKE F A A,THOMPSON A L,NG S W,et al.The local food environment and body mass index among the urban poor in Accra,Ghana[J].J Urban Health,2016,93(3):438-455.
[16] PINEDA E,STOCKTON J,SCHOLES S,et al.Food environment and obesity:a systematic review and meta-analysis[J].BMJ Nutr Prev Health,2024,7(1):204-211.
[17] OHRI-VACHASPATI P,DEWEESE R S,ACCIAI F,et al.Healthy food access in low-income high-minority communities:a longitudinal assessment-2009-2017[J/OL].Int J Environ Res Public Health,2019,16(13)[2025-12-04].http://doi.org/10.3390/ijerph16132354.
[18] GREEN M A,RADLEY D,LOMAX N,et al.Is adolescent body mass index and waist circumference associated with the food environments surrounding schools and homes?A longitudinal analysis[J/OL].BMC Public Health,2018,18(1)[2025-12-04].http://doi.org/10.1186/s12889-018-5383-z.
[19] JIA P,XUE H,CHENG X,et al.Effects of school neighborhood food environments on childhood obesity at multiple scales:a longitudinal kindergarten cohort study in the USA[J/OL].BMC Med,2019,17(1)[2025-12-04].http://doi.org/10.1186/s12916-019-1329-2.
[20] FILGUEIRAS M S,PESSOA M C,BRESSAN J,et al.Obesogenic neighborhood environment is associated with body fat and low-grade inflammation in Brazilian children:could the mother's BMI be a mediating factor?[J/OL].Public Health Nutr,2023,27(1)[2025-12-04].http://doi.org/10.1017/S1368980023002628.
[21] BARBOSA B B,NIELSEN L,DE AGUIAR B S,et al.Local food environment and consumption of ultra-processed foods:cross-sectional data from the nutritionists' health study-NutriHS[J/OL].Int J Environ Res Public Health,2023,20(18)[2025-12-04].http://doi.org/10.3390/ijerph20186749.
[22] MADLALA S S,HILL J,KUNNEKE E,et al.Adult food choices in association with the local retail food environment and food access in resource-poor communities:a scoping review[J/OL].BMC Public Health,2023,23(1)[2025-12-04].http://doi.org/10.1186/s12889-023-15996-y.
[23] GODBHARLE S,JEYAKUMAR A,GIRI B R,et al.Pooled prevalence of food away from home(FAFH)and associated non-communicable disease(NCD)markers:a systematic review and meta-analysis[J/OL].J Health Popul Nutr,2022,41(1)[2025-12-04].http://doi.org/10.1186/s41043-022-00335-5.
[24] 彭晓琳,周娟,赵丹,等.深圳市成年居民在外就餐行为及其与超重肥胖的关系[J].中国慢性病预防与控制,2022,30(12):933-937.
[25] HOWARD E J,MEYER R K,WENINGER S N,et al.Impact of plant-based dietary fibers on metabolic homeostasis in high-fat diet mice via alterations in the gut microbiota and metabolites[J].J Nutr,2024,154(7):2014-2028.
[26] 周钰涵,张蕴晖.邻苯二甲酸酯暴露与人群健康:流行病学和机制研究新证据[J].环境与职业医学,2019,36(4):295-299.
[27] 杨帆,王贤睿,林耿.疾病高发区饮食行为的社会文化机制研究——以广东省消化道肿瘤为例[J].中山大学学报(自然科学版)(中英文),2024,63(2):67-77.
[28] ANNESI J J,ADAMS K J,BAKHSHI M.Reduction of high emotional eating via increased physical activity:assessing a path informed by multiple behavioral theories within community-based obesity interventions[J].J Prev(2022),2025,46(4):487-509.
[29] 何青穗. 心理压力对大学生不同饮食的影响:情绪性进食的中介作用[J].心理月刊,2025,20(12):92-95. |
|
|
|
