You are here
Associations of neighbourhood food retail with disability and death in older adults: Cardiovascular Health Study.
Tuesday,2025-04-08 14:05 America/Los_Angeles — ecterry
| Title | Associations of neighbourhood food retail with disability and death in older adults: Cardiovascular Health Study. |
| Publication Type | Journal Article |
| Year of Publication | 2024 |
| Authors | Bhatia, R, Hernandez, MA, Platt, J, Newman, AB, Siscovick, DS, Mukamal, KJ, Lovasi, GS |
| Journal | BMJ Nutr Prev Health |
| Volume | 7 |
| Issue | 2 |
| Pagination | e000646 |
| Date Published | 2024 |
| ISSN | 2516-5542 |
| Abstract | <p><b>BACKGROUND: </b>A healthier diet is associated with lower chronic disease burden, but the impact of neighbourhood food environments on disability and death in older adults is not known.</p><p><b>METHODS: </b>In the Cardiovascular Health Study, a cohort study of adults aged 65+, we calculated study years until death (years of life (YOL)), study years without activities of daily living (ADL) difficulty (years of able life; YoAL) and percent of study years without ADL difficulty (compression of disability). Linear regression quantified associations of food establishments within 5 km of baseline home address (as a z-score) with each outcome, adjusted for sociodemographic characteristics. Sensitivity analyses considered adjustment for risk factors and comorbidities, multiple imputation, alternate neighbourhood definitions (1-km radial buffer, census tract) and restriction on residential stability.</p><p><b>RESULTS: </b>We included 4298 participants followed for up to 26 years. All food retail establishments were associated with 6 months higher YoAL per SD in the main model (beta, 0.50 years; 95% CI 0.01, 0.98; p=0.046), with similar findings across sensitivity analyses except when restricting on residential stability. Supermarkets and produce markets were associated with compression of disability (beta, 2.31; 95% CI, 0.04, 4.57) and when using 1-km buffers with YOL (beta, 0.23 years; 95% CI 0.03, 0.43) and YoAL (beta, 0.21 years; 95% CI 0.01, 0.41). Non-supermarket food stores were associated with YoAL (beta, 0.67 years; 95% CI, 0.07, 1.27) and compression of disability (beta, 3.03; 95% CI 0.44, 5.62), but significance was not consistent across sensitivity analyses. Fast-food restaurants did not reach statistical significance in any model.</p><p><b>CONCLUSION: </b>All food retail was associated with YOL without impairment. Neighbourhood food retail access and type may both have roles in extending YOL and years of able life among older adults, but the findings were sensitive to decisions made during measurement and modelling.</p> |
| DOI | 10.1136/bmjnph-2023-000646 |
| Alternate Journal | BMJ Nutr Prev Health |
| PubMed ID | 39882284 |
| PubMed Central ID | PMC11773660 |
| Grant List | R56 AG049970 / AG / NIA NIH HHS / United States U01 HL080295 / HL / NHLBI NIH HHS / United States U01 HL130114 / HL / NHLBI NIH HHS / United States HHSN268200800007C / HL / NHLBI NIH HHS / United States N01HC55222 / HL / NHLBI NIH HHS / United States N01HC85086 / HL / NHLBI NIH HHS / United States R01 AG049970 / AG / NIA NIH HHS / United States N01HC85083 / HL / NHLBI NIH HHS / United States N01HC85080 / HL / NHLBI NIH HHS / United States N01HC85081 / HL / NHLBI NIH HHS / United States HHSN268201200036C / HL / NHLBI NIH HHS / United States HHSN268201800001C / HL / NHLBI NIH HHS / United States 75N92021D00006 / HL / NHLBI NIH HHS / United States N01HC85082 / HL / NHLBI NIH HHS / United States R01 AA028552 / AA / NIAAA NIH HHS / United States K24 AG065525 / AG / NIA NIH HHS / United States N01HC85079 / HL / NHLBI NIH HHS / United States R01 AG023629 / AG / NIA NIH HHS / United States |
ePub date:
42/12