Food store accessibility affects nutritional intake through shopping frequency and food intake in middle‐aged to older adults in rural Nagasaki, Japan
Bibliographic Data
| ID | 19458662 |
|---|---|
| Authors | Satoko Kosaka (0000-0002-2379-2894, School of International Health, Graduate School of Medicine The University of Tokyo Tokyo Japan, corresponding author), Rieko Nakao (Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan), Chiho Goto (0000-0001-5645-8852, Department of Health and Nutrition, School of Health and Human Life Nagoya‐bunri University Inazawa Japan), Masahiro Umezaki (0000-0003-3733-3629, School of International Health, Graduate School of Medicine The University of Tokyo Tokyo Japan), Mayumi Ohnishi (0000-0002-1207-9575, Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan) |
| Year | 2022 |
| Volume | 34 |
| Issue | 6 |
| Pages | e23725-e23725 |
| Publication date | 2022-06-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | American Journal of Human Biology (JOURNAL) |
| Journal identifiers | ISSN: 1042-0533 • E-ISSN: 1520-6300 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1002/ajhb.23725 |
| PMID | 35122462 |
| OpenAlex | W4210783854 |
| Language | EN |
| References cited | 20 |
OBJECTIVES: The food environment is an important determinant of dietary and nutritional intake, but studies thus far have reported mixed results. We examined associations between food store accessibility and nutritional intake among middle-aged to older adults in rural Japan using data from a questionnaire survey of national health insurance enrollees. METHODS: The survey was conducted in Nagasaki, Japan, for individuals aged 40-74 years. Direct distances from home and food store density were estimated using a geographic information system (GIS). We focused on protein, vitamin D, and calcium intake for their preventive effects on frailty and sarcopenia. To examine the effects of food store accessibility on nutritional intake, we hypothesized a model with a chain of associations of food store accessibility, shopping frequency, food intake frequency, and nutritional intake. We performed a path analyses to explore the food items to be included in the models, associations between the variables, and fitness of the models. RESULTS: We obtained final models with satisfactory fit indices. The resultant models included significant associations between: 1) accessibility indicators and shopping frequency, 2) shopping frequency and intake frequency for two or four categories of food, and 3) intake frequency and nutritional intake. CONCLUSIONS: The results demonstrated that accessibility to food stores, assessed in terms of direct distance from home and food store density, can affect the intake of protein, vitamin D, and calcium through the effect on shopping frequency and intake frequency of some categories of food items, among middle-aged to older adults in Nagasaki, Japan
Environmental health · Food frequency questionnaire · Food intake · Consumer Attitudes and Food Labeling · Demography · Medicine · Nutrition and Health in Aging · Obesity, Physical Activity, Diet · Psychology · Gerontology
| Highly cited | No |
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