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Research Theme: Food

Includes urban horticulture/agriculture, and cultures/systems of food.

The Moving to Health (M2H) Approach to Natural Experiment Research: A Paradigm Shift for Studies on Built Environment and Health

Drewnowski, A.; Arterburn, D.; Zane, J.; Aggarwal, A.; Gupta, S.; Hurvitz, P. M.; Moudon, A., V; Bobb, J.; Cook, A.; Lozano, P.; Rosenberg, D. (2019). The Moving to Health (M2H) Approach to Natural Experiment Research: A Paradigm Shift for Studies on Built Environment and Health. Ssm-population Health, 7.

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Abstract

Improving the built environment (BE) is viewed as one strategy to improve community diets and health. The present goal is to review the literature on the effects of BE on health, highlight its limitations, and explore the growing use of natural experiments in BE research, such as the advent of new supermarkets, revitalized parks, or new transportation systems. Based on recent studies on movers, a paradigm shift in built-environment health research may be imminent. Following the classic Moving to Opportunity study in the US, the present Moving to Health (M2H) strategy takes advantage of the fact that changing residential location can entail overnight changes in multiple BE variables. The necessary conditions for applying the M2H strategy to Geographic Information Systems (GIS) databases and to large longitudinal cohorts are outlined below. Also outlined are significant limitations of this approach, including the use of electronic medical records in lieu of survey data. The key research question is whether documented changes in BE exposure can be linked to changes in health outcomes in a causal manner. The use of geo-localized clinical information from regional health care systems should permit new insights into the social and environmental determinants of health.

Keywords

Body-mass Index; Neighborhood Food Environment; Residential Property-values; Cardiometabolic Risk-factors; New-york-city; Physical-activity; Obesity Rates; King County; Weight-gain; Land-use; Built Environment (be); Geographic Information Systems (gis); Electronic Medical Records; Natural Experiments; Obesity; Diabetes; Residential Mobility

A Time-Based Objective Measure of Exposure to the Food Environment

Scully, Jason Y.; Moudon, Anne Vernez; Hurvitz, Philip M.; Aggarwal, Anju; Drewnowski, Adam. (2019). A Time-Based Objective Measure of Exposure to the Food Environment. International Journal Of Environmental Research And Public Health, 16(7).

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Abstract

Exposure to food environments has mainly been limited to counting food outlets near participants' homes. This study considers food environment exposures in time and space using global positioning systems (GPS) records and fast food restaurants (FFRs) as the environment of interest. Data came from 412 participants (median participant age of 45) in the Seattle Obesity Study II who completed a survey, wore GPS receivers, and filled out travel logs for seven days. FFR locations were obtained from Public Health Seattle King County and geocoded. Exposure was conceptualized as contact between stressors (FFRs) and receptors (participants' mobility records from GPS data) using four proximities: 21 m, 100 m, 500 m, and 1/2 mile. Measures included count of proximal FFRs, time duration in proximity to 1 FFR, and time duration in proximity to FFRs weighted by FFR counts. Self-reported exposures (FFR visits) were excluded from these measures. Logistic regressions tested associations between one or more reported FFR visits and the three exposure measures at the four proximities. Time spent in proximity to an FFR was associated with significantly higher odds of FFR visits at all proximities. Weighted duration also showed positive associations with FFR visits at 21-m and 100-m proximities. FFR counts were not associated with FFR visits. Duration of exposure helps measure the relationship between the food environment, mobility patterns, and health behaviors. The stronger associations between exposure and outcome found at closer proximities (<100 m) need further research.

Keywords

Global Positioning Systems; Physical-activity; Health Research; Land-use; Neighborhood; Gps; Obesity; Tracking; Validity; Mobility; Fast Food; Spatio-temporal Exposure; Mobility Patterns; Selective Mobility Bias

Obesity and Supermarket Access: Proximity or Price?

Drewnowski, Adam; Aggarwal, Anju; Hurvitz, Philip M.; Monsivais, Pablo; Moudon, Anne V. (2012). Obesity and Supermarket Access: Proximity or Price? American Journal Of Public Health, 102(8), e74 – e80.

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Abstract

Objectives. We examined whether physical proximity to supermarkets or supermarket price was more strongly associated with obesity risk. Methods. The Seattle Obesity Study (SOS) collected and geocoded data on home addresses and food shopping destinations for a representative sample of adult residents of King County, Washington. Supermarkets were stratified into 3 price levels based on average cost of the market basket. Sociodemographic and health data were obtained from a telephone survey. Modified Poisson regression was used to test the associations between obesity and supermarket variables. Results. Only 1 in 7 respondents reported shopping at the nearest supermarket. The risk of obesity was not associated with street network distances between home and the nearest supermarket or the supermarket that SOS participants reported as their primary food source. The type of supermarket, by price, was found to be inversely and significantly associated with obesity rates, even after adjusting for individual-level sociodemographic and lifestyle variables, and proximity measures (adjusted relative risk = 0.34; 95% confidence interval = 0.19, 0.63) Conclusions. Improving physical access to supermarkets may be one strategy to deal with the obesity epidemic; improving economic access to healthy foods is another. [ABSTRACT FROM AUTHOR]; Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Keywords

Natural Foods; Obesity Risk Factors; Surveys; Cluster Analysis (statistics); Confidence Intervals; Correlation (statistics); Food Service; Geographic Information Systems; Poisson Distribution; Population Geography; Research Funding; User Charges; Residential Patterns; Socioeconomic Factors; Relative Medical Risk; Statistical Models; Descriptive Statistics; Economics; Washington (state)

Ancient and Current Resilience in the Chengdu Plain: Agropolitan Development Re-‘Revisited’

Abramson, Daniel B. (2020). Ancient and Current Resilience in the Chengdu Plain: Agropolitan Development Re-‘Revisited’. Urban Studies (sage Publications, Ltd.), 57(7), 1372 – 1397.

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Abstract

The Dujiangyan irrigation system, China's largest, is one of the world's most important examples of sustainable agropolitan development, maintained by a relatively decentralised system of governance that minimises bureaucratic oversight and depends on significant local autonomy at many scales down to the household. At its historic core in the Chengdu Plain, the system has supported over 2000 years of near-continuously stable urban culture, as well as some of the world's highest sustained long-term per-hectare productivity and diversity of grain and other crops, especially considering its high population density, forest cover, general biodiversity and flood management success. During the past decade, rapid urban expansion has turned the Chengdu Plain from a net grain exporter into a grain importer, and has radically transformed its productive functioning and distinctive scattered settlement pattern, reorganising much of the landscape into larger, corporately-managed farms, and more concentrated and infrastructure-intensive settlements of non-farming as well as farming households. Community-scale case studies of spatial-morphological and household socio-economic variants on the regional trend help to articulate what is at stake. Neither market-driven 'laissez-faire' rural development nor local state-driven spatial settlement consolidation and corporatisation of production seem to correlate well with important factors of resilience: landscape heterogeneity; crop diversity and food production; permaculture; and flexibility in household independence and choice of livelihood. Management of the irrigation system should be linked to community-based agricultural landscape preservation and productive dwelling, as sources of adaptive capacity crucial to the social-ecological resilience of the city-region, the nation and perhaps all humanity.

Keywords

Urbanization; Economies Of Agglomeration; Agricultural Ecology; Sustainability; Urban Planning; Land Use; China; Agglomeration/urbanisation; Agroecosystems; Environment/sustainability; History/heritage/memory; Redevelopment/regeneration; Cultivated Land; Countryside; Expansion; State; Rise; Modernization; Conservation; Integration; Earthquake; Agglomeration; Urbanisation; Environment; History; Heritage; Memory; Redevelopment; Regeneration; Population Density; Production; Farming; Agriculture; Decentralization; Autonomy; Food Production; Households; Landscape; Resilience; Rural Development; Food; Farms; Regional Development; Productivity; Economic Development; Case Studies; Agricultural Production; Biodiversity; Sustainable Development; Governance; Preservation; Crops; Flood Management; Irrigation; Permaculture; Radicalism; Socioeconomic Factors; Grain; Flexibility; Heterogeneity; Variants; Urban Areas; Irrigation Systems; Rural Communities; Bureaucracy; Landscape Preservation; Agricultural Land; Flood Control; Density; Infrastructure; Urban Sprawl; Livelihood; Farm Management; Rural Areas; Urban Farming; Settlement Patterns; Agribusiness; Market Economies

How to Identify Food Deserts: Measuring Physical and Economic Access to Supermarkets in King County, Washington

Jiao, Junfeng; Moudon, Anne V.; Ulmer, Jared; Hurvitz, Philip M.; Drewnowski, Adam. (2012). How to Identify Food Deserts: Measuring Physical and Economic Access to Supermarkets in King County, Washington. American Journal Of Public Health, 102(10), E32 – E39.

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Abstract

Objectives. We explored new ways to identify food deserts. Methods. We estimated physical and economic access to supermarkets for 5 low-income groups in Seattle-King County, Washington. We used geographic information system data to measure physical access: service areas around each supermarket were delineated by ability to walk, bicycle, ride transit, or drive within 10 minutes. We assessed economic access by stratifying supermarkets into low, medium, and high cost. Combining income and access criteria generated multiple ways to estimate food deserts. Results. The 5 low-income group definitions yielded total vulnerable populations ranging from 4% to 33% of the county's population. Almost all of the vulnerable populations lived within a 10-minute drive or bus ride of a low-or medium-cost supermarket. Yet at most 34% of the vulnerable populations could walk to any supermarket, and as few as 3% could walk to a low-cost supermarket. Conclusions. The criteria used to define low-income status and access to supermarkets greatly affect estimates of populations living in food deserts. Measures of access to food must include travel duration and mode and supermarket food costs.

Keywords

Neighborhood Characteristics; Store Availability; Accessibility; Consumption; Disparities; Environment; Location; Fruit; Pay

The Complexity of Urban Eco-Evolutionary Dynamics

Alberti, Marina; Palkovacs, Eric P.; Des Roches, Simone; De Meester, Luc; Brans, Kristien, I; Govaert, Lynn; Grimm, Nancy B.; Harris, Nyeema C.; Hendry, Andrew P.; Schell, Christopher J.; Szulkin, Marta; Munshi-south, Jason; Urban, Mark C.; Verrelli, Brian C. (2020). The Complexity of Urban Eco-Evolutionary Dynamics. Bioscience, 70(9), 772 – 793.

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Abstract

Urbanization is changing Earth's ecosystems by altering the interactions and feedbacks between the fundamental ecological and evolutionary processes that maintain life. Humans in cities alter the eco-evolutionary play by simultaneously changing both the actors and the stage on which the eco-evolutionary play takes place. Urbanization modifies land surfaces, microclimates, habitat connectivity, ecological networks, food webs, species diversity, and species composition. These environmental changes can lead to changes in phenotypic, genetic, and cultural makeup of wild populations that have important consequences for ecosystem function and the essential services that nature provides to human society, such as nutrient cycling, pollination, seed dispersal, food production, and water and air purification. Understanding and monitoring urbanization-induced evolutionary changes is important to inform strategies to achieve sustainability. In the present article, we propose that understanding these dynamics requires rigorous characterization of urbanizing regions as rapidly evolving, tightly coupled human-natural systems. We explore how the emergent properties of urbanization affect eco-evolutionary dynamics across space and time. We identify five key urban drivers of change-habitat modification, connectivity, heterogeneity, novel disturbances, and biotic interactions-and highlight the direct consequences of urbanization-driven eco-evolutionary change for nature's contributions to people. Then, we explore five emerging complexities-landscape complexity, urban discontinuities, socio-ecological heterogeneity, cross-scale interactions, legacies and time lags-that need to be tackled in future research. We propose that the evolving metacommunity concept provides a powerful framework to study urban eco-evolutionary dynamics.

Keywords

Habitat Modification; Seed Dispersal; Water Purification; Species Diversity; Human Behavior; Ecosystem Services; Nutrient Cycles; Cross-scale Interactions; Ecological Consequences; Contemporary Evolution; Gradient Analysis; Trophic Dynamics; Land-cover; Community; Biodiversity; Adaptation; Urban Ecology; Eco-evolutionary Dynamics; Coupled Human-natural Systems; Metacommunities; Ecology; Urbanization; Evolution; Water Treatment; Environmental Monitoring; Species Composition; Environmental Changes; Play; Food Production; Air Purification; Sustainability; Dynamic Tests; Air Monitoring; Urban Areas; Food Webs; Heterogeneity; Food Chains; Pollination; Dynamics; Complexity; Dispersal; Microclimate

Characterizing the Food Environment: Pitfalls and Future Directions

Moudon, Anne Vernez; Drewnowski, Adam; Duncan, Glen E.; Hurvitz, Philip M.; Saelens, Brian E.; Scharnhorst, Eric. (2013). Characterizing the Food Environment: Pitfalls and Future Directions. Public Health Nutrition, 16(7), 1238 – 1243.

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Abstract

Objective: To assess a county population's exposure to different types of food sources reported to affect both diet quality and obesity rates. Design: Food permit records obtained from the local health department served to establish the full census of food stores and restaurants. Employing prior categorization schemes which classified the relative healthfulness of food sources based on establishment type (i.e. supermarkets v. convenience stores, or full-service v. fast-food restaurants), food establishments were assigned to the healthy, unhealthy or undetermined groups. Setting: King County, WA, USA. Subjects: Full census of food sources. Results: According to all categorization schemes, most food establishments in King County fell into the unhealthy and undetermined groups. Use of the food permit data showed that large stores, which included supermarkets as healthy food establishments, contained a sizeable number of bakery/delis, fish/meat, ethnic and standard quick-service restaurants and coffee shops, all food sources that, when housed in a separate venue or owned by a different business establishment, were classified as either unhealthy or of undetermined value to health. Conclusions: To fully assess the potential health effects of exposure to the extant food environment, future research would need to establish the health value of foods in many such common establishments as individually owned grocery stores and ethnic food stores and restaurants. Within-venue exposure to foods should also be investigated.

Keywords

Food Chemistry; Obesity; Health Boards; Dietary Supplements; Food Cooperatives; Restaurant Reviews; Coffee Shops; Food Consumption; Food Quality; Census Of Food Sources; Exposure; Health Value; Neighborhood Characteristics; Store Availability; Racial Composition; Physical-activity; Weight Status; Restaurants; Association; Proximity; Access; Business Enterprises; Fast Food Restaurants; Fish; Grocery Stores; Healthy Diet; Meat; Nutritional Adequacy; Supermarkets

Site Resource Inventories – A Missing Link in the Circular City’s Information Flow

Baganz, Gösta; Proksch, Gundula; Kloas, Werner; Wolf Lorleberg; Baganz, Daniela; Staaks, Georg; Lohrberg, Frank. (2020). Site Resource Inventories – A Missing Link in the Circular City’s Information Flow. Advances In Geosciences, 54, 23-32.

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Abstract

A circular city builds upon the principles of circular economy, which key concepts of reduce, reuse, recycle, and recover lead to a coupling of resources: products and by-products of one production process become the input of another one, often in local vicinity. However, sources, types and available quantities of underutilised resources in cities are currently not well documented. Therefore, there is a missing link in the information flow of the circular city between potential users and site-specific data. To close this gap, this study introduces the concept of a site resource inventory in conjunction with a new information model that can manage the data needed for advancing the circular city. A core taxonomy of terms is established as the foundation for the information model: the circular economy is defined as a network of circular economy entities which are regarded as black boxes and connected by their material and energy inputs and outputs. This study proposes a site resource inventory, which is a collection of infrastructural and building-specific parameters that assess the suitability of urban sites for a specific circular economy entity. An information model is developed to manage the data that allows the entities to effectively organise the allocation and use of resources within the circular city and its material and energy flows. The application of this information model was demonstrated by comparing the demand and availability of required alternative resources (e.g. greywater) at a hypothetical site comprising a commercial aquaponic facility (synergistic coupling of fish and vegetables production) and a residential building. For the implementation of the information model a proposal is made which uses the publicly available geodata infrastructure of OpenStreetMap and adopts its tag system to operationalise the integration of circular economy data by introducing new tags. A site resource inventory has the potential to bring together information needs and it is thus intended to support companies when making their business location decisions or to support local authorities in the planning process.

Keywords

Digital Mapping; Economics; By Products; Aquaponics; Economic Conditions; Fish; Spatial Data; Consumers; Food; Infrastructure; Energy Flow; Greywater; Information Flow; Biogas; Consumption; Residential Buildings; Taxonomy; Data; Resources; Sustainable Development; Urban Areas; Cities; Coupling

Access to Supermarkets and Fruit and Vegetable Consumption

Aggarwal, Anju; Cook, Andrea J.; Jiao, Junfeng; Seguin, Rebecca A.; Moudon, Anne Vernez; Hurvitz, Philip M.; Drewnowski, Adam. (2014). Access to Supermarkets and Fruit and Vegetable Consumption. American Journal Of Public Health, 104(5), 917 – 923.

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Abstract

Objectives. We examined whether supermarket choice, conceptualized as a proxy for underlying personal factors, would better predict access to supermarkets and fruit and vegetable consumption than mere physical proximity. Methods. The Seattle Obesity Study geocoded respondents' home addresses and locations of their primary supermarkets. Primary supermarkets were stratified into low, medium, and high cost according to the market basket cost of 100 foods. Data on fruit and vegetable consumption were obtained during telephone surveys. Linear regressions examined associations between physical proximity to primary supermarkets, supermarket choice, and fruit and vegetable consumption. Descriptive analyses examined whether supermarket choice outweighed physical proximity among lower-income and vulnerable groups. Results. Only one third of the respondents shopped at their nearest supermarket for their primary food supply. Those who shopped at low-cost supermarkets were more likely to travel beyond their nearest supermarket. Fruit and vegetable consumption was not associated with physical distance but, with supermarket choice, after adjusting for covariates. Conclusions. Mere physical distance may not be the most salient variable to reflect access to supermarkets, particularly among those who shop by car. Studies on food environments need to focus beyond neighborhood geographic boundaries to capture actual food shopping behaviors.

Keywords

Confidence Intervals; Correlation (statistics); Fruit; Geographic Information Systems; Ingestion; Multivariate Analysis; Population Geography; Questionnaires; Regression Analysis; Research Funding; Sales Personnel; Shopping; Travel; Vegetables; Predictive Validity; Cross-sectional Method; Statistical Models; Descriptive Statistics; Null Hypothesis; Washington (state); Local Food Environment; Diet Quality; Socioeconomic Position; Atherosclerosis Risk; Stores; Associations; Obesity; Adults; Availability; Communities

Differential Associations of the Built Environment on Weight Gain by Sex and Race/Ethnicity but Not Age

Buszkiewicz, James H.; Bobb, Jennifer F.; Kapos, Flavia; Hurvitz, Philip M.; Arterburn, David; Moudon, Anne Vernez; Cook, Andrea; Mooney, Stephen J.; Cruz, Maricela; Gupta, Shilpi; Lozano, Paula; Rosenberg, Dori E.; Theis, Mary Kay; Anau, Jane; Drewnowski, Adam. (2021). Differential Associations of the Built Environment on Weight Gain by Sex and Race/Ethnicity but Not Age. International Journal Of Obesity, 45(12), 2648 – 2656.

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Abstract

Objective To explore the built environment (BE) and weight change relationship by age, sex, and racial/ethnic subgroups in adults. Methods Weight trajectories were estimated using electronic health records for 115,260 insured Kaiser Permanente Washington members age 18-64 years. Member home addresses were geocoded using ArcGIS. Population, residential, and road intersection densities and counts of area supermarkets and fast food restaurants were measured with SmartMaps (800 and 5000-meter buffers) and categorized into tertiles. Linear mixed-effect models tested whether associations between BE features and weight gain at 1, 3, and 5 years differed by age, sex, and race/ethnicity, adjusting for demographics, baseline weight, and residential property values. Results Denser urban form and greater availability of supermarkets and fast food restaurants were associated with differential weight change across sex and race/ethnicity. At 5 years, the mean difference in weight change comparing the 3rd versus 1st tertile of residential density was significantly different between males (-0.49 kg, 95% CI: -0.68, -0.30) and females (-0.17 kg, 95% CI: -0.33, -0.01) (P-value for interaction = 0.011). Across race/ethnicity, the mean difference in weight change at 5 years for residential density was significantly different among non-Hispanic (NH) Whites (-0.47 kg, 95% CI: -0.61, -0.32), NH Blacks (-0.86 kg, 95% CI: -1.37, -0.36), Hispanics (0.10 kg, 95% CI: -0.46, 0.65), and NH Asians (0.44 kg, 95% CI: 0.10, 0.78) (P-value for interaction <0.001). These findings were consistent for other BE measures. Conclusion The relationship between the built environment and weight change differs across demographic groups. Careful consideration of demographic differences in associations of BE and weight trajectories is warranted for investigating etiological mechanisms and guiding intervention development.

Keywords

Body-mass Index; Socioeconomic-status; Food Environment; Obesity; Health; Outcomes; Scale; Risk; Minority & Ethnic Groups; Urban Environments; Etiology; Demographics; Sex; Residential Density; Supermarkets; Age; Race; Ethnicity; Property Values; Body Weight Gain; Electronic Medical Records; Fast Food; Electronic Health Records; Real Estate; Subgroups; Demography; Trajectory Analysis; Weight