School of Public Health, Queensland University of Technology, Kelvin Grove, Queensland, Australia.
Obes Rev. 2011 May;12(5):e95-e106. doi: 10.1111/j.1467-789X.2010.00769.x.
This study examined whether physical, social, cultural and economical environmental factors are associated with obesogenic dietary behaviours and overweight/obesity among adults. Literature searches of databases (i.e. PubMed, CSA Illumina, Web of Science, PsychInfo) identified studies examining environmental factors and the consumption of energy, fat, fibre, fruit, vegetables, sugar-sweetened drinks, meal patterns and weight status. Twenty-eight studies were in-scope, the majority (n= 16) were conducted in the USA. Weight status was consistently associated with the food environment; greater accessibility to supermarkets or less access to takeaway outlets were associated with a lower BMI or prevalence of overweight/obesity. However, obesogenic dietary behaviours did not mirror these associations; mixed associations were found between the environment and obesogenic dietary behaviours. Living in a socioeconomically-deprived area was the only environmental factor consistently associated with a number of obesogenic dietary behaviours. Associations between the environment and weight status are more consistent than that seen between the environment and dietary behaviours. The environment may play an important role in the development of overweight/obesity, however the dietary mechanisms that contribute to this remain unclear and the physical activity environment may also play an important role in weight gain, overweight and obesity.
本研究旨在探讨身体、社会、文化和经济环境因素是否与成年人致肥胖饮食行为和超重/肥胖有关。通过对数据库(如 PubMed、CSA Illumina、Web of Science、PsychInfo)进行文献检索,确定了研究环境因素与能量、脂肪、纤维、水果、蔬菜、含糖饮料、膳食模式和体重状况之间关系的研究。共有 28 项研究符合纳入标准,其中大多数(n=16)在美国进行。体重状况与食物环境始终相关;超市的可达性更高或外卖店的可达性更低与 BMI 较低或超重/肥胖的患病率较低有关。然而,致肥胖的饮食行为并没有反映出这些关联;环境与致肥胖的饮食行为之间存在混合关联。生活在社会经济贫困地区是与多种致肥胖饮食行为一致相关的唯一环境因素。环境与体重状况之间的关联比环境与饮食行为之间的关联更为一致。环境可能在超重/肥胖的发展中起着重要作用,但导致这种情况的饮食机制仍不清楚,而且身体活动环境也可能在体重增加、超重和肥胖中发挥重要作用。