Global Obesity Centre, Melbourne Burwood Campus, Deakin University, 221 Burwood Highway, Burwood, VIC, 3125, Australia.
Curr Obes Rep. 2019 Jun;8(2):98-111. doi: 10.1007/s13679-019-00342-4.
There is a broad consensus that policies to create healthier food environments are needed to address obesity. However, previous reviews of the relationships between the healthiness of food environments and diet/obesity-related outcomes have typically reported either mixed associations or none at all. This paper aimed to synthesise measurement and interpretation issues in this field, based on findings from previous reviews.
Key issues, drawn from 14 previous reviews in the last decade, included: (1) the use of measures of the food environments that are too narrow in scope; (2) inadequate measures of the way in which people are exposed to, and interact with, food environments; and (3) large heterogeneity in tools and methods used. To evaluate the impact of food environments on diet and health, composite measures of the healthiness of food environments, informed by actual usage patterns, need to be developed and consistently applied.
综述目的：人们普遍认为，需要制定更健康的食品环境政策来解决肥胖问题。然而，之前对食品环境的健康程度与饮食/肥胖相关结果之间关系的审查通常报告的关联要么是混合的，要么根本没有。本文旨在根据以往综述的研究结果，综合该领域的测量和解释问题。
最新发现：从过去十年的 14 项研究中发现了以下关键问题：（1）使用的食品环境测量方法范围过于狭窄；（2）人们接触和与食品环境相互作用的方式的测量措施不足；（3）所用工具和方法的异质性很大。为了评估食品环境对饮食和健康的影响，需要开发并一致应用基于实际使用模式的食品环境健康程度综合衡量标准。
