Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil.
Coordenação de Epidemiologia e Informação, Prefeitura de São Paulo, São Paulo, Brasil.
Cad Saude Publica. 2020 Feb 21;36(2):e00048619. doi: 10.1590/0102-311X00048619. eCollection 2020.
The obesogenic environment stimulates an inadequate diet by hampering healthy choices. This cross-sectional study evaluated the association between the local food environment and the prevalence of overweight and obesity in a representative sample population of adolescents living in the city of São Paulo, Brazil, using multilevel logistic regression models. Among the adolescents, 29.6% were overweight/obese. There were no significant differences between food environment and adolescents' weight status. However, the presence of fast food restaurants near their home increased the chances of being overweight or obese (OR = 2.53; 95%CI: 1.02-6.27). Results suggest the need to intensify food and nutrition policies, development of culinary skills, and the reduction in prices of healthy foods to facilitate access to these foods, so that adolescents have options in locations to socialize with friends and family.
肥胖环境通过阻碍健康选择来刺激不良饮食。本横断面研究使用多水平逻辑回归模型评估了巴西圣保罗市代表性青少年样本人群中当地食物环境与超重和肥胖流行率之间的关系。在青少年中，有 29.6%超重/肥胖。食物环境与青少年体重状况之间没有显著差异。然而，家中附近快餐店的存在增加了超重或肥胖的可能性（OR = 2.53；95%CI：1.02-6.27）。结果表明，需要加强食品和营养政策、烹饪技能的发展，并降低健康食品的价格，以促进这些食品的获取，使青少年在与朋友和家人交往的地点有更多选择。
