Exploring the Relation of Spatial Access to Fast Food Outlets With Body Weight: A Mediation Analysis

Joreintje D. Mackenbach, H. lène Charreire, Ketevan Glonti, Helga Bárdos, Harry Rutter, Sofie Compernolle, Ilse de Bourdeaudhuij, Giel Nijpels, Johannes Brug, Jean-Michel Oppert, Jeroen Lakerveld

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

We examined explanatory pathways for the association between spatial access to fast food outlets and body weight in 5,076 European adults (18+). The total effect of spatial access to fast food outlets on self-reported weight status was examined using regression analyses accounting for clustering at the neighborhood level. Perceived availability and usage of fast food outlets, and fast food consumption, were considered as potential mediators and age, gender, socioeconomic status, and urban region as potential moderators. Spatial access to fast food outlets was not significantly related to weight status. Spatial access to fast food outlets was associated with perceptions about and usage of fast food outlets, and this was in turn associated with greater reported fast food consumption and unhealthier weight status. We found limited evidence for mediation effects and no evidence for effect modification.
Original languageEnglish
Pages (from-to)401-430
JournalEnvironment and Behavior
Volume51
Issue number4
DOIs
Publication statusPublished - 1 May 2019

Cite this