Associations of neighbourhood food retail with disability and death in older adults: Cardiovascular Health Study

Roma Bhatia; Mark Hernandez; Jonathan Platt; Anne Newman; David Siscovick; Kenneth Mukamal; Gina Lovasi

doi:10.1136/bmjnph-2023-000646

Back

Associations of neighbourhood food retail with disability and death in older adults: Cardiovascular Health Study

Journal article

Open access

Peer reviewed

Associations of neighbourhood food retail with disability and death in older adults: Cardiovascular Health Study

Roma Bhatia, Mark Hernandez, Jonathan Platt, Anne Newman, David Siscovick, Kenneth Mukamal and Gina Lovasi

BMJ nutrition, prevention & health, Vol.7(2), pp.348-356

12/2024

DOI: 10.1136/bmjnph-2023-000646

PMCID: PMC11773660

PMID: 39882284

Files and links (1)

url

https://doi.org/10.1136/bmjnph-2023-000646View

Published (Version of record) Open Access

Abstract

BackgroundA healthier diet is associated with lower chronic disease burden, but the impact of neighbourhood food environments on disability and death in older adults is not known.MethodsIn the Cardiovascular Health Study, a cohort study of adults aged 65+, we calculated study years until death (years of life (YOL)), study years without activities of daily living (ADL) difficulty (years of able life; YoAL) and percent of study years without ADL difficulty (compression of disability). Linear regression quantified associations of food establishments within 5 km of baseline home address (as a z-score) with each outcome, adjusted for sociodemographic characteristics. Sensitivity analyses considered adjustment for risk factors and comorbidities, multiple imputation, alternate neighbourhood definitions (1-km radial buffer, census tract) and restriction on residential stability.ResultsWe included 4298 participants followed for up to 26 years. All food retail establishments were associated with 6 months higher YoAL per SD in the main model (beta, 0.50 years; 95% CI 0.01, 0.98; p=0.046), with similar findings across sensitivity analyses except when restricting on residential stability. Supermarkets and produce markets were associated with compression of disability (beta, 2.31; 95% CI, 0.04, 4.57) and when using 1-km buffers with YOL (beta, 0.23 years; 95% CI 0.03, 0.43) and YoAL (beta, 0.21 years; 95% CI 0.01, 0.41). Non-supermarket food stores were associated with YoAL (beta, 0.67 years; 95% CI, 0.07, 1.27) and compression of disability (beta, 3.03; 95% CI 0.44, 5.62), but significance was not consistent across sensitivity analyses. Fast-food restaurants did not reach statistical significance in any model.ConclusionAll food retail was associated with YOL without impairment. Neighbourhood food retail access and type may both have roles in extending YOL and years of able life among older adults, but the findings were sensitive to decisions made during measurement and modelling.

Adults

Cardiovascular Disease

Chronic Illnesses

Cohort Analysis

Obesity

Older People

Activities of daily living

Built environment

Census of Population

Diet

Food

Life expectancy

Mortality

Neighborhoods

Restaurants

Risk factors

Sociodemographics

Supermarkets

Details

Title: Subtitle: Associations of neighbourhood food retail with disability and death in older adults: Cardiovascular Health Study
Creators: Roma Bhatia - University of Michigan
Mark Hernandez - Drexel University
Jonathan Platt - University of Iowa
Anne Newman - University of Pittsburgh
David Siscovick - New York Academy of Medicine
Kenneth Mukamal - Beth Israel Deaconess Medical Center
Gina Lovasi - Drexel University
Resource Type: Journal article
Publication Details: BMJ nutrition, prevention & health, Vol.7(2), pp.348-356
DOI: 10.1136/bmjnph-2023-000646
PMID: 39882284
PMCID: PMC11773660
NLM abbreviation: BMJ Nutr Prev Health
ISSN: 2516-5542
eISSN: 2516-5542
Publisher: BMJ Publishing Group LTD
Grant note: National Heart, Lung, and Blood Institute (NHLBI): HHSN268201200036C, HHSN268201800001C, N01HC55222, N01HC85079, N01HC85080, N01HC85081, N01HC85082, N01HC85083, N01HC85086, 75N92021D00006, U01HL080295, U01HL130114 National Institute of Neurological Disorders and Stroke (NINDS)National Institute on Aging (NIA): R01AG023629, K24AG065525 National Institute on Alcohol Abuse and Alcoholism: R01AA028552 National Institute on Alcohol Abuse and Alcoholism: R01AA028552 Commonwealth Universal Research Enhancement (C.U.R.E) program by Pennsylvania Department of Health: 4100072543 Urban Health Collaborative at Drexel UniversityBuilt Environment and Health Research Group at Columbia University
The Cardiovascular Health Study was supported by contracts HHSN268201200036C, HHSN268200800007C,HHSN268201800001C, N01HC55222, N01HC85079, N01HC85080, N01HC85081, N01HC85082, N01HC85083, N01HC85086 and 75N92021D00006 and grants U01HL080295 and U01HL130114 from the National Heart, Lung, and Blood Institute (NHLBI), with additional contribution from the National Institute of Neurological Disorders and Stroke (NINDS). Additional support was provided by R01AG023629 and K24AG065525 from the National Institute on Aging (NIA). A full list of principal CHS investigators and institutions can be found at CHS- NHLBI.org. The geographic analyses were supported by the National Institute of Aging (grants R01AG049970, R01AG049970-S1, R56AG049970), National Institute on Alcohol Abuse and Alcoholism (grant R01AA028552), Commonwealth Universal Research Enhancement (C.U.R.E) program funded by the Pennsylvania Department of Health- 2015 Formula award- SAP #4100072543, the Urban Health Collaborative at Drexel University, and the Built Environment and Health Research Group at Columbia University.
Language: English
Electronic publication date: 12/01/2024
Date published: 12/2024
Academic Unit: Epidemiology; Injury Prevention Research Center
Record Identifier: 9984758267502771

Metrics

53 Record Views

1 Times Cited - Web of Science