Location of food stores near schools does not predict the weight status of Maine high school students.

OBJECTIVE To examine the relationship between stores selling calorie-dense food near schools and student obesity risk, with the hypothesis that high availability predicts increased risk. METHODS Mail surveys determined height, weight, and calorie-dense food consumption for 552 students at 11 Maine high schools. Driving distance from all food stores within 2 km (1.24 miles) of schools (or the closest store) was computed, and the impact of food store density and proximity to schools on student body mass index was determined by logistic regression. RESULTS Ten schools had ≥ 1 store selling soda, and 8 schools had ≥1 fast-food restaurant within 1 km (0.62 miles). There were no significant relationships between the proximity or density of food stores around schools and student obesity risk. Students obtained sugar-sweetened beverages in many locations including at school. CONCLUSIONS AND IMPLICATIONS Unhealthful food choices are ubiquitous. Consequently, stores selling these food items near schools have no significant affect on student obesity.

[1]  Marilyn S Nanney,et al.  Schools and obesity prevention: creating school environments and policies to promote healthy eating and physical activity. , 2009, The Milbank quarterly.

[2]  S. Daniels,et al.  American Heart Association Childhood Obesity Research Summit Report. , 2009, Circulation.

[3]  S. Fleischhacker,et al.  Food fight: the battle over redefining competitive foods. , 2007, The Journal of school health.

[4]  S. Kremers,et al.  International Journal of Behavioral Nutrition and Physical Activity Correlates of Motivation to Prevent Weight Gain: a Cross Sectional Survey , 2022 .

[5]  Lisa M Powell,et al.  US secondary schools and food outlets. , 2008, Health & place.

[6]  D. Galuska,et al.  Reliability and validity of self-reported height and weight among high school students. , 2003, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[7]  Biagio Mazzi,et al.  About the Web Site , 2013 .

[8]  E. Moretti,et al.  AMERICAN ASSOCIATION OF WINE ECONOMISTS AAWE WORKING PAPER No . 33 Economics THE EFFECT OF FAST FOOD RESTAURANTS ON OBESITY , 2009 .

[9]  Patrick M O'Malley,et al.  Associations between access to food stores and adolescent body mass index. , 2007, American journal of preventive medicine.

[10]  Melissa C. Nelson,et al.  Development and evaluation of a brief screener to estimate fast-food and beverage consumption among adolescents. , 2009, Journal of the American Dietetic Association.

[11]  P. J. Huber.  The behavior of maximum likelihood estimates under nonstandard conditions , 1967 .

[12]  Debra L Franko,et al.  Correlates of beverage intake in adolescent girls: the National Heart, Lung, and Blood Institute Growth and Health Study. , 2006, The Journal of pediatrics.

[13]  J. Donnelly,et al.  Beverage Consumption Patterns in Elementary School Aged Children across a Two-Year Period , 2005, Journal of the American College of Nutrition.

[14]  J. Meigs,et al.  Surrogate markers of insulin resistance are associated with consumption of sugar-sweetened drinks and fruit juice in middle and older-aged adults. , 2007, The Journal of nutrition.

[15]  P. Gleason,et al.  School food environments and practices affect dietary behaviors of US public school children. , 2009, Journal of the American Dietetic Association.

[16]  Ana V Diez Roux,et al.  Associations of the local food environment with diet quality--a comparison of assessments based on surveys and geographic information systems: the multi-ethnic study of atherosclerosis. , 2008, American journal of epidemiology.

[17]  S. Austin,et al.  Clustering of fast-food restaurants around schools: a novel application of spatial statistics to the study of food environments. , 2005, American journal of public health.

[18]  Steve Wing,et al.  Supermarkets, other food stores, and obesity: the atherosclerosis risk in communities study. , 2006, American journal of preventive medicine.

[19]  D. Neumark-Sztainer,et al.  School lunch and snacking patterns among high school students: Associations with school food environment and policies , 2005, The international journal of behavioral nutrition and physical activity.