View slides - Centre for Diet and Activity Research

View slides - Centre for Diet and Activity Research

Takeaways, Diet and Health
Is the proliferation of takeaway food outlets contributing to unhealthy diet and obesity?
Thomas Burgoine
Career Development Fellow
4th November 2014
Increased expenditure on food outside
the home in the last decade
Centre for Diet and Activity Research
Food – an analysis of the issues, 2008
Amount spent on takeaway food
annually in Great Britain
Centre for Diet and Activity Research
Food – an analysis of the issues, 2008
Average spending per person per week on
food away from home in 2012
Centre for Diet and Activity Research
Family food 2012
Average number of meals now
consumed outside the home
Centre for Diet and Activity Research
Food matters – towards a strategy for the 21st century, 2008
Defining ‘takeaway food’
Foods prepared commercially, which are designed to
be consumed outside of the home
Centre for Diet and Activity Research
Takeaway food and weight
4.5kg
Excess weight gain associated with frequent
takeaway food outlet visits over 15 years
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Pereira et al (2005) Lancet, 365
The role of individual choice
PUBLIC POLICY
NEIGHBOURHOOD
ORGANISATIONAL
INTERPERSONAL
INDIVIDUAL
Centre for Diet and Activity Research
- PSYCHOSOCIAL
- BEHAVIOURAL
- ECONOMIC
Food choices are made in context
PUBLIC POLICY
NEIGHBOURHOOD
ORGANISATIONAL
INTERPERSONAL
INDIVIDUAL
Centre for Diet and Activity Research
- EXPOSURE TO
TAKEAWAY FOOD
Evidence for neighbourhood effects
Evidence
No Evidence
Maddock et al
2004
Burgoine et al
2014
Mobley et al 2006
Burdette and Whitaker 2004
Block et al 2012
Jeffery et al 2006
Boone‐Heinonen
et al 2011
Jeffery et al 2006
Crawford et al
2008
Simmons et al 2005
Wang et al 2007
Mehta and Chang 2008
Li et al 2008
Sharkey et al
2011
Lopez 2007
Stark et al 2013
Chou et al 2004
Mau et al 2008
Burgoine et al
2014
Moore et al 2009
Paquet et al 2010
Thornton et al
2009
Paquet et al 2010
Reitzel et al 2010
Boone‐Heinonen et al 2011
Turrell and Giskes 2008
Reitzel et al 2010
Boone‐Heinonen et al 2011
BMI outcome
Diet outcome
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Evidence for neighbourhood effects
Centre for Diet and Activity Research
“The association between [fast] food availability
and obesity is not yet fully understood”
Centre for Diet and Activity Research
Centre for Diet and Activity Research
Non-home takeaway food exposure
HOME
WORK
Participants exposed to:
•
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32 takeaway outlets on average
•
JOURNEY
up to
as many as 165 outlets
•
majority of outlets at work.
Evidence for environmental effects
+5.7 grams
+1.2 units
Centre for Diet and Activity Research
Burgoine et al (2014) BMJ
Could n’hoods generate inequalities?
More takeaway outlets in deprived areas
Centre for Diet and Activity Research
Rutter (2014) for the Annual Report of the Chief Medical Officer
Takeaway consumption varies by SES
REF --most
educated
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Adapted from Miura et al (2011) Public Health Nutrition
Obesity varies by SES
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Health Survey for England 2011
Understanding multilevel effects
PUBLIC POLICY
NEIGHBOURHOOD
ORGANISATIONAL
INTERPERSONAL
INDIVIDUAL
Centre for Diet and Activity Research
Deprivation amplification
Low SES
High SES
Unhealthy food exposure
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Low SES
Unhealthy food consumption
Unhealthy food consumption
Compound effects of individual and n’hood disadvantage:
High SES
Unhealthy food exposure
Adapted from Ford & Dzewaltowski (2008) Nutrition Reviews
Deprivation amplification
Low SES
High SES
Unhealthy food exposure
Centre for Diet and Activity Research
Low SES
Unhealthy food consumption
Unhealthy food consumption
Compound effects of individual and n’hood disadvantage:
High SES
Unhealthy food exposure
Adapted from Ford & Dzewaltowski (2008) Nutrition Reviews
Informing evidence-based policy
Centre for Diet and Activity Research
Informing evidence-based policy
• How effective will regulating new takeaways be?
• How useful are isolated initiatives?
• Is changing the physical environment enough?
Centre for Diet and Activity Research
Something positive to take away?
We are what we do (2013) Chicken shops and youth obesity
Something positive to take away?
We are what we do (2013) Chicken shops and youth obesity
ACKNOWLEDGEMENTS
Thank you to Pablo Monsivais, Nita Forouhi, Simon Griffin, Søren Brage, Nick
Wareham, Eva Maguire and Sara Dunling-Hall.
This work was undertaken by the Centre for Diet and Activity Research (CEDAR), a
UKCRC Public Health Research Centre of Excellence.
Funding from Cancer Research UK, the British Heart Foundation, the Economic and
Social Research Council, the Medical Research Council, the National Institute for
Health Research, and the Wellcome Trust, under the auspices of the UK Clinical
Research Collaboration, is gratefully acknowledged.