Mixed
Higher neighborhood-level availability of calories, carbohydrates, total fat, and saturated fat is positively associated with increased odds of being overweight in adults.
Your local food environment significantly impacts your weight risk. If you live in an area with high-calorie, high-fat food options, your odds of being overweight increase. To mitigate this, prioritize living in or visiting areas with more green space and lower saturated fat contributions, and be aware that 'healthy' labels on outlets may not reflect actual macronutrient content.
Neighborhood environments with higher availability of calories, carbohydrates, total fat, and saturated fat were positively associated with being overweight. Specifically, a one-unit increase in scores for calories, carbohydrates, total fat, and saturated fat corresponded to 6% (95% CI: 1%–12%), 5% (0.01%–11%), 5% (0.3%–9%), and 5% (0.02%–9%) increased odds of being overweight, respectively.
Why this rating
Large sample size (n=15,614) and robust geospatial modeling, but it is a cross-sectional observational study, not an RCT.
Source
Planning healthier cities by reframing the urban food landscape: measuring localised macronutrient exposure in Singapore
Pei Ma et al. · medRxiv · 2025
DOI 10.1101/2025.04.10.25325565
Related findings · Mixed
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