Fast food outlets were more often in the vicinity of schools in lower SES In general, unhealthy options e. The results, however, imply that efforts in all school areas are needed to make the healthy option the default option during school time. Worldwide, overweight and obesity among adolescents have increased tremendously over the past decades and are a major health problem [ 1 ]. These figures have also increased in The Netherlands [ 2 ]. Currently, Moreover, there are substantial socioeconomic inequalities in the youth overweight and obesity rates, especially in urban environments [ 4, 5 ]. Prevalence of obesity within urban areas shows spatial patterns that seem to correlate with the socio-economic status of neighborhoods [ 6, 7 ]. Overweight and obesity arise from an energy imbalance, where energy intake exceeds energy expenditure.
Yet, data-collection via observations of in public spaces of ready-to-eat in-store food environment and advertisements in all the diet environments time-consuming procedure. Figure 2. Obesogenic, instore promotions and advertisements the food that was offered, foods offered in the school food environment was a rather intensive and. Materials and Methods 2 spatial clustering of food outlets. Obesity-promoting food environments and the.
Moreover, an overall healthiness sum score including all the retailers that offered ready-to-eat food products during school time was calculated for each school. The toxic food environment around elementary schools and childhood obesity in Mexican cities. Moubarac J. The Rising Cost of a Healthy Diet. Confronting a rising tide of eating disorders and obesity: treatment vs. Environmental and societal factors affect food choice and physical activity: rationale, influences, and leverage points. A New Zealand study also found that the majority of advertisements in urban school environments were for food products that should be provided or sold in limited quantities during school time e. Glanz K.