journal article·2024-08-27Open access

Urban Food Deserts and Cardiovascular Health: Evaluating the Impact of Nutritional Inequities on Elderly Populations in Santiago

Leslie Landaeta-Díaz, Francisco Vergara-Perucich, Carlos Aguirre-Nuñez, Francisca Cancino-Contreras, Juan Correa-Parra, Felipe Ulloa-León

Applied Sciences· Volume 14· Issue 17

Abstract

This study examines the link between food deserts and cardiovascular health in older adults in Santiago’s Metropolitan Region, Chile. As the population ages and chronic diseases rise, understanding the impact of food accessibility on health is essential. Using multiscale geographically weighted regression, we analyzed data from the Cardiovascular Health Program, socioeconomic indicators, and food desert maps, sourced from the Chilean Ministry of Health and other databases. Spatial analysis, including Voronoi diagrams, assessed the influence of food deserts on health outcomes. Findings show a significant correlation between limited access to healthy foods and higher cardiovascular disease rates, especially in economically disadvantaged areas. The regression model is significant to contribute to the explanation of disease prevalence, emphasizing the impact of food availability on health. This study highlights the importance of considering spatial factors in urban planning and public health policies. By showcasing the role of food environments in health disparities, it advocates for integrated health interventions. Targeted urban planning to address food deserts can enhance access to healthy foods, improving cardiovascular health and well-being among Santiago’s elderly. The findings provide insights for policymakers to create healthier urban environments and stress the need for sustainable food systems to support public health.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Obesity, Physical Activity, Diet · Nutritional Studies and Diet · Child Nutrition and Water Access

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Facultad de Salud y Ciencias Sociales, Universidad de las Américas, Santiago 7500975, Chile

Núcleo de Investigación en Nutrición y Ciencias Alimentarias, Universidad de las Américas, Santiago 7500975, Chile

Núcleo Centro Producción del Espacio, Universidad de las Américas, Santiago 7500975, Chile

Escuela de Arquitectura, Universidad San Sebastián, Santiago 7510602, Chile

Funding

Fondo Nacional Investigación en Salud · Universidad de Las Américas—Chile

References (42)

Show source-provided references
1. Andrades, G., and Núñez, C. (2020). Supermarkets, Credit Cards and Food Crisis: Between Segregation and Malnutrition, Faculty of Social Sciences and History, School of Sociology.
2. FAO, PAHO, WFP, and UNICEF (2018). Panorama of Food and Nutrition Security in Latin America and the Caribbean, United Nations ECLAC, United Nations World Food Programme.
3. Measures of the food environment: A systematic review of the field, 2007–201510.1016/j.healthplace.2016.12.007 ↗
4. From a global view to the Chilean context: What factors have had an impact on the development of obesity in Chile (Part 1)
5. Fernández, A.A., Martínez, R., Carrasco, I., and Palma, A. (2017). Social and Economic Impact of the Double Burden of Malnutrition: Model Analysis and Pilot Study in Chile, Ecuador and Mexico, United Nations Economic Commission for Latin America and the Caribbean. LC/TS.2017/32.
6. Food insecurity and dietary variety in Mexican households with children under five years of age
7. Downs, S.M., Ahmed, S., Fanzo, J., and Herforth, A. (2020). Typology of the Food Environment: Advancing an Environment towards Sustainable Diets. Food, 9.10.3390/foods9040532 ↗
8. An updated look at food environments and obesity10.5354/0719-5281.2020.57593 ↗
9. Dornelles, A. (2019). Impact of multiple food environments on body mass index. PLoS ONE, 14.10.1371/journal.pone.0219365 ↗
10. In search of food: Food access, food insecurity, and the food environment in rural Mississippi10.1097/FCH.0000000000000182 ↗
11. Shim, J.E., Kim, S.J., Kim, K., and Hwang, J.Y. (2018). Spatial disparity in food environment and household economic resources related to food insecurity in rural Korean households with older adults. Nutrients, 10.10.3390/nu10101514 ↗
12. Association of neighborhood food availability with consumption of processed and ultra-processed food products by children in a Brazilian city: A multilevel analysis10.1017/S136898001600361X ↗
13. Healthy versus unhealthy suppliers in food desert neighborhoods: A network analysis of corner stores’ food supplier networks10.3390/ijerph121214965 ↗
14. “Food deserts”-evidence and assumption in health policy making10.1136/bmj.325.7361.436 ↗
15. Revisión teórica y limitaciones del concepto de desiertos alimentarios
16. Supersizing supercenters? The impact of Walmart Supercenters on body mass index and obesity10.1016/j.jue.2010.09.005 ↗
17. The Women’s Health Initiative: The Food Environment, Neighborhood Socioeconomic Status, Body Mass Index and Blood Pressure10.1038/oby.2011.141 ↗
18. Obesity prevalence and the local food environment10.1016/j.healthplace.2008.09.004 ↗
19. United Nations (2015). United Nations “World Population Prospects: The 2015 Revision, Key Findings and Advance Tables, United Nations. ESA/P/W/W/W.
20. National Institute of Statistics of Chile (2021). Annuary of Lival Statistics, 2019 Reporting Period: 2019, National Statistics Institute of Chile.
21. MINSAL Ministry of Health of Chile (2017). Technical Guidance Cardiovascular Health Program, MINSAL Ministry of Health of Chile.
22. Segura-Badilla, O., Kammar-García, A., Navarro-Cruz, A.R., Araneda-Flores, J., Mancilla-Galindo, J., Vera-López, O., Lazcano-Hernández, M., and Quezada-Figueroa, G. (2022). Food insecurity is associated with diet quality in non-institutionalized older adults in a southern chilean commune: A cross-sectional study. Nutrients, 14.10.3390/nu14010036 ↗
23. Nutritional Status of Hospitalized Older Adults in Chile10.1093/cdn/nzac067.009 ↗
24. Albuquerque-Araújo, L., Quintiliano-Scarpelli, D., Riquelme, D.M., and Santos JL, F. (2022). Influence of Sociodemographic, Health-Related, and Behavioral Factors on Adherence to Dietary Guidelines in Older Adults: A Hierarchical Approach from the Chilean National Health Survey Data 2016–17. Geriatrics, 7.10.3390/geriatrics7020047 ↗
25. The role of perceived barriers in explaining socioeconomic status differences in adherence to fruit, vegetable, and fish guidelines in older adults: A mediation study10.1017/S1368980014001487 ↗
26. Análisis del precio de una dieta saludable y no saludable en la Región Metropolitana de Chile, Comparison of price between a healthy and unhealthy diet in the Metropolitan Region, Chile
27. CASEN (2024, March 12). Adultos Mayores: Síntesis de Resultados Contenidos. Available online: http://observatorio.ministeriodesarrollosocial.gob.cl/storage/docs/casen/2017/Resultados_Adulto_Mayores_casen_2017.pdf.
28. Directorate of Studies of the Association of Municipalities of Chile (AMUCH) (2024, March 12). Opinion Survey of Elderly People in the Municipalities of Chile. Available online: https://amuch.cl/wp-content/uploads/2022/06/Encuesta-de-opinio%CC%81n-a-personas-mayores-en-las-comunas-de-chile.pdf.
29. Adequate nutrition to improve health and avoid chronic diseases
30. (2024, March 10). Law 20285, 1. Available online: https://www.bcn.cl/leychile/navegar?idNorma=276363.
31. Correa-Parra, J., Vergara-Perucich, J.F., and Aguirre-Nuñez, C. (2020). Towards a walkable city: Principal component analysis for the definition of subcentralities in the metropolitan area of Santiago. Land, 9.10.3390/land9100362 ↗
32. Sedentary lifestyle is associated with increased cardiovascular and metabolic risk factors independent of physical activity levels10.4067/S0034-98872017000400006 ↗
33. Universidad Alberto Hurtado, Observatorio Social (2014). Actualización y Recolección de Información del Sistema de Transporte Urbano, IX Etapa: Encuesta Origen Destino Santiago 2012, SECTRA. Encuesta origen destino de viajes 2012 (Documento Difusión).
34. Oshan, T.M., Li, Z., Kang, W., Wolf, L.J., and Stewart Fotheringham, A. (2019). MGWR: A python implementation of multiscale geographically weighted regression to investigate spatial heterogeneity and process scale. ISPRS Int. J. Geo-Inf., 8.10.3390/ijgi8060269 ↗
35. Milk and meat consumption and production in Chile, c. 1930-2017: A history of a successful nutrition transition
36. Research Opportunities to Address Nutrition Insecurity and Disparities10.1001/jama.2022.7159 ↗
37. Perspectives on Inequity and Health Disparities in Chile and Their Relationship to Microbial Ecology10.1128/msystems.01496-21 ↗
38. Food insecurity and cardiovascular disease: Current trends and future directions
39. Global nutrition transition and the pandemic of obesity in developing countries10.1111/j.1753-4887.2011.00456.x ↗
40. Quality of Life and the Role of Food and Eating as Described by Community-Dwelling Older Adults10.1080/21551197.2023.2269118 ↗
41. Food and mood: How do diet and nutrition affect mental wellbeing?10.1136/bmj.m2382 ↗
42. Hassan, A., Khan, M.K.I., Hasan, A., Fordos, S., Naeem, M.Z., and Usman, A. (2023). Investigating the Relationship between Food Quality and Mental Health. Biol. Life Sci. Forum, 26.10.3390/Foods2023-15133 ↗