Food and eating environments likely contribute to the increasing epidemic of obesity and chronic diseases, over and above individual factors such as knowledge, skills, and motivation. Environmental and policy interventions may be among the most effective strategies for creating population-wide improvements in eating. This review describes an ecological framework for conceptualizing the many food environments and conditions that influence food choices, with an emphasis on current knowledge regarding the home, child care, school, work site, retail store, and restaurant settings. Important issues of disparities in food access for low-income and minority groups and macrolevel issues are also reviewed. The status of measurement and evaluation of nutrition environments and the need for action to improve health are highlighted.


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Literature Cited

  1. 1. Action for Healthy Kids. 2006. Preliminary analysis of local wellness policies. http://www.actionforhealthykids.org/devel/newsroom.php
  2. Baker EA, Schootman M, Barnidge E, Kelly C. 2.  2006. The role of race and poverty in access to foods that enable individuals to adhere to dietary guidelines. Prev. Chron. Dis. 3:3A76 [Google Scholar]
  3. Ball K, Timperio AF, Crawford DA. 3.  2006. Understanding environmental influences on nutrition and physical activity behaviors: Where should we look and what should we count?. Int. J. Behav. Nutr. Phys. Act. 3:33 [Google Scholar]
  4. Biener L, Glanz K, McLerran D, Sorensen G, Thompson B et al.4.  1999. Impact of the Working Well Trial on the worksite smoking and nutrition environment. Health Educ. Behav. 26:478–94 [Google Scholar]
  5. Birch L. 5.  1999. Development of food preferences. Annu. Rev. Nutr. 19:41–62 [Google Scholar]
  6. Blisard N, Stewart H, Joliffe D. 6.  2004. Low-income households' expenditures on fruits and vegetables. Agric. Econ. Rep. 833. Washington, DC: USDA [Google Scholar]
  7. Block G, Block T, Wakimoto P, Block CH. 7.  2004. Demonstration of an e-mailed worksite nutrition intervention program. Prev. Chronic Dis.1:A06 [Google Scholar]
  8. Boehmer TK, Brownson R, Haire-Joshu D, Dreisinger M. 8.  2007. Patterns of childhood obesity prevention legislation in the United States. Prev. Chron. Dis. 4(3):A56
  9. Bowman SA, Gortmaker SL, Ebbeling CB, Pereira MA, Ludwig DS. 9.  2004. Effects of fast-food consumption on energy intake and diet quality among children in a national household survey. Pediatrics 113:112–18 [Google Scholar]
  10. Bray GA, Nielsen SJ, Popkin BM. 10.  2004. Consumption of high-fructose corn syrup in beverages may play a role in the epidemic of obesity. Am. J. Clin. Nutr. 79:537–43 Erratum. 2004. Am. J. Clin. Nutr. 80(4):1090 [Google Scholar]
  11. Brug J, van Lenthe F. 11.  2005. Conclusions and recommendations. In Environmental Determinants and Interventions for Physical Activity, Nutrition and Smoking: A Review 14:378–89 Zoetermeer: Speed-Print [Google Scholar]
  12. 12. Bur. Labor Stat. 2007. The employment situation: February 2007. http://www.bls.gov/news.release/pdf/empsit.pdf [Google Scholar]
  13. Burton S, Creyer EH, Kees J, Huggins K. 13.  2006. Attacking the obesity epidemic: the potential health benefits of providing nutrition information in restaurants. Am. J. Public Health 96:1669–75 [Google Scholar]
  14. Cassady D, Housemann R, Dagher C. 14.  2004. Measuring cues for healthy choices on restaurant menus: development and testing of a measurement instrument. Am. J. Health Promot. 18:444–49 [Google Scholar]
  15. 15. Cent. Sci. Public Interest. 2006. School foods report card. http://www.cspinet.org/nutritionpolicy/sf_reportcard.pdf [Google Scholar]
  16. Cheadle A, Psaty BM, Curry S, Wagner E, Diehr P et al.16.  1991. Community-level comparisons between the grocery store environment and individual dietary practices. Prev. Med. 20:250–61 [Google Scholar]
  17. Chester J, Montgomery K. 17.  2007. Interactive Food and Beverage Marketing: Targeting Children and Youth in the Digital Age. Berkeley, CA: Berkeley Media Stud. Group [Google Scholar]
  18. Cooke LJ, Wardle J, Gibson EL, Sapochnik M, Sheiham A, Lawson M. 18.  2004. Demographic, familial and trait predictors of fruit and vegetable consumption by preschool children. Public Health Nutr. 7:295–302 [Google Scholar]
  19. Cullen KW, Baranowski T, Owens E, Marsh T, Rittenberry L, de Moor C. 19.  2003. Availability, accessibility, and preferences for fruit, 100% fruit juice, and vegetables influence children's dietary behavior. Health Educ. Behav. 30:615–26 [Google Scholar]
  20. Delva J, O'Malley PM, Johnston LD. 20.  2007. Availability of healthy and less healthy food choices in American schools: a national study of grade, race/ethnic, and SES differences. Am. J. Prev. Med. In press [Google Scholar]
  21. Drewnowski A. 21.  2004. Obesity and the food environment: dietary energy density and diet costs. Am. J. Prev. Med. 27:154–62 [Google Scholar]
  22. Drewnowski A, Darmon N. 22.  2005. Food choices and diet costs: an economic analysis. J. Nutr. 135:900–4 [Google Scholar]
  23. Ebbeling CB, Feldman HA, Osganian SK, Chomitz VR, Ellenbogen SJ, Ludwig DS. 23.  2006. Effects of decreasing sugar-sweetened beverage consumption on body weight in adolescents: a randomized, controlled pilot study. Pediatrics 117:673–80 [Google Scholar]
  24. Edmonds J, Baranowski T, Baranowski J, Cullen KW, Myres D. 24.  2001. Ecological and socioeconomic correlates of fruit, juice, and vegetable consumption among African-American boys. Prev. Med. 32:476–81 [Google Scholar]
  25. Engbers LH, van Poppel MN, Chin APMJ, van Mechelen W. 25.  2005. Worksite health promotion programs with environmental changes: a systematic review. Am. J. Prev. Med. 29:61–70 [Google Scholar]
  26. 26. Farm Food Policy Proj 2007. Seeking balance in US farm and food policy http://www.farmandfoodproject.org [Google Scholar]
  27. Fisher JO, Mitchell DC, Smiciklas-Wright H, Birch LL. 27.  2002. Parental influences on young girls' fruit and vegetable, micronutrient, and fat intakes. J. Am. Diet. Assoc. 102:58–64 [Google Scholar]
  28. Flynn MA, McNeil DA, Maloff B, Mutasingwa D, Wu M et al.28.  2006. Reducing obesity and related chronic disease risk in children and youth: a synthesis of evidence with ‘best practice’ recommendations. Obes. Rev. 7:Suppl. 17–66 [Google Scholar]
  29. 29. Food Marketing Inst. 2006. Consumer attitudes and the supermarket. Washington, DC: Food Marketing Inst.
  30. Fox MK, Hamilton W, Lin BH. 30.  2004. Effects of Food Assistance and Nutrition Programs on Health and Nutrition. Vol. 3. Literature Review. Food Assist. Nutr. Res. Rep. 19–3. Washingon, DC: USDA/ERS [Google Scholar]
  31. French SA. 31.  2005. Population approaches to promote healthful eating behaviors. In Obesity Prevention and Public Health ed. D Crawford, RW Jeffery, pp. 101–27. New York: Oxford Univ. Press [Google Scholar]
  32. French SA, Jeffery RW, Story M, Breitlow KK, Baxter JS et al.32.  2001. Pricing and promotion effects on low-fat vending snack purchases: the CHIPS Study. Am. J. Public Health 91:112–17 [Google Scholar]
  33. French SA, Story M, Fulkerson JA, Gerlach AF. 33.  2003. Food environment in secondary schools: a la carte, vending machines, and food policies and practices. Am. J. Public Health 93:1161–67 [Google Scholar]
  34. Gillman MW, Rifas-Shiman SL, Frazier AL, Rockett HR, Camargo CA et al.34.  2000. Family dinner and diet quality among older children and adolescents. Arch. Fam. Med. 9:235–40 [Google Scholar]
  35. Glanz K, Basil M, Maibach E, Goldberg J, Snyder D. 35.  1998. Why Americans eat what they do: taste, nutrition, cost, convenience, and weight control concerns as influences on food consumption. J. Am. Diet. Assoc. 98:1118–26 [Google Scholar]
  36. Glanz K, Hoelscher D. 36.  2004. Increasing fruit and vegetable intake by changing environments, policy and pricing: restaurant-based research, strategies, and recommendations. Prev. Med. 39:Suppl. 2S88–93 [Google Scholar]
  37. Glanz K, Mullis RM. 37.  1988. Environmental interventions to promote healthy eating: a review of models, programs, and evidence. Health Educ. Q. 15:395–415 [Google Scholar]
  38. Glanz K, Resnicow K, Seymour J, Hoy K, Stewart H et al.38.  2007. How major restaurant chains plan their menus: the role of profit, demand and health. Am. J. Prev. Med. 32:383–88 [Google Scholar]
  39. Glanz K, Sallis JF, Saelens BE, Frank LD. 39.  2005. Healthy nutrition environments: concepts and measures. Am. J. Health Promot. 19:330–33 [Google Scholar]
  40. Glanz K, Sallis JF, Saelens BE, Frank LD. 40.  2007. Nutrition Environment Measures Survey in stores (NEMS-S): development and evaluation. Am. J. Prev. Med. 32:282–89 [Google Scholar]
  41. Glanz K, Yaroch AL. 41.  2004. Strategies for increasing fruit and vegetable intake in grocery stores and communities: policy, pricing, and environmental change. Prev. Med. 39:Suppl. 2S75–80 [Google Scholar]
  42. Grimm GC, Harnack L, Story M. 42.  2004. Factors associated with soft drink consumption in school-aged children. J. Am. Diet. Assoc. 104:1244–49 [Google Scholar]
  43. Guthrie JF, Lin BH, Frazao E. 43.  2002. Role of food prepared away from home in the American diet, 1977–78 vs 1994–96: changes and consequences. J. Nutr. Health Behav. 34:140–50 [Google Scholar]
  44. Hanson NI, Neumark-Sztainer D, Eisenberg ME, Story M, Wall M. 44.  2005. Associations between parental report of the home food environment and adolescent intakes of fruits, vegetables and dairy foods. Public Health Nutr. 8:77–85 [Google Scholar]
  45. Harnack L, Snyder P, Story M, Holliday R, Lytle L, Neumark-Sztainer D. 45.  2000. Availability of a la carte food items in junior and senior high schools: a needs assessment. J. Am. Diet. Assoc. 100:701–3 [Google Scholar]
  46. Harnack L, Steffen L, Arnett DK, Gao S, Luepker RV. 46.  2004. Accuracy of estimation of large food portions. J. Am. Diet. Assoc. 104:804–6 [Google Scholar]
  47. Horowitz CR, Colson KA, Hebert PL, Lancaster K. 47.  2004. Barriers to buying healthy foods for people with diabetes: evidence of environmental disparities. Am. J. Public Health 94:1549–54 [Google Scholar]
  48. Huang KS, Lin B. 48.  2000. Estimation of food demand and nutrient elasticities from household survey data. Tech. Bull. 1887. Washington, DC: USDA/ERS/Food Rural Econ. Div. [Google Scholar]
  49. 49. Inst. Med. (US). 2007. Nutrition Standards for Foods in Schools: Leading the Way Toward Healthier Youth. Washington, DC: Natl. Acad. Press
  50. 50. Inst. Med. (US), Comm. Food Market. Diets Children Youth. 2006. Food Marketing to Children and Youth: Threat or Opportunity?, ed. JM McGinnis, J Gootman, VI Kraak. Washington, DC: Natl. Acad. Press
  51. 51. Inst. Med. (US), Comm. Prev. Obesity Children Youth. 2005. Preventing Childhood Obesity: Health in the Balance, ed. JP Koplan, CT Liverman, VI Kraak. Washington, DC: Natl. Acad. Press
  52. Iruka IU, Carver PR. 52.  2006. Initial Results from the 2005 NHES Early Childhood Program Participation Survey (NCES 2006–075). Washington, DC: US Dep. Educ., Natl. Cent. Educ. Stat.
  53. Jacobson MF, Hurley JG. 53.  2002. Restaurant Confidential New York: Workman [Google Scholar]
  54. Jeffery RW, French SA, Raether C, Baxter JE. 54.  1994. An environmental intervention to increase fruit and salad purchases in a cafeteria. Prev. Med. 23:788–92 [Google Scholar]
  55. Jetter KM, Cassady DL. 55.  2006. The availability and cost of healthier food alternatives. Am. J. Prev. Med. 30:38–44 [Google Scholar]
  56. 56. Kaiser Family Found 2006. It's child's play: advergaming and the online marketing of food to children http://www.kff.org [Google Scholar]
  57. 57. Kaiser Family Found 2007. Food for thought: television food advertising to children in the United States http://www.kff.org [Google Scholar]
  58. Kipke MD, Iverson E, Moore D, Booker C, Ruelas V et al.58.  2007. Food and park environments: neighborhood-level risks for childhood obesity in east Los Angeles. J. Adolesc. Health 40(4):325–33
  59. Kremers SPJ, de Bruijn GJ, Visscher TLS, van Mechelen W, de Vries NK, Brug J. 59.  2006. Environmental influences on energy balance-related behaviors: a dual-process law. Int. J. Behav. Nutr. Phys. Act. 3:9 [Google Scholar]
  60. Laraia BA, Siega-Riz AM, Kaufman JS, Jones SJ. 60.  2004. Proximity of supermarkets is positively associated with diet quality index for pregnancy. Prev. Med. 39:869–75 [Google Scholar]
  61. Levy J. 61.  2007. 10 Ways to Get Healthy, Local Foods into Low-Income Neighborhoods: A Minneapolis Resource Guide Minneapolis, MI: Inst. Agric. Trade Policy [Google Scholar]
  62. Lewis LB, Sioane D, Nascimento L, Diamant A, Guinyard J et al.62.  2005. African Americans' access to healthy food options in South Los Angeles restaurants. Am. J. Public Health 95(4):668–73
  63. Lytle LA, Varnell S, Murray DM, Story M, Perry C et al.63.  2003. Predicting adolescents' intake of fruits and vegetables. J. Nutr. Health Behav. 35:170–75 [Google Scholar]
  64. Masse LC, Frosh MM, Chriqui JF, Yaroch AL, Agurs-Collins T et al.64.  2007. Development of a school nutrition-environment state policy classification system (SNESPCS). Am. J. Prev. Med. In press [Google Scholar]
  65. McCrory MA, Fuss PJ, Hays NP, Vinken AG, Greenberg AS, Roberts SB. 65.  1999. Overeating in America: association between restaurant food consumption and body fatness in healthy adult men and women ages 19 to 80. Obes. Res. 7:564–71 [Google Scholar]
  66. Morland K, Wing S, Diez Roux A. 66.  2002. The contextual effect of the local food environment on residents' diets: the Atherosclerosis Risk in Communities study. Am. J. Public Health 92:1761–67 [Google Scholar]
  67. Morland K, Wing S, Diez Roux A, Poole C. 67.  2002. Neighborhood characteristics associated with the location of food stores and food service places. Am. J. Prev. Med. 22:23–29 [Google Scholar]
  68. Morton LW, Blanchard TC. 68.  2007. Starved for access: life in rural America's food deserts. Rural Realities 1:1–10 [Google Scholar]
  69. Muller M. 69.  2006. A Healthier, Smarter Food System. Minneapolis, MI: Inst. Agric. Trade Policy
  70. 70. Natl. Restaur. Assoc. 2007. Industry research. http://www.restaurant.org/research
  71. Neumark-Sztainer D, Hannan PJ, Story M, Croll J, Perry C. 71.  2003. Family meal patterns: associations with sociodemographic characteristics and improved dietary intake among adolescents. J. Am. Diet. Assoc. 103:317–22 [Google Scholar]
  72. Neumark-Sztainer D, Wall M, Perry C, Story M. 72.  2003. Correlates of fruit and vegetable intake among adolescents. Findings from Project EAT. Prev. Med. 37:198–208 [Google Scholar]
  73. Patrick H, Nicklas TA, Hughes SO, Morales M. 73.  2005. The benefits of authoritative feeding style: caregiver feeding styles and children's food consumption patterns. Appetite 44:243–49 [Google Scholar]
  74. Pereira MA, Kartashov AI, Ebbeling CB, Van Horn L, Slattery ML et al.74.  2005. Fast-food habits, weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis. Lancet 365:36–42 Erratum 2005. Lancet 365(9464):1030 [Google Scholar]
  75. Pothukuchi K. 75.  2005. Attracting supermarkets to inner-city neighborhoods: economic development outside the box. Econ. Dev. Q. 19:232–44 [Google Scholar]
  76. Powell LM, Auld MC, Chaloupka FJ, O'Malley PM, Johnston LD. 76.  2007. Associations between access to food stores and adolescent body mass index. Am. J. Prev. Med. In press [Google Scholar]
  77. Powell LM, Slater S, Mirtcheva D, Bao Y, Chaloupka FJ. 77.  2007. Food store availability and neighborhood characteristics in the United States. Prev. Med. 44:189–95 [Google Scholar]
  78. Putnam J. 78.  2000. Major trends in the US food supply. Food Rev. 23:13 [Google Scholar]
  79. Ralston K. 79.  1999. How government policies and regulations can affect dietary choices. In America's Eating Habits: Changes and Consequences. Agriculture Information Bull. 750 ed. E Frazao, pp. v, 331–70. Washington, DC: USDA/ERS/Food Rural Econ. Div. [Google Scholar]
  80. Rosso R, Weill J. 80.  2006. State of the States: 2006. A Profile of Food and Nutrition Programs Across the Nation. Washington, DC: Food Res. Action Cent.
  81. Saelens BE, Glanz K, Sallis JF, Frank LD. 81.  2007. Nutrition Environment Measures Study in Restaurants (NEMS-R): development and evaluation. Am. J. Prev. Med. 32:273–81 [Google Scholar]
  82. Sallis JF, McKenzie TL, Conway TL, Elder JP, Prochaska JJ et al.82.  2003. Environmental interventions for eating and physical activity: a randomized controlled trial in middle schools. Am. J. Prev. Med. 24:209–17 [Google Scholar]
  83. Sallis JF, Owen N. 83.  2002. Ecological models of health behavior. In Health Behavior and Health Education, ed. K Glanz, BK Rimer, FM Lewis, pp. 462–84. San Francisco, CA: Jossey-Bass
  84. Schoonover H. 84.  2007. A Fair Farm Bill for Public Health. Minneapolis, MI: Inst. Agric. Trade Policy
  85. Schoonover H, Muller M. 85.  2006. Food Without Thought: How US Farm Policy Contributes to Obesity. Minneapolis, MI: Inst. Agric. Trade Policy [Google Scholar]
  86. Sorensen G, Linnan L, Hunt MK. 86.  2004. Worksite-based research and initiatives to increase fruit and vegetable consumption. Prev. Med. 39:Suppl. 2S94–100 [Google Scholar]
  87. Stewart H, Blisard N, Joliffe D. 87.  2006. Let's eat out: Americans weigh taste, convenience, and nutrition. Econ. Inf. Bull. 19. Washington, DC: USDA/ERS
  88. Stokols D. 88.  1992. Establishing and maintaining healthy environments. Toward a social ecology of health promotion. Am. Psychol. 47:6–22 [Google Scholar]
  89. Story M, French S. 89.  2004. Food advertising and marketing directed at children and adolescents in the US. Int. J. Behav. Nutr. Phys. Act. 1:3 [Google Scholar]
  90. Story M, Kaphingst KM, French S. 90.  2006. The role of child care settings in obesity prevention. Future Child. 16:143–68 [Google Scholar]
  91. Story M, Kaphingst KM, French S. 91.  2006. The role of schools in obesity prevention. Future Child. 16:109–42 [Google Scholar]
  92. Sturm R, Datar A. 92.  2005. Body mass index in elementary school children, metropolitan area food prices and food outlet density. Public Health 119:1059–68 [Google Scholar]
  93. Swinburn B, Egger G, Raza F. 93.  1999. Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev. Med. 29:563–70 [Google Scholar]
  94. 94. The Keystone Cent. 2006. The Keystone forum on away-from-home foods: Opportunities for preventing weight gain and obesity. Final rep. Washington, DC: The Keystone Cent [Google Scholar]
  95. 95. US Dep. Educ. 2000. 21st Century Community Learning Centers: Providing Quality Afterschool Learning Opportunities for America's Families. Washington, DC: US Dep. Educ.
  96. 96. US Dep. Health Hum. Serv. 2000. Healthy People 2010: Understanding and Improving Health. Washington, DC: USGPO
  97. 97. US Dep. Health Hum. Serv. 2001. The Surgeon General's call to action to prevent and decrease overweight and obesity. Rockville, MD: USDHHS/PHS/Off. Surgeon Gen.
  98. 98. US Dep. Health Hum. Serv./US Dep. Agric. 2005. Dietary Guidelines for Americans 2005. Washington, DC: USGPO
  99. 99. US Gov. Account. Off. 2005. School meal programs: competitive foods are widely available and generate substantial revenues for schools. Rep. GA0—05–563. Washington, DC: US Gov. Account. Off.
  100. van der Horst K, Oenema A, Ferreira I, Wendel-Vos W, Giskes K et al.100.  2006. A systematic review of environmental correlates of obesity-related dietary behaviors in youth. Health Educ. Res. 22:203–26 [Google Scholar]
  101. Wang MC, Kim S, Gonzales AA, MacLeod KE, Winkleby MA. 101.  2007. Socioconomic and food-related physical characteristics of the neighborhood environment are associated with body mass index. J. Epidemiol. Community Health 61:491–98 [Google Scholar]
  102. Wansink B. 102.  2004. Environmental factors that increase the food intake and consumption volume of unknowing consumers. Annu. Rev. Nutr. 24:455–79 [Google Scholar]
  103. Wechsler H, Brener ND, Kuester S, Miller C. 103.  2001. Food service and foods and beverages available at school: results from the School Health Policies and Programs Study 2000. J. Sch. Health 71:313–24 [Google Scholar]
  104. Wootan MG, Osborn M. 104.  2006. Availability of nutrition information from chain restaurants in the US. Am. J. Prev. Med. 30:266–68 [Google Scholar]
  105. Wootan MG, Osborn M, Malloy CJ. 105.  2006. Availability of point-of-purchase nutrition information at a fast-food restaurant. Prev. Med. 43:458–59 [Google Scholar]
  106. 106. World Health Organ 2003. Joint WHO/FAO Expert Consultation on Diet, Nutrition and the Prevention of Chronic Disease Geneva: WHO [Google Scholar]
  107. Zenk SN, Schulz AJ, Israel BA, James SA, Bao S, Wilson ML. 107.  2005. Neighborhood racial composition, neighborhood poverty, and the spatial accessibility of supermarkets in metropolitan Detroit. Am. J. Public Health 95:660–67 [Google Scholar]

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