Study
Human FactorsRecentModerate effect

Food environment proximity influences diet quality in Vietnamese adults

Living further from food outlets is associated with better diet quality, specifically in terms of variety and moderation, among adults in Vietnam.

Journal of Human Nutrition and Dietetics · 2023

01

Key Findings

  • 01Longer distance to the nearest food outlet was associated with higher overall DQI-V and the Moderation component.
  • 02Higher food outlet density was negatively associated with the odds of underweight among women.
  • 03No statistically significant direct relationships were observed between diet quality and malnutrition status.
02

Application

Design takeaway

Designers should consider the spatial distribution of food resources as a critical factor influencing user behavior and health outcomes, potentially designing for environments that encourage healthier food choices regardless of proximity.

How to apply

When designing community spaces or food retail strategies, analyze the proximity and density of food outlets and their potential impact on the dietary habits of the target population.

Project actions

  • 01When researching user behavior, consider the influence of their physical environment.
  • 02Map out the accessibility of resources relevant to your design project.
03

Method & Evidence

AimTo investigate the relationship between the food environment (food outlet proximity and density), diet quality, and malnutrition status in adult populations across the rural-urban gradient in Vietnam.
MethodObservational Study with Geospatial Mapping and Mediation Analysis
ProcedureResearchers mapped food outlets using geospatial techniques and conducted transect walks from rural to urban areas. They assessed diet quality using the Diet Quality Index - Vietnamese (DQI-V) and malnutrition status via Body Mass Index (BMI). Mediation analysis was performed using mixed-effect models, controlling for demographic and knowledge-based confounders.
Sample595 participants
ContextAdult populations in Vietnam across a rural-urban gradient.

Variables

IVDistance to nearest food outlet, Food outlet density
DVDiet Quality Index - Vietnamese (DQI-V) components (Variety, Adequacy, Moderation, Balance), Malnutrition status (underweight, overweight, obesity)
CVAge, Education, Income, Nutrition knowledge score, Neighbourhood clustering effects
04

Strengths & Limitations

Strengths

  • +Utilized geospatial mapping for objective environmental assessment.
  • +Employed mediation analysis to explore complex relationships.

Limitations

It's difficult to isolate the exact impact of food outlet proximity from other factors like income, education, and personal preferences.

Reliability & validity

The use of standardized indices like DQI-V and BMI contributes to reliability. Geospatial mapping provides objective environmental data. However, self-reported diet quality can be subject to recall bias, impacting validity.

Think critically

If living further from food outlets leads to better diet quality, what are the implications for urban planning and food accessibility initiatives? Are there potential unintended consequences of promoting denser food environments?

05

Design Principles

"The built environment significantly shapes human behavior and health outcomes."

This finding highlights how the physical accessibility of food sources can shape dietary choices and, consequently, health outcomes. Designers and public health professionals can leverage this understanding to create environments that support healthier eating habits.

06

What This Means for Your Design

Where people live and how close they are to shops that sell food can affect what they eat. In Vietnam, people who live further from food shops tend to eat a more varied and balanced diet.

How to use in your project

  • 1.This research can inform the context of your design project by highlighting how environmental factors influence user needs and behaviors, particularly concerning access to resources.
07

Add to My Project

08

Quick Cite

(2023). The association between food environment, diet quality and malnutrition in low‐ and middle‐income adult populations across the rural—Urban gradient in Vietnam. Journal of Human Nutrition and Dietetics. https://doi.org/10.1111/jhn.13242 Retrieved from https://designdex.org/study/d9f3bcb8-cda6-4702-88e9-aaea660eb7b7/food-environment-proximity-influences-diet-quality-in-vietnamese-adults

Paragraph starter

The spatial distribution of food environments, as evidenced by research in Vietnam, demonstrates a significant influence on dietary patterns. Findings indicate that increased distance from food outlets can correlate with improved diet quality in terms of variety and moderation, suggesting that the built environment plays a critical role in shaping nutritional intake and, by extension, user health.

09

Source

Journal of Human Nutrition and Dietetics

The association between food environment, diet quality and malnutrition in low‐ and middle‐income adult populations across the rural—Urban gradient in Vietnam

journal · 2023

View source

Questions about this research

What does the research say about food environment proximity influences diet quality in vietnamese adults?
Designers should consider the spatial distribution of food resources as a critical factor influencing user behavior and health outcomes, potentially designing for environments that encourage healthier food choices regardless of proximity. Evidence: Journal of Human Nutrition and Dietetics (2023).
Why does "Food environment proximity influences diet quality in Vietnamese adults" matter for design?
This finding highlights how the physical accessibility of food sources can shape dietary choices and, consequently, health outcomes. Designers and public health professionals can leverage this understanding to create environments that support healthier eating habits.
How can designers apply this research?
Designers should consider the spatial distribution of food resources as a critical factor influencing user behavior and health outcomes, potentially designing for environments that encourage healthier food choices regardless of proximity.
What were the main findings?
Longer distance to the nearest food outlet was associated with higher overall DQI-V and the Moderation component.. Higher food outlet density was negatively associated with the odds of underweight among women.. No statistically significant direct relationships were observed between diet quality and malnutrition status.
What research method was used?
Observational Study with Geospatial Mapping and Mediation Analysis with 595 participants.
How strong is the evidence?
Evidence strength is rated Moderate effect, based on a 2023 journal from Journal of Human Nutrition and Dietetics.
What should I do differently in my next project?
When designing community spaces or food retail strategies, analyze the proximity and density of food outlets and their potential impact on the dietary habits of the target population.
What are the limitations?
The study did not establish a direct causal link between diet quality and malnutrition. The influence of other unmeasured environmental or socio-economic factors cannot be ruled out.
Is there evidence that diet quality affects design outcomes?
While living further from food sources correlated with better diet quality (more variety and moderation), and denser food outlets were linked to lower underweight risk in women, the study did not find a direct link between diet quality and malnutrition itself. This finding highlights how the physical accessibility of f Source: Journal of Human Nutrition and Dietetics (2023).
Where does this food research apply?
Adult populations in Vietnam across a rural-urban gradient. It sits within human factors research on designdex.org.

Related research topics

diet quality design research · evidence on diet quality · does diet quality improve design outcomes · food studies for designers · diet quality and food findings · human factors research evidence