Shilpi Gupta

• PhD
• Analyst at University of Washington

To explore the built environment (BE) and weight change relationship by age, sex, and racial/ethnic subgroups in adults. Weight trajectories were estimated using electronic health records for 115,260 insured Kaiser Permanente Washington members age 18–64 years. Member home addresses were geocoded using ArcGIS. Population, residential, and road inte...

To determine whether selected features of the built environment can predict weight gain in a large longitudinal cohort of adults. Weight trajectories over a 5-year period were obtained from electronic health records for 115,260 insured patients aged 18–64 years in the Kaiser Permanente Washington health care system. Home addresses were geocoded usi...

Americans waste about a pound of food per day. Some of this is represented by inedible food waste at the household level. Our objective was to estimate inedible food waste in relation to diet quality and participant socio-economic status (SES). Seattle Obesity Study III participants (n = 747) completed the Fred Hutch Food Frequency Questionnaire (F...

Higher consumption of “ultra-processed”(UP) foods has been linked to adverse health outcomes. The present paper aims to characterize percent energy from UP foods by participant socio-economic status (SES), diet quality measures, self-reported food expenditure, and energy-adjusted diet cost. Participants in the population-based Seattle Obesity Study...

Objective Affordable nutrition refers to the relation between nutrient density of foods and their monetary cost. There are limited data on affordable nutrition in low- and middle-income countries (LMIC). The present study aimed to develop a nutrient density score and nutrient affordability metrics for 377 most consumed foods in Brazil. Design The...

Adherence to the Dietary Guidelines for Americans (DGA) may involve higher diet costs. This study assessed the relation between two measures of food spending and diet quality among adult participants (N = 768) in the Seattle Obesity Study (SOS III). All participants completed socio-demographic and food expenditure surveys and the Fred Hutch food fr...

Background In‐person assessments of physical activity (PA) and body weight can be burdensome for participants and cost prohibitive for researchers. This study examined self‐reported PA and weight accuracy and identified patterns of misreporting in a diverse sample. Methods King, Pierce, and Yakima county residents, aged 21‐59 years,,(n = 728) self...

Countries in South East Asia are undergoing a nutrition transition, which typically involves a dietary shift from plant to animal proteins. To explore the main drivers of protein consumption, the SCRiPT (Socio Cultural Research in Protein Transition) study recruited a population sample in Malaysia (N = 1604). Participants completed in-person 24 h d...

The category of “ultraprocessed” foods in the NOVA food classification scheme is ostensibly based on industrial processing. We compared NOVA category assignments with the preexisting family of Nutrient Rich Food (NRF) indices, first developed in 2004. The NRF indices are composed of 2 subscores: the positive NR based on protein, fiber, and vitamins...

The built environment (BE) has been viewed as an important determinant of health. Numerous studies have linked BE exposure, captured using a variety of methods, to diet quality and to area prevalence of obesity, diabetes, and cardiovascular disease. First‐generation studies defined the neighborhood BE as the area around the home. Second‐generation...

BACKGROUND Studies assessing the impact of built environments on body weight are often hobbled by limited power to detect residential effects that are modest for individuals but may nonetheless comprise large attributable risks. OBJECTIVE We used data extracted from electronic health records to construct a large retrospective cohort of patients wh...

Background Studies assessing the impact of built environments on body weight are often limited by modest power to detect residential effects that are small for individuals but may nonetheless comprise large attributable risks. Objective We used data extracted from electronic health records to construct a large retrospective cohort of patients. Thi...

Background: Activity spaces (AS), captured using GPS tracking devices, are measures of dynamic exposure to the built environment (BE). Methods: Seven days of Global Positioning Systems (GPS) tracking data were obtained for 433 adult participants in the Seattle Obesity Study (SOS II). Heights and weights were measured. Dietary intakes from a food...

Background: The NOVA food classification scheme divides foods into ultra-processed, processed, unprocessed, and culinary ingredients. Ultra-processed foods contribute >60% of energy to diets in the US. Objective: To characterize ultra-processed foods by energy density, nutrient density, and monetary cost. Methods: The 384 component foods of Fred Hu...

Improving the built environment (BE) is viewed as one strategy to improve community diets and health. The present goal is to review the literature on the effects of BE on health, highlight its limitations, and explore the growing use of natural experiments in BE research, such as the advent of new supermarkets, revitalized parks, or new transportat...

Compliance is a key component in successful implementation of the delivery of micronutrients among children. The present study evaluates the compliance with two home-based food fortification strategies (fortified complementary food or sprinkle) for providing iron and zinc among children aged 6-24 months. A total of 292 children were randomly alloca...

Deaths during the neonatal period account for almost two-thirds of all deaths in the first year of life and 40 percent of deaths before the age of five. Most of these deaths could be prevented through proven cost-effective interventions. Although there are some recent data from sub-Saharan Africa, but there is paucity of qualitative data from Zanzi...

Background. One of the limitations of body mass index is its accuracy to assess body fatness. To address this limitation, a new index, body adiposity index, has been developed. However its validity needs to ascertained. Objective. Our aim was to investigate sex-specific relationship between BAI, BMI, and percent body fat in an endogamous population...

The aim of the present study was to analyze temporal trends in general obesity and regional obesity from 1978 to 2010 according to various obesity markers. Data was obtained from four cross-sectional studies of diverse ethnic and geographic milieus conducted independently. Data was analyzed to derive mean and standard deviation of the subjects in t...

Background Infections in new-borns are the single most important cause for neonatal mortality in developing countries. Of topical antiseptics chlorhexidine has shown potential as an effective cord care agent. Results from randomized double-blind trials examining the effect of chlorhexidine in Asia have been encouraging. A 4% chlorhexidine solution...

Background Iron deficiency remains a major nutritional problem among infants and young children in India. The tablet/syrup-based programs do have logistic, supply and compliance challenges. Tablet/Syrup may have increased risk of free iron in blood, oxidative stress and risk of infections. Objective In a community based RCT we evaluated 3 approache...

Background Chlorhexidine, a broad-spectrum topical antiseptic with strong residual activity, has a potential to reduce infections during the neonatal period. However, the challenge remains what would be the best mode to deliver the intervention. As a part of formative research, we evaluated three possible modes of chlorhexidine delivery i.e. 100ml...

Background Umbilical cord is a potential portal of entry for invasive bacteria causing neonatal sepsis and death from serious infections. Studies have used a single swab covering tip, stump and base region for identifying umbilical cord colonization. Information for bacteriological profile of the cord evaluating variation from tip, stump and base i...

Background Efficacy studies of application of chlorhexidine on umbilical cord have suggested significant improvement in neonatal outcomes. An important question for new trials and programs however is what should be the quantity used. There are concerns about the increased risk of hypothermia resulting from spillage or over use of any cleansing liqu...

Summary Aggarwal Baniyas were found to have a high prevalence of high blood pressure. Genetic and environmental influences may be implicated for this risk factor of cardiovascular disease. The aim of this study was to investigate the potential for common genetic and environmental influences on blood pressure measures (systolic and diastolic blood p...

The objective of the study was to ascertain the influence of various maternal factors like age, BMI, anthropometry, parity, and so forth on body dimensions of newborn and to discover determinants of neonatal subcutaneous fat distribution pattern. 94 Khatri and Arora new borns along with their biological mothers hailing from upper/middle socioeconom...

The objective of the study was to ascertain the influence of various maternal factors like age, BMI, anthropometry, parity, and so forth on body dimensions of newborn and to discover determinants of neonatal subcutaneous fat distribution pattern. 94 Khatri and Arora new borns along with their biological mothers hailing from upper/middle socioeconom...

Objective: To investigate association of parity and short pregnancy with obesity and weight change in Aggarwal Baniya women. Method: A cross-sectional analysis was carried out on a representative sample of 307 adult Aggarwal Ba-niya women aged 30 -50 years (mean age: 38.7 ± 4.87) using multistage cluster sampling method. Weight, height, various ski...

The aim of the study was to determine the cut-offs of anthropometric markers for detecting hypertension in an endogamous North Indian population. A cross-sectional study was carried out to collect data from 578 adult Aggarwal Baniya subjects (271 men and 307 women, mean age: 43.4 ± 5.3 and 38.7 ± 4.9 respectively) using multistage, stratified sampl...

The present study was conducted on Jain population residing in Delhi to elucidate the effectiveness of various anthropometric indices as cardiovascular risk. A cross sectional sample of 48 adult Jain females (mean age=50.5yr) and 62 adult males (mean age=47.4yr) was studied. Various anthropometric and physiological measurements were taken on each s...

The aim of the present study was to investigate the potential for common genetic and environ-mental influences on adiposity measures in Aggarwal Baniya families with adolescent children. A cross-sectional study was conducted on 309 Aggarwal Baniya families, including 1539 indi-viduals (271 fathers, 307 mothers, 967 children of both sexes) in New De...

The aim of the present study was to investigate the potential for common genetic and environ-mental influences on adiposity measures in Aggarwal Baniya families with adolescent children. A cross-sectional study was conducted on 309 Aggarwal Baniya families, including 1539 indi-viduals (271 fathers, 307 mothers, 967 children of both sexes) in New De...

The aim of our study was to investigate blood pressure (BP) levels and their association with different indices of body fat in adult Baniyas. A cross-sectional survey was carried out on an endogamous group of 577 adults (307 females and 270 males) aged 25-60 years in Delhi, India. Data were collected for weight, height, waist circumference and bloo...