Food Accessibility in the Suburbs of the Metropolitan City of Antwerp: A Factor of Concern in Local Public Health and Active and Healthy Aging

Population aging in the suburban areas of Antwerp is becoming an increasing challenge for food access and public health. In many of these neighborhoods, 15 to 25% of residents are already elderly, while physical access to fresh food is problematic due to long distances to grocery stores. At the same time, mobility decreases with age, increasing the risk of malnutrition. E-commerce appears to offer a solution, especially for people with special dietary needs or limited mobility. However, these very groups tend to use digital shopping the least, due to low digital literacy and higher delivery costs. Current delivery models further exacerbate inequality, particularly in low-density suburban areas. Alternatives such as collection and delivery points (CDPs) in local shops show promise, combining logistical efficiency with social interaction. A well-integrated system of physical and digital food distribution—especially with attention to the 'last mile'—is essential. Policymakers are urged to better align retail, mobility, and healthcare strategies in order to create smart, healthy, and age-friendly environments. The situation in Antwerp is illustrative of many aging regions across Europe and calls for urgent and structural solutions.

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