Document Detail


Association of neighborhood socioeconomic status with physical fitness in healthy young adults: the Coronary Artery Risk Development in Young Adults (CARDIA) study.
MedLine Citation:
PMID:  18371479     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Impaired physical fitness, a contributor to obesity and cardiovascular disease, has been associated with both an individual's socioeconomic status (SES) and with residence in disadvantaged neighborhoods. The aim of the study was to examine the extent to which neighborhood socioeconomic status (SES) is associated with impaired fitness, independent of clinical characteristics and individual-level SES.
METHODS: Two thousand five hundred five participants 25 to 42 years old examined in the CARDIA study from 1992 to 1993 underwent symptom-limited exercise stress testing. Physical fitness was considered impaired if metabolic equivalents were in the lowest sex-specific quintile. Neighborhood SES was determined for each census tract using 1990 census data. Generalized estimating equations assessed the association between neighborhood SES and physical fitness, before and after adjustments for individual SES, sociodemographic, and clinical characteristics, and accounted for clustering within census tracts.
RESULTS: Individuals in disadvantaged neighborhoods had lower educational attainment and income, and were more likely unemployed, black, and uninsured. The odds ratio (95% CI) for impaired physical fitness in the lowest vs highest tertile of neighborhood SES was 5.8 (3.7-7.3). These became 3.9 (2.7-5.7) after adjusting for individuals' educational attainment, personal income, employment status, and ability to pay for basic needs; and 1.9 (1.2-2.9) after additional adjustment for other sociodemographic and clinical factors.
CONCLUSIONS: Features of one's neighborhood of residence are relevant to cardiovascular health. A health policy perspective that looks beyond an individual's characteristics may therefore be useful in identifying more effective interventions to reduce the prevalence of low physical fitness and its consequences in young adults.
Authors:
Mehdi H Shishehbor; Penny Gordon-Larsen; Catarina I Kiefe; David Litaker
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2008-01-30
Journal Detail:
Title:  American heart journal     Volume:  155     ISSN:  1097-6744     ISO Abbreviation:  Am. Heart J.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-28     Completed Date:  2008-04-18     Revised Date:  2013-12-30    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  699-705     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
African Continental Ancestry Group
Cities
Exercise
Exercise Test
Female
Humans
Male
Physical Fitness*
Residence Characteristics
Social Class*
Socioeconomic Factors
United States
Urban Health
Grant Support
ID/Acronym/Agency:
K12 HD049091/HD/NICHD NIH HHS; K12 HD049091/HD/NICHD NIH HHS; K12 HD049091-01/HD/NICHD NIH HHS; KL2 RR024990/RR/NCRR NIH HHS; L30 HL085947-01/HL/NHLBI NIH HHS; R01 HL114091/HL/NHLBI NIH HHS; R25T CA111898/CA/NCI NIH HHS
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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