Document Detail


Obesogenic neighborhood environments, child and parent obesity: the Neighborhood Impact on Kids study.
MedLine Citation:
PMID:  22516504     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Identifying neighborhood environment attributes related to childhood obesity can inform environmental changes for obesity prevention.
PURPOSE: To evaluate child and parent weight status across neighborhoods in King County (Seattle metropolitan area) and San Diego County differing in GIS-defined physical activity environment (PAE) and nutrition environment (NE) characteristics.
METHODS: Neighborhoods were selected to represent high (favorable) versus low (unfavorable) on the two measures, forming four neighborhood types (low on both measures, low PAE/high NE, high PAE/low NE, and high on both measures). Weight and height of children aged 6-11 years and one parent (n=730) from selected neighborhoods were assessed in 2007-2009. Differences in child and parent overweight and obesity by neighborhood type were examined, adjusting for neighborhood-, family-, and individual-level demographics.
RESULTS: Children from neighborhoods high on both environment measures were less likely to be obese (7.7% vs 15.9%, OR=0.44, p=0.02) and marginally less likely to be overweight (23.7% vs 31.7%, OR=0.67, p=0.08) than children from neighborhoods low on both measures. In models adjusted for parent weight status and demographic factors, neighborhood environment type remained related to child obesity (high vs low on both measures, OR=0.41, p<0.03). Parents in neighborhoods high on both measures (versus low on both) were marginally less likely to be obese (20.1% vs 27.7%, OR=0.66, p=0.08), although parent overweight did not differ by neighborhood environment. The lower odds of parent obesity in neighborhoods with environments supportive of physical activity and healthy eating remained in models adjusted for demographics (high vs low on the environment measures, OR=0.57, p=0.053).
CONCLUSIONS: Findings support the proposed GIS-based definitions of obesogenic neighborhoods for children and parents that consider both physical activity and nutrition environment features.
Authors:
Brian E Saelens; James F Sallis; Lawrence D Frank; Sarah C Couch; Chuan Zhou; Trina Colburn; Kelli L Cain; James Chapman; Karen Glanz
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  American journal of preventive medicine     Volume:  42     ISSN:  1873-2607     ISO Abbreviation:  Am J Prev Med     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-20     Completed Date:  2012-08-15     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  8704773     Medline TA:  Am J Prev Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  e57-64     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Seattle Children's Research Institute, Washington 98145-5005, USA. brian.saelens@seattlechildrens.org
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MeSH Terms
Descriptor/Qualifier:
Adult
California / epidemiology
Child
Environment*
Exercise*
Female
Food*
Geographic Information Systems
Humans
Male
Obesity / epidemiology*,  prevention & control
Parents*
Residence Characteristics / statistics & numerical data*
Social Environment
Socioeconomic Factors
United States / epidemiology
Walking
Washington / epidemiology
Grant Support
ID/Acronym/Agency:
ES014240/ES/NIEHS NIH HHS; KL2 RR025015/RR/NCRR NIH HHS; KL2 TR000421/TR/NCATS NIH HHS; R01 ES014240/ES/NIEHS NIH HHS; R01 ES014240-01/ES/NIEHS NIH HHS; R01 ES014240-02/ES/NIEHS NIH HHS; R01 ES014240-03/ES/NIEHS NIH HHS; R01 ES014240-04/ES/NIEHS NIH HHS; R01 ES014240-05/ES/NIEHS NIH HHS; R01 ES014240-06/ES/NIEHS NIH HHS; TL1 RR025016/RR/NCRR NIH HHS; TL1 TR000422/TR/NCATS NIH HHS; UL1 RR025014/RR/NCRR NIH HHS; UL1 RR025014-01/RR/NCRR NIH HHS; UL1 TR000423/TR/NCATS NIH HHS
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