Article2004

Urban Sprawl and Risk for Being Overweight or Obese

398 citations0/0 files storedAmerican Journal of Public Health

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Urban Transport and Accessibility Obesity, Physical Activity, Diet Urban Green Space and Health

Abstract

OBJECTIVES: I examined the association between urban sprawl and the risk for being overweight or obese among US adults. METHODS: A measure of urban sprawl in metropolitan areas was derived from the 2000 US Census; individual-level data were obtained from the Behavioral Risk Factor Surveillance System. I used multilevel analysis to assess the association between urban sprawl and obesity. RESULTS: After I controlled for gender, age, race/ethnicity, income, and education, for each 1-point rise in the urban sprawl index (0-100 scale), the risk for being overweight increased by 0.2% and the risk for being obese increased by 0.5%. CONCLUSIONS: The current obesity epidemic has many causes, but there is an association between urban sprawl and obesity.

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References

2002How the built environment affects physical activity 2001Wrestling Sprawl to the Ground: Defining and measuring an elusive concept 1998Bringing context back into epidemiology: variables and fallacies in multilevel analysis.2002The relative influence of individual, social and physical environment determinants of physical activity 2002Urban Sprawl and Public Health 2002Urban sprawl and public health 2001The influence of land use on travel behavior: specification and estimation strategies 2002Exploring the effect of the environment on physical activity

Cited by

2012The Role of the Built Environment in Healthy Aging 2014Obesogenic environments: a systematic review of the association between the physical environment and adult weight status, the SPOTLIGHT project 2015Compactness versus Sprawl 2007The anatomy of the safe and social suburb: An exploratory study of the built environment, social capital and residents’ perceptions of safety 2007The Urban Built Environment and Obesity in New York City: A Multilevel Analysis 2013

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