Articlegold2015

Built environment associations with adiposity parameters among overweight and obese Hispanic youth

Ann Carroll Klassen · Frank C. Curriero · Laura E. Caulfield · Lawrence Jay Cheskin · Jaimie N. Davis · Michael I. Goran +2 more

32 citations0/0 files storedPreventive Medicine Reports

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

Abstract

OBJECTIVE: The purpose of this cross-sectional study was to establish neighborhood built environment correlates of adiposity as measured by dual x-ray absorptiometry (DXA). The utility and methodological gains of using this measure for built environment research was further investigated by comparing model fit across parallel models on BMI z-scores and waist circumference. METHODS: Pre-existing data collected from 2001-2001 on 576 overweight and obese Hispanic youth were compiled with built environment data, and 2000 Census data for analyses conducted in 2012. Walking-distance buffers were built around participants' residential locations. Variables for park space, food access, walkability, and neighborhood socio-cultural aspects were entered into a multivariate regression model predicting percent body fat. Parallel models were built for BMI z-score, and waist circumference. RESULTS: Significant associations were found between percent body fat and supermarket access for boys, and percent body fat and increased park space and decreased neighborhood linguistic isolation for girls. Neighborhood socio-cultural characteristics accounted for more variance in obesity compared to BMI z-score or waist circumference. CONCLUSION: Park access, food environment, and neighborhood socio-cultural characteristics are independent contributors to body fat in children, and the contribution of these risks differs by gender. There are incremental gains to using a more accurate measure of body fat in built environment obesity studies.

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References

1997Measuring Social Class in US Public Health Research: Concepts, Methodologies, and Guidelines 2006Inequality in the Built Environment Underlies Key Health Disparities in Physical Activity and Obesity 2004Applied Spatial Statistics for Public Health Data 2012The Uncertain Geographic Context Problem 2009Measuring the Built Environment for Physical Activity 2009Physical Activity and Food Environments: Solutions to the Obesity Epidemic 2002Epidemiologic evidence for the relation between socioeconomic status and depression, obesity, and diabetes 2011Built environment, physical activity, and obesity: What have we learned from reviewing the literature?

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2019Development and testing of a multicomponent obesogenic built environment measure for youth using kernel density estimations 2020Predictors of Latinx Youth Health and Emotional Well-being: Social Determinants of Health Perspective 2021Measures of walkability in the pediatric population: a qualitative review of the literature.2022Validation of desk-based audits using Google Street View® to monitor the obesogenic potential of neighbourhoods in a pediatric sample: a pilot study in the QUALITY cohort

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