Obesogenic environments: a systematic review of the association between the physical environment and adult weight status, the SPOTLIGHT project

BMC Public Health

Jeroen Lakerveld⁵  Giel Nijpels⁵  Johannes Brug¹  Ilse De Bourdeaudhuij⁴  Helene Charreire⁶  Jean-Michel Oppert²  Ketevan Glonti³  Sofie Compernolle⁴  Harry Rutter³  Joreintje D Mackenbach⁵ 

[1]The EMGO Institute for Health and Care Research, Department of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands

[2]Université Pierre et Marie Curie-Paris 6, Dept of Nutrition Pitié-Salpêtrière Hospital (AP-HP), (CRNH IdF), Institute of Cardiometabolism and Nutrition (ICAN), Paris, France

[3]European Centre on Health of Societies in Transition, London School of Hygiene and Tropical Medicine, London, UK

[4]Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium

[5]The EMGO Institute for Health and Care Research, Department of General Practice and Elderly Care Medicine, VU University Medical Center, Amsterdam, The Netherlands

[6]Research Unit on Nutritional Epidemiology INSERM U557, Paris 13, Human Nutrition Research Center of Ile de France and Paris Est University, Lab-Urba Urban Institut of Paris, UPEC, Créteil, France

关键词: Quality assessment;    Adults;    Obesity;    Overweight;    Physical environment;    Review;   

Others  :  1132217
DOI  :  10.1186/1471-2458-14-233

 received in 2013-10-16, accepted in 2014-02-11,  发布年份 2014

【 摘 要 】

Background

Understanding which physical environmental factors affect adult obesity, and how best to influence them, is important for public health and urban planning. Previous attempts to summarise the literature have not systematically assessed the methodological quality of included studies, or accounted for environmental differences between continents or the ways in which environmental characteristics were measured.

Methods

We have conducted an updated review of the scientific literature on associations of physical environmental factors with adult weight status, stratified by continent and mode of measurement, accompanied by a detailed risk-of-bias assessment. Five databases were systematically searched for studies published between 1995 and 2013.

Results

Two factors, urban sprawl and land use mix, were found consistently associated with weight status, although only in North America.

Conclusions

With the exception of urban sprawl and land use mix in the US the results of the current review confirm that the available research does not allow robust identification of ways in which that physical environment influences adult weight status, even after taking into account methodological quality.

【 授权许可】

   
2014 Mackenbach et al.; licensee BioMed Central Ltd.

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