Neighborhood and weight-related health behaviors in the Look AHEAD (Action for Health in Diabetes) Study

BMC Public Health

Research Article

Luu Pham¹  Tiffany L Gary-Webb²  Kesha Baptiste-Roberts³  Frederick L Brancati⁴  F Xavier Pi-Sunyer⁵  Jennifer Patricio⁵  LaShanda Jones⁶  Arleen F Brown⁷  Jacqueline Wesche-Thobaben⁸ 

[1] Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA;Department of Epidemiology, Columbia Mailman School of Public Health, New York, NY, USA;Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA;Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA;Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA;Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA;Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA;Department of Medicine, St. Luke's—Roosevelt Hospital Center, New York, NY, USA;Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA;Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA;Division of Internal Medicine, University of Pittsburgh, Pittsburgh, PA, USA;

关键词: Census Tract;    Eating Pattern;    Neighborhood Environment;    Fast Food Restaurant;    Weight Control Behavior;   

DOI  :  10.1186/1471-2458-10-312

 received in 2008-12-23, accepted in 2010-06-04,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundPrevious studies have shown that neighborhood factors are associated with obesity, but few studies have evaluated the association with weight control behaviors. This study aims to conduct a multi-level analysis to examine the relationship between neighborhood SES and weight-related health behaviors.MethodsIn this ancillary study to Look AHEAD (Action for Health in Diabetes) a trial of long-term weight loss among individuals with type 2 diabetes, individual-level data on 1219 participants from 4 clinic sites at baseline were linked to neighborhood-level data at the tract level from the 2000 US Census and other databases. Neighborhood variables included SES (% living below the federal poverty level) and the availability of food stores, convenience stores, and restaurants. Dependent variables included BMI, eating patterns, weight control behaviors and resource use related to food and physical activity. Multi-level models were used to account for individual-level SES and potential confounders.ResultsThe availability of restaurants was related to several eating and weight control behaviors. Compared to their counterparts in neighborhoods with fewer restaurants, participants in neighborhoods with more restaurants were more likely to eat breakfast (prevalence Ratio [PR] 1.29 95% CI: 1.01-1.62) and lunch (PR = 1.19, 1.04-1.36) at non-fast food restaurants. They were less likely to be attempting weight loss (OR = 0.93, 0.89-0.97) but more likely to engage in weight control behaviors for food and physical activity, respectively, than those who lived in neighborhoods with fewer restaurants. In contrast, neighborhood SES had little association with weight control behaviors.ConclusionIn this selected group of weight loss trial participants, restaurant availability was associated with some weight control practices, but neighborhood SES was not. Future studies should give attention to other populations and to evaluating various aspects of the physical and social environment with weight control practices.

【 授权许可】

CC BY   
© Gary-Webb et al; licensee BioMed Central Ltd. 2010