Associations of built environment and proximity of food outlets with weight status: Analysis from 14 cities in 10 countries

PREVENTIVE MEDICINE

卷:129

Article

Cochrane, Thomas¹  Yu, Yan^1,2  Davey, Rachel¹  Cerin, Ester^3,4  Cain, Kelli L.^3,5  Conway, Terry L.^3,5  Kerr, Jacqueline⁵  Frank, Lawrence D.^6,7  Chapman, James E.⁷  Adams, Marc A.⁸  Macfarlane, Duncan⁹  Van Dyck, Delfien^10,11  Lai, Poh-Chin¹²  Sarmiento, Olga L.¹³  Troelsen, Jens¹⁴  Salvo, Deborah^15,16,17  Reis, Rodrigo^15,18  Mitas, Josef¹⁹  Schofield, Grant²⁰  Owen, Neville²¹  Sallis, James F.^3,5 

[1] Univ Canberra, Ctr Res & Act Publ Hlth, Canberra, ACT, Australia

[2] Therapeut Goods Adm, Dept Hlth, Canberra, ACT, Australia

[3] Australian Catholic Univ, Mary MacKillop Inst Hlth Res, Melbourne, Vic, Australia

[4] Univ Hong Kong, Sch Publ Hlth, Hong Kong, Peoples R China

[5] Univ Calif San Diego, Family Med & Publ Hlth, La Jolla, CA 92093 USA

[6] Univ British Columbia, Sch Community & Reg Planning, Vancouver, BC, Canada

[7] Urban Design 4 Hlth, Rochester, NY USA

[8] Arizona State Univ, Coll Hlth Solut, Phoenix, AZ USA

[9] Univ Hong Kong, Ctr Sports & Exercise, Hong Kong, Peoples R China

[10] Univ Ghent, Dept Movement & Sports Sci, Ghent, Belgium

[11] Res Fdn Flanders, Brussels, Belgium

[12] Univ Hong Kong, Dept Geog, Hong Kong, Peoples R China

[13] Univ los Andes, Sch Med, Bogota, Colombia

[14] Univ Southern Denmark, Inst Sports Sci & Clin Biomech, Odense, Denmark

[15] Washington Univ, Brown Sch, Prevent Res Ctr St Louis, St Louis, MO 63110 USA

[16] Washington Univ, Brown Sch, Ctr Diabet Translat Res, St Louis, MO 63110 USA

[17] Natl Inst Publ Hlth Mexico, Ctr Nutr & Hlth Res, Cuernavaca, Morelos, Mexico

[18] Pontifical Catholic Univ Parana PUCPR, Grad Program Urban Management PPGTU, Curitiba, Parana, Brazil

[19] Palacky Univ, Fac Phys Culture, Inst Act Lifestyle, Olomouc, Czech Republic

[20] Auckland Univ Technol, Human Potential Ctr, Auckland, New Zealand

[21] Baker Heart & Diabet Inst, Behav Epidemiol Lab, Melbourne, Vic, Australia

关键词: BMI;    obesity;    international;    obesogenic environment;    walkability;    IPEN Adult study;   

DOI  :  10.1016/j.ypmed.2019.105874

来源: Elsevier

【 摘 要 】

The study aimed to examine associations of neighborhood built environments and proximity of food outlets (BE measures) with body weight status using pooled data from an international study (IPEN Adult). Objective BE measures were calculated using geographic information systems for 10,008 participants (4463 male, 45%) aged 16-66 years in 14 cities. Participants self-reported proximity to three types of food outlets. Outcomes were body mass index (BMI) and overweight/obesity status. Male and female weight status associations with BE measures were estimated by generalized additive mixed models. Proportion (95% CI) of overweight (BMI 25 to < 30) ranged from 16.6% (13.1, 19.8) to 41.1% (37.3, 44.7), and obesity (BMI >= 30) from 2.9% (1.3, 4.4) to 31.3% (27.7, 34.7), with Hong Kong being the lowest and Cuernavaca, Mexico highest for both proportions. Results differed by sex. Greater street intersection density, public transport density and perceived proximity to restaurants (males) were associated with lower odds of overweight/obesity (BMI >= 25). Proximity to public transport stops (females) was associated with higher odds of overweight/obesity. Composite BE measures were more strongly related to BMI and overweight/obesity status than single variables among men but not women. One standard deviation improvement in the composite measures of BE was associated with small reductions of 0.1-0.5% in BMI but meaningful reductions of 2.5-5.3% in the odds of overweight/obesity. Effects were linear and generalizable across cities. Neighborhoods designed to support public transport, with food outlets within walking distance, may contribute to global obesity control.

【 授权许可】

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