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Accepted (AM)CC BY-NC V4.0, Open
Journal article
Cumulative Experience of Neighborhood Walkability and Change in Weight and Waist Circumference in REGARDS
American journal of epidemiology, v 192(12), pp 1960-1970
10 Nov 2023
PMID: 37312569
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Neighborhood walkability, features of the built environment that promote pedestrian activity, has been associated with greater physical activity and lower body mass index (BMI) among neighborhood residents. However, much of the literature has been cross-sectional and only a few cohort studies have assessed neighborhood features throughout follow-up. Using data from REGARDS (2003-2016) and a neighborhood walkability index (NWI) measured annually during follow-up, we assessed whether the cumulative experience of neighborhood walkability (NWI-Years) predicted BMI and waist circumference (WC) after ~10 years of follow-up, controlling for these anthropometric measures at enrollment. Analyses adjusted for individual-level socio-demographic covariates and the cumulative experience of neighborhood poverty rate and neighborhood greenspace coverage. Twenty nine percent of participants changed address at least once during follow-up. The first change of residence on average brought the participants to neighborhoods with higher home values and lower NWI scores than their originating neighborhoods. Compared with those having experienced the lowest quartile of cumulative NWI-Years, those that experienced the highest quartile, had 0.83 Kg/M2 lower BMI (95% CI -1.5, -0.16) and 1.07 cm smaller WC (95% CI -1.96, -0.19) at follow-up. These analyses provide additional longitudinal evidence that residential neighborhood features that support pedestrian activity are associated with lower adiposity.
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Details
- Title
- Cumulative Experience of Neighborhood Walkability and Change in Weight and Waist Circumference in REGARDS
- Creators
- Andrew G Rundle (Corresponding Author) - Columbia UniversityKathryn M Neckerman - Columbia UniversitySuzanne E Judd - University of AlabamaNatalie Colabianchi - University of MichiganKari A Moore - Drexel UniversityJames W Quinn - Columbia UniversityJana A Hirsch - Drexel UniversityGina S Lovasi - Drexel University
- Publication Details
- American journal of epidemiology, v 192(12), pp 1960-1970
- Publisher
- Oxford University Press
- Number of pages
- 11
- Grant note
- National Institute on Aging (NIA), National Institutes of Health, Department of Health and Human Services 1R01AG049970; 3R01AG049970-04S1 / NIA; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) U01 NS041588 / National Institute of Neurological Disorders and Stroke (NINDS); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Neurological Disorders & Stroke (NINDS) R01 NS092706 / NINDS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Neurological Disorders & Stroke (NINDS)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:001078921100001
- Scopus ID
- 2-s2.0-85178650904
- Other Identifier
- 991020602926504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health