Journal article
Neighborhood Physical Environment and Changes in Body Mass Index: Results From the Multi-Ethnic Study of Atherosclerosis
American journal of epidemiology, v 186(11), pp 1237-1245
01 Dec 2017
PMID: 29206987
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Longitudinal associations between neighborhood characteristics and body mass index (BMI; weight (kg)/height (m)2) were assessed from 2000 to 2011 among 5,919 participants in the Multi-Ethnic Study of Atherosclerosis. The perceived availability of healthy food and walking environment were assessed via surveys, and 1-mile (1.6-km) densities of supermarkets, fruit-and-vegetable stores, and recreational facilities were obtained through a commercial database. Econometric fixed-effects models were used to estimate the association between within-person changes in neighborhood characteristics and within-person change in BMI. In fully adjusted models, a 1-standard-deviation increase in the healthy food environment index was associated with a 0.16-kg/m2 decrease in BMI (95% confidence interval (CI): -0.27, -0.06) among participants with obesity at baseline. A 1-standard-deviation increase in the physical activity environment index was associated with 0.13-kg/m2 (95% CI: -0.24, -0.02) and 0.14-kg/m2 (95% CI: -0.27, -0.01) decreases in BMI for participants who were overweight and obese at baseline, respectively. Paradoxically, increases in the physical activity index were associated with BMI increases in persons who were normal-weight at baseline. This study provides preliminary longitudinal evidence that favorable changes in neighborhood physical environments are related to BMI reductions in obese persons, who comprise a substantial proportion of the US population.
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Details
- Title
- Neighborhood Physical Environment and Changes in Body Mass Index: Results From the Multi-Ethnic Study of Atherosclerosis
- Creators
- Tonatiuh Barrientos-Gutierrez - National Institute of Public Health, Cuernavaca, MexicoKari A B Moore - Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PennsylvaniaAmy H Auchincloss - Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PennsylvaniaMahasin S Mujahid - Division of Epidemiology, School of Public Health, University of California, Berkeley, Berkeley, CaliforniaCarmella August - Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MichiganBrisa N Sanchez - Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MichiganAna V Diez Roux - Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania
- Publication Details
- American journal of epidemiology, v 186(11), pp 1237-1245
- Publisher
- Oxford University Press; United States
- Grant note
- R01 HL071759 / NHLBI NIH HHS N01HC95169 / NHLBI NIH HHS N01HC95161 / NHLBI NIH HHS N01HC95164 / NHLBI NIH HHS HHSN268201500003C / NHLBI NIH HHS N01HC95160 / NHLBI NIH HHS N01HC95167 / NHLBI NIH HHS N01HC95159 / NHLBI NIH HHS N01HC95163 / NHLBI NIH HHS N01HC95166 / NHLBI NIH HHS P60 MD002249 / NIMHD NIH HHS N01HC95168 / NHLBI NIH HHS UL1 TR000040 / NCATS NIH HHS UL1 TR001079 / NCATS NIH HHS N01HC95165 / NHLBI NIH HHS N01HC95162 / NHLBI NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000417301500003
- Scopus ID
- 2-s2.0-85038223439
- Other Identifier
- 991014878585304721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health