Journal article
Relation between Neighborhood Environments and Obesity in the Multi-Ethnic Study of Atherosclerosis
American journal of epidemiology, v 167(11), pp 1349-1357
01 Jun 2008
PMID: 18367469
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
This study investigated associations between neighborhood physical and social environments and body mass index in 2,865 participants of the Multi-Ethnic Study of Atherosclerosis (MESA) aged 45–84 years and residing in Maryland, New York, and North Carolina. Neighborhood (census tract) environments were measured in non-MESA participants residing in MESA neighborhoods (2000–2002). The neighborhood physical environment score combined measures of a better walking environment and greater availability of healthy foods. The neighborhood social environment score combined measures of greater aesthetic quality, safety, and social cohesion and less violent crime. Marginal maximum likelihood was used to estimate associations between neighborhood environments and body mass index (kg/m2) before and after adjustment for individual-level covariates. MESA residents of neighborhoods with better physical environments had lower body mass index (mean difference per standard deviation higher neighborhood measure = −2.38 (95% confidence interval (CI): −3.38, −1.38) kg/m2 for women and −1.20 (95% CI: −1.84, −0.57) kg/m2 for men), independent of age, race/ethnicity, education, and income. Attenuation of these associations after adjustment for diet and physical activity suggests a mediating role of these behaviors. In men, the mean body mass index was higher in areas with better social environments (mean difference = 0.52 (95% CI: 0.07, 0.97) kg/m2). Improvement in the neighborhood physical environment should be considered for its contribution to reducing obesity.
Metrics
Details
- Title
- Relation between Neighborhood Environments and Obesity in the Multi-Ethnic Study of Atherosclerosis
- Creators
- Mahasin S. Mujahid - Robert Wood Johnson Health and Society Program, Harvard University, Boston, MAAna V. Diez Roux - University of MichiganMingwu Shen - University of MichiganDeepthiman Gowda - Department of Medicine, Columbia University, New York, NYBrisa Sánchez - University of MichiganSteven Shea - Columbia UniversityDavid R. Jacobs - Hennepin County LibrarySharon A. Jackson - Northrop Grumman Contractor to the Division of Heart Disease and Stroke Prevention, Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA
- Publication Details
- American journal of epidemiology, v 167(11), pp 1349-1357
- Publisher
- Oxford University Press
- Number of pages
- 9
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000256169100011
- Scopus ID
- 2-s2.0-44449155899
- Other Identifier
- 991014877661004721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health