Cumulative Experience of Neighborhood Walkability and Change in Weight and Waist Circumference in REGARDS
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; calculated as weight (kg)/height (m)2) among neighborhood residents. However, much of the literature has been cross-...
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Veröffentlicht in: | American journal of epidemiology 2023-11, Vol.192 (12), p.1960-1970 |
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container_title | American journal of epidemiology |
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creator | Rundle, Andrew G Neckerman, Kathryn M Judd, Suzanne E Colabianchi, Natalie Moore, Kari A Quinn, James W Hirsch, Jana A Lovasi, Gina S |
description | 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; calculated as weight (kg)/height (m)2) 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 the Reasons for Geographic and Racial Differences in Stroke Study (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 after approximately 10 years of follow-up, controlling for these anthropometric measures at enrollment. Analyses were adjusted for individual-level sociodemographic covariates and the cumulative experience of neighborhood poverty rate and neighborhood greenspace coverage. Almost a third (29%) 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 who experienced the highest quartile had 0.83 lower BMI (95% confidence interval, –1.5, −0.16) and 1.07-cm smaller waist circumference (95% confidence interval, –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. |
doi_str_mv | 10.1093/aje/kwad134 |
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Neighborhood walkability—features of the built environment that promote pedestrian activity—has been associated with greater physical activity and lower body mass index (BMI; calculated as weight (kg)/height (m)2) 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 the Reasons for Geographic and Racial Differences in Stroke Study (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 after approximately 10 years of follow-up, controlling for these anthropometric measures at enrollment. Analyses were adjusted for individual-level sociodemographic covariates and the cumulative experience of neighborhood poverty rate and neighborhood greenspace coverage. Almost a third (29%) 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 who experienced the highest quartile had 0.83 lower BMI (95% confidence interval, –1.5, −0.16) and 1.07-cm smaller waist circumference (95% confidence interval, –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.</description><identifier>ISSN: 0002-9262</identifier><identifier>EISSN: 1476-6256</identifier><identifier>DOI: 10.1093/aje/kwad134</identifier><identifier>PMID: 37312569</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Adipose tissue ; Body mass index ; Body size ; Body weight ; Built environment ; Cross-Sectional Studies ; Environment Design ; Exercise ; Humans ; Neighborhoods ; Obesity ; Physical activity ; Poverty ; Quartiles ; Residence Characteristics ; Residential areas ; Urban environments ; Waist Circumference ; Walking</subject><ispartof>American journal of epidemiology, 2023-11, Vol.192 (12), p.1960-1970</ispartof><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. 2023</rights><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c343t-4b8822fe623bbb6fd132ec424dbf371e59042908fb38b082026c732cf6875bd93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,1586,27931,27932</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37312569$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rundle, Andrew G</creatorcontrib><creatorcontrib>Neckerman, Kathryn M</creatorcontrib><creatorcontrib>Judd, Suzanne E</creatorcontrib><creatorcontrib>Colabianchi, Natalie</creatorcontrib><creatorcontrib>Moore, Kari A</creatorcontrib><creatorcontrib>Quinn, James W</creatorcontrib><creatorcontrib>Hirsch, Jana A</creatorcontrib><creatorcontrib>Lovasi, Gina S</creatorcontrib><title>Cumulative Experience of Neighborhood Walkability and Change in Weight and Waist Circumference in REGARDS</title><title>American journal of epidemiology</title><addtitle>Am J Epidemiol</addtitle><description>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; calculated as weight (kg)/height (m)2) 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 the Reasons for Geographic and Racial Differences in Stroke Study (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 after approximately 10 years of follow-up, controlling for these anthropometric measures at enrollment. Analyses were adjusted for individual-level sociodemographic covariates and the cumulative experience of neighborhood poverty rate and neighborhood greenspace coverage. Almost a third (29%) 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 who experienced the highest quartile had 0.83 lower BMI (95% confidence interval, –1.5, −0.16) and 1.07-cm smaller waist circumference (95% confidence interval, –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.</description><subject>Adipose tissue</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Body weight</subject><subject>Built environment</subject><subject>Cross-Sectional Studies</subject><subject>Environment Design</subject><subject>Exercise</subject><subject>Humans</subject><subject>Neighborhoods</subject><subject>Obesity</subject><subject>Physical activity</subject><subject>Poverty</subject><subject>Quartiles</subject><subject>Residence Characteristics</subject><subject>Residential areas</subject><subject>Urban environments</subject><subject>Waist Circumference</subject><subject>Walking</subject><issn>0002-9262</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>EIF</sourceid><recordid>eNp90U1r3DAQBmBRGpJtmlPuQVAogeBGGtmydAzu5gNCCmnLHo1kS1ltbGsr2U3z76PNbnPooacB8fCimRehY0q-UCLZuVqZ88cn1VKWv0Mzmpc841Dw92hGCIFMAocD9CHGFSGUyoLsowNWMpqInCFXTf3UqdH9Nnj-Z22CM0NjsLf4zriHpfZh6X2LF6p7VNp1bnzGamhxtVTDg8FuwIsNG18fF8rFEVcuNFNvTXgNSuJ-fnVx__X7R7RnVRfN0W4eop-X8x_VdXb77eqmurjNGpazMcu1EADWcGBaa27TWmCaHPJWW1ZSU0iSgyTCaiY0EUCANyWDxnJRFrqV7BCdbnPXwf-aTBzr3sXGdJ0ajJ9iDQIKke7GN_TTP3TlpzCk39UgiwKkKHOS1NlWNcHHGIyt18H1KjzXlNSbBurUQL1rIOmTXeake9O-2b8nT-DzFvhp_d-kF4XIjiI</recordid><startdate>20231110</startdate><enddate>20231110</enddate><creator>Rundle, Andrew G</creator><creator>Neckerman, Kathryn M</creator><creator>Judd, Suzanne E</creator><creator>Colabianchi, Natalie</creator><creator>Moore, Kari A</creator><creator>Quinn, James W</creator><creator>Hirsch, Jana A</creator><creator>Lovasi, Gina S</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T2</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20231110</creationdate><title>Cumulative Experience of Neighborhood Walkability and Change in Weight and Waist Circumference in REGARDS</title><author>Rundle, Andrew G ; Neckerman, Kathryn M ; Judd, Suzanne E ; Colabianchi, Natalie ; Moore, Kari A ; Quinn, James W ; Hirsch, Jana A ; Lovasi, Gina S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c343t-4b8822fe623bbb6fd132ec424dbf371e59042908fb38b082026c732cf6875bd93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adipose tissue</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Body weight</topic><topic>Built environment</topic><topic>Cross-Sectional Studies</topic><topic>Environment Design</topic><topic>Exercise</topic><topic>Humans</topic><topic>Neighborhoods</topic><topic>Obesity</topic><topic>Physical activity</topic><topic>Poverty</topic><topic>Quartiles</topic><topic>Residence Characteristics</topic><topic>Residential areas</topic><topic>Urban environments</topic><topic>Waist Circumference</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rundle, Andrew G</creatorcontrib><creatorcontrib>Neckerman, Kathryn M</creatorcontrib><creatorcontrib>Judd, Suzanne E</creatorcontrib><creatorcontrib>Colabianchi, Natalie</creatorcontrib><creatorcontrib>Moore, Kari A</creatorcontrib><creatorcontrib>Quinn, James W</creatorcontrib><creatorcontrib>Hirsch, Jana A</creatorcontrib><creatorcontrib>Lovasi, Gina S</creatorcontrib><collection>Access via Oxford University Press (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rundle, Andrew G</au><au>Neckerman, Kathryn M</au><au>Judd, Suzanne E</au><au>Colabianchi, Natalie</au><au>Moore, Kari A</au><au>Quinn, James W</au><au>Hirsch, Jana A</au><au>Lovasi, Gina S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cumulative Experience of Neighborhood Walkability and Change in Weight and Waist Circumference in REGARDS</atitle><jtitle>American journal of epidemiology</jtitle><addtitle>Am J Epidemiol</addtitle><date>2023-11-10</date><risdate>2023</risdate><volume>192</volume><issue>12</issue><spage>1960</spage><epage>1970</epage><pages>1960-1970</pages><issn>0002-9262</issn><eissn>1476-6256</eissn><abstract>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; calculated as weight (kg)/height (m)2) 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 the Reasons for Geographic and Racial Differences in Stroke Study (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 after approximately 10 years of follow-up, controlling for these anthropometric measures at enrollment. Analyses were adjusted for individual-level sociodemographic covariates and the cumulative experience of neighborhood poverty rate and neighborhood greenspace coverage. Almost a third (29%) 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 who experienced the highest quartile had 0.83 lower BMI (95% confidence interval, –1.5, −0.16) and 1.07-cm smaller waist circumference (95% confidence interval, –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.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>37312569</pmid><doi>10.1093/aje/kwad134</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adipose tissue Body mass index Body size Body weight Built environment Cross-Sectional Studies Environment Design Exercise Humans Neighborhoods Obesity Physical activity Poverty Quartiles Residence Characteristics Residential areas Urban environments Waist Circumference Walking |
title | Cumulative Experience of Neighborhood Walkability and Change in Weight and Waist Circumference in REGARDS |
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