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
Hauptverfasser: Rundle, Andrew G, Neckerman, Kathryn M, Judd, Suzanne E, Colabianchi, Natalie, Moore, Kari A, Quinn, James W, Hirsch, Jana A, Lovasi, Gina S
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container_end_page 1970
container_issue 12
container_start_page 1960
container_title American journal of epidemiology
container_volume 192
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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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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