Would increasing access to recreational places promote healthier weights and a healthier nation?
Addressing gaps in evidence on causal associations, this study tested the hypothesis that better access to recreational places close to home helps people to maintain lower body mass index (BMI) using a retrospective longitudinal study design and up to 6 years of data for the same individuals (1,522,...
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Veröffentlicht in: | Health & place 2019-03, Vol.56, p.127-134 |
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creator | Slater, Sandy J. Tarlov, Elizabeth Jones, Kelly Matthews, Stephen A. Wing, Coady Zenk, Shannon N. |
description | Addressing gaps in evidence on causal associations, this study tested the hypothesis that better access to recreational places close to home helps people to maintain lower body mass index (BMI) using a retrospective longitudinal study design and up to 6 years of data for the same individuals (1,522,803 men and 183,618 women). Participants were military veterans aged 20–64 who received healthcare through the U.S. Department of Veterans Affairs in 2009–2014 and lived in a metropolitan area. Although there were cross-sectional associations, we found no longitudinal evidence that access to parks and fitness facilities was associated with BMI for either men or women in the full sample or in subgroups of residential movers and stayers. Our findings suggest that simply increasing the number of parks and fitness facilities may not be enough to achieve needed population-level reductions in weight.
•Addresses gaps in evidence on causal associations between the built environment and weight.•Found no longitudinal evidence that access to recreational places was associated with BMI.•Simply increasing the number of recreational places may not be enough to achieve needed population-level reductions in weight. |
doi_str_mv | 10.1016/j.healthplace.2019.01.013 |
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•Addresses gaps in evidence on causal associations between the built environment and weight.•Found no longitudinal evidence that access to recreational places was associated with BMI.•Simply increasing the number of recreational places may not be enough to achieve needed population-level reductions in weight.</description><identifier>ISSN: 1353-8292</identifier><identifier>ISSN: 1873-2054</identifier><identifier>EISSN: 1873-2054</identifier><identifier>DOI: 10.1016/j.healthplace.2019.01.013</identifier><identifier>PMID: 30738347</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Body mass ; Body Mass Index ; Body size ; Body Weight - physiology ; Correlation analysis ; Cross-Sectional Studies ; Exercise - physiology ; Federal agencies ; Female ; Fitness ; Fitness Centers ; Health care ; Humans ; Longitudinal Studies ; Lower limbs ; Male ; Metropolitan areas ; Middle Aged ; Military personnel ; Obesity - prevention & control ; Parks ; Parks & recreation areas ; Parks, Recreational ; Physical fitness ; Recreation ; Retrospective Studies ; Subgroups ; Urban Population ; Veterans ; Veterans - statistics & numerical data ; Veterans Health Services ; Weight reduction</subject><ispartof>Health & place, 2019-03, Vol.56, p.127-134</ispartof><rights>2019 Elsevier Ltd</rights><rights>Copyright © 2019 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Mar 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c511t-74000e785a867aa56772bef86a7bc27260cf0ae27ea9fb496d60633ef44129433</citedby><cites>FETCH-LOGICAL-c511t-74000e785a867aa56772bef86a7bc27260cf0ae27ea9fb496d60633ef44129433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1353829217311905$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,30976,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30738347$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Slater, Sandy J.</creatorcontrib><creatorcontrib>Tarlov, Elizabeth</creatorcontrib><creatorcontrib>Jones, Kelly</creatorcontrib><creatorcontrib>Matthews, Stephen A.</creatorcontrib><creatorcontrib>Wing, Coady</creatorcontrib><creatorcontrib>Zenk, Shannon N.</creatorcontrib><title>Would increasing access to recreational places promote healthier weights and a healthier nation?</title><title>Health & place</title><addtitle>Health Place</addtitle><description>Addressing gaps in evidence on causal associations, this study tested the hypothesis that better access to recreational places close to home helps people to maintain lower body mass index (BMI) using a retrospective longitudinal study design and up to 6 years of data for the same individuals (1,522,803 men and 183,618 women). Participants were military veterans aged 20–64 who received healthcare through the U.S. Department of Veterans Affairs in 2009–2014 and lived in a metropolitan area. Although there were cross-sectional associations, we found no longitudinal evidence that access to parks and fitness facilities was associated with BMI for either men or women in the full sample or in subgroups of residential movers and stayers. Our findings suggest that simply increasing the number of parks and fitness facilities may not be enough to achieve needed population-level reductions in weight.
•Addresses gaps in evidence on causal associations between the built environment and weight.•Found no longitudinal evidence that access to recreational places was associated with BMI.•Simply increasing the number of recreational places may not be enough to achieve needed population-level reductions in weight.</description><subject>Body mass</subject><subject>Body Mass Index</subject><subject>Body size</subject><subject>Body Weight - physiology</subject><subject>Correlation analysis</subject><subject>Cross-Sectional Studies</subject><subject>Exercise - physiology</subject><subject>Federal agencies</subject><subject>Female</subject><subject>Fitness</subject><subject>Fitness Centers</subject><subject>Health care</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Lower limbs</subject><subject>Male</subject><subject>Metropolitan areas</subject><subject>Middle Aged</subject><subject>Military personnel</subject><subject>Obesity - prevention & control</subject><subject>Parks</subject><subject>Parks & recreation areas</subject><subject>Parks, Recreational</subject><subject>Physical fitness</subject><subject>Recreation</subject><subject>Retrospective Studies</subject><subject>Subgroups</subject><subject>Urban Population</subject><subject>Veterans</subject><subject>Veterans - statistics & numerical data</subject><subject>Veterans Health Services</subject><subject>Weight reduction</subject><issn>1353-8292</issn><issn>1873-2054</issn><issn>1873-2054</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkUuLFDEQx4Mo7kO_gkS8eOkxr07SF2UZXBUWvCgeY026eiZDTzIm3St-ezM76zJ6EgoSqn71_BPykrMFZ1y_2S42COO02Y_gcSEY7xaMV5OPyDm3RjaCtepx_ctWNlZ04oxclLJljGmr-FNyJpmRVipzTr5_S_PY0xB9Righril4j6XQKdGMB-cUUoSR3vUqdJ_TLk1IjwMEzPQnhvVmKhRiT-HEH-8y3z0jTwYYCz6_fy_J1-v3X5Yfm5vPHz4tr24a33I-NUbV6dDYFqw2AK02RqxwsBrMygsjNPMDAxQGoRtWqtO9ZlpKHJTiolNSXpK3x7r7ebXD3mOcMoxun8MO8i-XILi_IzFs3DrdOm2N5ayrBV7fF8jpx4xlcrtQPI4jRExzcYJbyS03raroq3_QbZpzvVKlBNOCdUbrSnVHyudUSsbhYRjO3EFHt3UnOrqDjo7xaodtXpxu85D5R7gKLI8A1pve1nu74gNGj32osk2uT-E_2vwGIZ61_A</recordid><startdate>20190301</startdate><enddate>20190301</enddate><creator>Slater, Sandy J.</creator><creator>Tarlov, Elizabeth</creator><creator>Jones, Kelly</creator><creator>Matthews, Stephen A.</creator><creator>Wing, Coady</creator><creator>Zenk, Shannon N.</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><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>7QJ</scope><scope>7T2</scope><scope>8BJ</scope><scope>C1K</scope><scope>FQK</scope><scope>JBE</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190301</creationdate><title>Would increasing access to recreational places promote healthier weights and a healthier nation?</title><author>Slater, Sandy J. ; Tarlov, Elizabeth ; Jones, Kelly ; Matthews, Stephen A. ; Wing, Coady ; Zenk, Shannon N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c511t-74000e785a867aa56772bef86a7bc27260cf0ae27ea9fb496d60633ef44129433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Body mass</topic><topic>Body Mass Index</topic><topic>Body size</topic><topic>Body Weight - physiology</topic><topic>Correlation analysis</topic><topic>Cross-Sectional Studies</topic><topic>Exercise - physiology</topic><topic>Federal agencies</topic><topic>Female</topic><topic>Fitness</topic><topic>Fitness Centers</topic><topic>Health care</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Lower limbs</topic><topic>Male</topic><topic>Metropolitan areas</topic><topic>Middle Aged</topic><topic>Military personnel</topic><topic>Obesity - prevention & control</topic><topic>Parks</topic><topic>Parks & recreation areas</topic><topic>Parks, Recreational</topic><topic>Physical fitness</topic><topic>Recreation</topic><topic>Retrospective Studies</topic><topic>Subgroups</topic><topic>Urban Population</topic><topic>Veterans</topic><topic>Veterans - statistics & numerical data</topic><topic>Veterans Health Services</topic><topic>Weight reduction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Slater, Sandy J.</creatorcontrib><creatorcontrib>Tarlov, Elizabeth</creatorcontrib><creatorcontrib>Jones, Kelly</creatorcontrib><creatorcontrib>Matthews, Stephen A.</creatorcontrib><creatorcontrib>Wing, Coady</creatorcontrib><creatorcontrib>Zenk, Shannon N.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Health & place</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Slater, Sandy J.</au><au>Tarlov, Elizabeth</au><au>Jones, Kelly</au><au>Matthews, Stephen A.</au><au>Wing, Coady</au><au>Zenk, Shannon N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Would increasing access to recreational places promote healthier weights and a healthier nation?</atitle><jtitle>Health & place</jtitle><addtitle>Health Place</addtitle><date>2019-03-01</date><risdate>2019</risdate><volume>56</volume><spage>127</spage><epage>134</epage><pages>127-134</pages><issn>1353-8292</issn><issn>1873-2054</issn><eissn>1873-2054</eissn><abstract>Addressing gaps in evidence on causal associations, this study tested the hypothesis that better access to recreational places close to home helps people to maintain lower body mass index (BMI) using a retrospective longitudinal study design and up to 6 years of data for the same individuals (1,522,803 men and 183,618 women). Participants were military veterans aged 20–64 who received healthcare through the U.S. Department of Veterans Affairs in 2009–2014 and lived in a metropolitan area. Although there were cross-sectional associations, we found no longitudinal evidence that access to parks and fitness facilities was associated with BMI for either men or women in the full sample or in subgroups of residential movers and stayers. Our findings suggest that simply increasing the number of parks and fitness facilities may not be enough to achieve needed population-level reductions in weight.
•Addresses gaps in evidence on causal associations between the built environment and weight.•Found no longitudinal evidence that access to recreational places was associated with BMI.•Simply increasing the number of recreational places may not be enough to achieve needed population-level reductions in weight.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>30738347</pmid><doi>10.1016/j.healthplace.2019.01.013</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Body mass Body Mass Index Body size Body Weight - physiology Correlation analysis Cross-Sectional Studies Exercise - physiology Federal agencies Female Fitness Fitness Centers Health care Humans Longitudinal Studies Lower limbs Male Metropolitan areas Middle Aged Military personnel Obesity - prevention & control Parks Parks & recreation areas Parks, Recreational Physical fitness Recreation Retrospective Studies Subgroups Urban Population Veterans Veterans - statistics & numerical data Veterans Health Services Weight reduction |
title | Would increasing access to recreational places promote healthier weights and a healthier nation? |
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