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
Hauptverfasser: Slater, Sandy J., Tarlov, Elizabeth, Jones, Kelly, Matthews, Stephen A., Wing, Coady, Zenk, Shannon N.
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container_end_page 134
container_issue
container_start_page 127
container_title Health & place
container_volume 56
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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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals Complete
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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