دورية أكاديمية
Associations of the Neighborhood Built Environment with Gestational Weight Gain.
| العنوان: | Associations of the Neighborhood Built Environment with Gestational Weight Gain. |
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| المؤلفون: | Grobman WA; Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois., Crenshaw EG; RTI International, Chapel Hill, North Carolina., Marsh DJ; RTI International, Chapel Hill, North Carolina., McNeil RB; RTI International, Chapel Hill, North Carolina., Pemberton VL; Division of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland., Haas DM; Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, Indiana., Debbink M; Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, Utah., Mercer BM; Department of Obstetrics and Gynecology, The MetroHealth System, Cleveland, Ohio., Parry S; Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania., Reddy U; Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut., Saade G; Department of Obstetrics and Gynecology, University of Texas Medical Branch at Galveston, Galveston, Texas., Simhan H; Department of Obstetrics, Gynecology and Reproductive Science, University of Pittsburgh School of Medicine, Magee-Women's Research Institute, Pittsburgh, Pennsylvania., Mukhtar F; Department of Obstetrics-Gynecology, University of California Irvine School of Medicine, Irvine, California., Wing DA; Department of Obstetrics-Gynecology, University of California Irvine School of Medicine, Irvine, California., Kershaw KN; Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois. |
| مؤلفون مشاركون: | NICHD nuMoM2b NHLBI nuMoM2b Heart Health Study Networks |
| المصدر: | American journal of perinatology [Am J Perinatol] 2023 Apr; Vol. 40 (6), pp. 638-645. Date of Electronic Publication: 2021 Jun 03. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: Thieme-Stratton Country of Publication: United States NLM ID: 8405212 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1098-8785 (Electronic) Linking ISSN: 07351631 NLM ISO Abbreviation: Am J Perinatol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, NY : Thieme-Stratton, 1983- |
| مواضيع طبية MeSH: | Gestational Weight Gain*, Pregnancy ; Female ; Humans ; Obesity/epidemiology ; Obesity/complications ; Prospective Studies ; Weight Gain ; Pregnancy Outcome/epidemiology ; Body Mass Index |
| مستخلص: | Objective: This study aimed to determine whether specific factors of the built environment related to physical activity and diet are associated with inadequate and excessive gestational weight gain (GWG). Study Design: This analysis is based on data from the Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-To-Be, a prospective cohort of nulliparous women who were followed from the beginning of their pregnancies through delivery. At each study visit, home addresses were recorded and geocoded. Locations were linked to several built-environment characteristics such as the census tract National Walkability Score (the 2010 Walkability Index) and the number of gyms, parks, and grocery stores within a 3-km radius of residential address. The primary outcome of GWG (calculated as the difference between prepregnancy weight and weight at delivery) was categorized as inadequate, appropriate, or excessive based on weight gained per week of gestation. Multinomial regression (generalized logit) models evaluated the relationship between each factor in the built environment and excessive or inadequate GWG. Results: Of the 8,182 women in the analytic sample, 5,819 (71.1%) had excessive GWG, 1,426 (17.4%) had appropriate GWG, and 937 (11.5%) had inadequate GWG. For the majority of variables examined, built environments more conducive to physical activity and healthful food availability were associated with a lower odds of excessive or inadequate GWG category. For example, a higher number of gyms or parks within 3 km of a participant's residential address was associated with lower odds of having excessive (gyms: adjusted odds ratio [aOR] = 0.93 [0.89-0.96], parks: 0.94 [0.90-0.98]) or inadequate GWG (gyms: 0.91 [0.86-0.96]; parks: 0.91 [0.86-0.97]). Similarly, a higher number of grocery stores was associated with lower odds of having excessive GWG (0.94 [0.91-0.97]). Conclusion: Among a diverse population of nulliparous women, multiple aspects of the built environment are associated with excessive and inadequate GWG. Key Points: · There are little data on the association between the built environment and pregnancy outcomes.. · Multiple aspects of the built environment are associated with excessive and inadequate GWG.. · These results suggest the role that neighborhood investment may play in improving pregnancy outcomes.. Competing Interests: None declared. (Thieme. All rights reserved.) |
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| معلومات مُعتمدة: | U10 HL120006 United States HL NHLBI NIH HHS; U10 HL119991 United States HL NHLBI NIH HHS; UL1 TR000124 United States TR NCATS NIH HHS; P30 ES013508 United States ES NIEHS NIH HHS; UL1 TR000439 United States TR NCATS NIH HHS; U01 HL145358 United States HL NHLBI NIH HHS; UL1 TR000153 United States TR NCATS NIH HHS; U10 HL119993 United States HL NHLBI NIH HHS; U10 HL119992 United States HL NHLBI NIH HHS; U10 HL120019 United States HL NHLBI NIH HHS; UL1 TR002548 United States TR NCATS NIH HHS; U10 HL119989 United States HL NHLBI NIH HHS; UL1 TR001863 United States TR NCATS NIH HHS; U10 HL120018 United States HL NHLBI NIH HHS; U10 HL119990 United States HL NHLBI NIH HHS; UL1 TR001108 United States TR NCATS NIH HHS; UL1 TR001881 United States TR NCATS NIH HHS; U10 HL120034 United States HL NHLBI NIH HHS |
| تواريخ الأحداث: | Date Created: 20210603 Date Completed: 20230405 Latest Revision: 20240402 |
| رمز التحديث: | 20240402 |
| مُعرف محوري في PubMed: | PMC8697035 |
| DOI: | 10.1055/s-0041-1730363 |
| PMID: | 34082443 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1098-8785 |
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| DOI: | 10.1055/s-0041-1730363 |