Differential associations of the built environment on weight gain by sex and race/ethnicity but not age
| العنوان: | Differential associations of the built environment on weight gain by sex and race/ethnicity but not age |
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| المؤلفون: | Anne Vernez Moudon, Jane Anau, Flavia P. Kapos, Shilpi Gupta, Jennifer F. Bobb, Mary Kay Theis, Adam Drewnowski, James Buszkiewicz, Maricela Cruz, Philip M. Hurvitz, Paula Lozano, Andrea J. Cook, David Arterburn, Dori E. Rosenberg, Stephen J. Mooney |
| المصدر: | International Journal of Obesity. 45:2648-2656 |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Race ethnicity, education.field_of_study, Nutrition and Dietetics, business.industry, Endocrinology, Diabetes and Metabolism, Weight change, Population, Ethnic group, Medicine (miscellaneous), Residential density, Baseline weight, Medicine, medicine.symptom, business, education, Weight gain, Built environment, Demography |
| الوصف: | OBJECTIVE To explore the built environment (BE) and weight change relationship by age, sex, and racial/ethnic subgroups in adults. METHODS Weight trajectories were estimated using electronic health records for 115,260 insured Kaiser Permanente Washington members age 18-64 years. Member home addresses were geocoded using ArcGIS. Population, residential, and road intersection densities and counts of area supermarkets and fast food restaurants were measured with SmartMaps (800 and 5000-meter buffers) and categorized into tertiles. Linear mixed-effect models tested whether associations between BE features and weight gain at 1, 3, and 5 years differed by age, sex, and race/ethnicity, adjusting for demographics, baseline weight, and residential property values. RESULTS Denser urban form and greater availability of supermarkets and fast food restaurants were associated with differential weight change across sex and race/ethnicity. At 5 years, the mean difference in weight change comparing the 3rd versus 1st tertile of residential density was significantly different between males (-0.49 kg, 95% CI: -0.68, -0.30) and females (-0.17 kg, 95% CI: -0.33, -0.01) (P-value for interaction = 0.011). Across race/ethnicity, the mean difference in weight change at 5 years for residential density was significantly different among non-Hispanic (NH) Whites (-0.47 kg, 95% CI: -0.61, -0.32), NH Blacks (-0.86 kg, 95% CI: -1.37, -0.36), Hispanics (0.10 kg, 95% CI: -0.46, 0.65), and NH Asians (0.44 kg, 95% CI: 0.10, 0.78) (P-value for interaction |
| تدمد: | 1476-5497 0307-0565 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::d0b17c512510d403645521e0fd70fecb https://doi.org/10.1038/s41366-021-00937-9 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........d0b17c512510d403645521e0fd70fecb |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14765497 03070565 |
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