Impact of built, social, and economic environments on adolescent obesity and related health behaviors.
Impact of built, social, and economic environments on adolescent obesity and related health behaviors.
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建筑、社会和经济环境对青少年肥胖和相关健康行为的影响。
DOI：
10.1002/oby.23682
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Datar,Ashlesha
中科院分区：
文献类型：
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作者：
Prados,MaríaJ;Nicosia,Nancy;Datar,Ashlesha
本研究旨在评估建筑、社会和经济环境对青少年肥胖和相关行为的影响。MethodsExploiting准外源性变化在军人家庭的地理位置，本研究估计意向治疗模型之间的关联分配安装的县环境和青少年的肥胖和相关行为。（平均年龄13.5岁）自我报告和模型校正的BMI，超重或肥胖状态，以及自我报告的饮食和运动。基于19个指标，构建了三个指数，社会和经济环境表征了县级环境（值越高意味着环境越有利）。多变量线性和逻辑模型估计的全样本（N =1111）和子样本与更大的暴露的基础上的时间（n= 682）和场外安装居住（n= 604）。（-0.18; 95%CI：-0.34至-0.026）和超重或肥胖（-0.34; 95%CI：-0.56至-0.12），并与较低的BMI评分（-0.76; 95%CI：-1.45至-0.02）相关。生活在非安装环境中的青少年的结果相似。更有利的建筑环境也与不健康食品的低消费有关，但与体育活动无关。社会和经济环境与任何outcome.ConclusionsThe建成环境，但不是社会和经济环境，是一个强有力的预测青少年的BMI，超重或肥胖状态，和饮食行为。
ObjectiveThis study aimed to estimate the effects of the built, social, and economic environments on adolescent obesity and related behaviors.MethodsExploiting quasi‐exogenous variation in military families' geographic location, this study estimated intent‐to‐treat models of the association between the assigned installation's county environments and adolescents' (mean age 13.5 years) self‐reported and model‐corrected BMI, overweight or obesity status, and self‐reported diet and exercise. Three indices for the built, social, and economic environments characterized county‐level environments (higher value implies more advantageous environments) based on 19 indicators. Multivariate linear and logistic models were estimated on the full sample (N =1111) and on subsamples with greater exposure based on time (n= 682) and off‐installation residence (n= 604).ResultsExposure to more advantageous built environments for more than 2 years was associated with lower probabilities of obesity (−0.18; 95% CI: −0.34 to −0.026) and overweight or obesity (−0.34; 95% CI: −0.56 to −0.12) and was associated with lower BMIzscores (−0.76; 95% CI: −1.45 to −0.02). Results for adolescents living off‐installation were similar. More advantageous built environments were also associated with lower consumption of unhealthy foods, but not with physical activity. Social and economic environments were not associated with any outcomes.ConclusionsThe built environment, but not social and economic environments, was a strong predictor of adolescents' BMI, overweight or obesity status, and eating behaviors.