Determinants of childhood obesity: What can we learn from built environment studies?

Determinants of childhood obesity: What can we learn from built environment studies?
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DOI:
10.1016/j.foodqual.2011.06.003
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发表时间:
2014-01-01
影响因子:
5.3
通讯作者:
Simon, Chantal
Simon, Chantal
中科院分区:
农林科学1区
文献类型:
--
作者:
Casey, Romain;Oppert, Jean-Michel;Simon, Chantal

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在ELIANE(环境与体力活动、营养和健康的联系)研究项目的框架内,我们对实际建筑环境的客观空间测量与青年体重状况之间的关联进行了系统的回顾。文献检索识别出25篇相关论文(20项人群研究)。其中18个报告了至少一个统计学上显著的关系,尽管在63个测试的关联中只有24个是显著的。体重与指数的反比关系表明更高的步行性是最一致的发现是显着的(9篇论文中的7篇)。体重与便利店的空间可达性正相关(6篇论文中的3篇),与休闲体育活动设施的空间可达性负相关(9篇论文中的4篇)。与公园、其他食品零售店和餐馆的关系不一致。这种差异的结果可能的原因进行了讨论,并提出了研究途径。需要采取更好的建设环境措施。挑战在于更好地理解建筑环境和社会经济背景影响儿童体重状况的复杂途径,同时考虑到集体社会功能和个人看法。(C)2011爱思唯尔有限公司保留所有权利。
In the framework of the ELIANE (Environmental Links to physical Activity, Nutrition and hEalth) research project, we performed a systematic review of the associations between objective spatial measurements of the actual built environment and weight status in youth. The literature search identified 25 relevant papers (20 population studies). Eighteen of these reported at least one statistically significant relationship, although only 24 of the 63 associations tested were significant. Inverse relationships of weight with indices suggesting higher walkability were most consistently found to be significant (7 out of 9 papers). Weight was positively related to spatial accessibility to convenience store (3 out of 6 papers), and inversely to the spatial accessibility to recreational physical activity facilities (4 out of 9 papers). Relationships with parks, other food retail outlets and restaurants were inconsistent. Possible reasons for such discrepant results are discussed, and research avenues are presented. Better built environment measures are needed. A challenge lies in better understanding the complex pathways through which the built environment and the socio-economic context impact childhood weight status, taking into account collective social functioning and individual perceptions. (C) 2011 Elsevier Ltd. All rights reserved.