Features of the built environment related to physical activity friendliness and children's obesity and other risk factors.

Features of the built environment related to physical activity friendliness and children's obesity and other risk factors.
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DOI:
10.1111/phn.12144
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发表时间:
2014-11
期刊:
Public health nursing (Boston, Mass.)
影响因子:
--
通讯作者:
Meininger JC
Meininger JC
中科院分区:
其他
文献类型:
--
作者:
Taylor WC;Upchurch SL;Brosnan CA;Selwyn BJ;Nguyen TQ;Villagomez ET;Meininger JC

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我们调查了体力活动友好性的环境特征、社会经济指标与肥胖(BMI状态)、中心性肥胖(腰围、腰围-身高比)和高血压患病率之间的关系。设计是横断面的;研究是相关的。样本是911名六年级学生,他们来自一个城市学区的三所学校,居住在13个指定的社区。分析了步行环境社区审计数据、社会经济指标普查数据、体重指数、腰围、腰高比和血压。一个修改后的阿方索的步行需求层次模型是环境特征的概念框架(即,可达性、安全性、舒适性和愉悦性)。可获得性与肥胖症患病率和腰围身高比> 0.50的患病率呈显著负相关。当邻里教育被控制,当邻里教育和贫困被控制与偏相关分析,步行环境的舒适性特征显着和正相关的肥胖患病率。在偏相关控制贫困的情况下,可及性与腰高比> 0.50的患病率呈显著负相关。建筑环境值得进一步研究,以促进体育活动和遏制儿童肥胖症的流行。我们的方法可以为未来的研究提供一个有用的框架。
We investigated the relationships among environmental features of physical activity friendliness, socioeconomic indicators, and prevalence of obesity (BMI status), central adiposity (waist circumference, waist-height ratio), and hypertension. The design was cross-sectional; the study was correlational. The sample was 911 kindergarteners through sixth graders from three schools in an urban school district residing in 13 designated neighborhoods. Data from walking environmental community audits, census data for socioeconomic indicators, body mass index, waist circumference, waist-height ratio, and blood pressure were analyzed. A modified Alfonzo’s Hierarchy of Walking Needs model was the conceptual framework for environmental features (i.e., accessibility, safety, comfort, and pleasurability) related to physical activity. Accessibility was significantly and negatively correlated with prevalence of obesity and with prevalence of a waist-height ratio > 0.50. When neighborhood education was controlled, and when both neighborhood education and poverty were controlled with partial correlational analysis, comfort features of a walking environment were significantly and positively related to prevalence of obesity. When poverty was controlled with partial correlation, accessibility was significantly and negatively correlated with prevalence of waist-height ratio > 0.50. The built environment merits further research to promote physical activity and stem the obesity epidemic in children. Our approach can be a useful framework for future research.
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