Higher walkability associated with increased physical activity and reduced obesity among United States adults.
Higher walkability associated with increased physical activity and reduced obesity among United States adults.
复制标题
美国成年人的步行能力提高与身体活动的增加和肥胖的减少有关。
DOI：
10.1002/oby.23634
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
McElfish,PearlA
中科院分区：
文献类型：
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作者：
Wang,MonicaL;Narcisse,Marie-Rachelle;McElfish,PearlA
这项研究探讨了美国成年人中感知的邻里步行能力，体育活动（PA）和肥胖之间的关联。步行能力使用总结性量表进行评估，并分为低，中，高。PA被分类为不足（0 - 149分钟/周）或充足（150+分钟/周）。多变量回归估计肥胖与BMI和PA/步行能力之间的关联。中介分析被用来划分PA作为中介的贡献。通过种族和民族之间的步行能力和BMI.ResultsThe样本includedN= 31,568成年人之间的关联的效果修改进行了探索。与低步行性社区的参与者相比，高步行性社区的参与者具有足够PA的几率增加（比值比[OR] = 1.48; 95% CI：1.30 - 1.69）和肥胖几率降低（OR = 0.76; 95% CI：0.66 - 0.87）。PA部分介导了步行能力与BMI之间的相关性（23.4%; 95% CI：14.6%-62.7%）。步行能力和BMI之间的相关性通过种族和民族进行了修改（F[5，567]= 2.75;p= 0.018）。在白色，黑人，西班牙裔和亚洲成年人，BMI随着步行能力的增加而下降;在美国印第安人/阿拉斯加原住民和多种族/其他成年人中，BMI随着步行能力的增加而增加。ConclusionsThe研究结果强调了投资于建筑环境以改善步行能力的看法和促进PA和健康体重的重要性，以及制定针对这些结果中种族和民族差异的干预措施。
ObjectiveThis study examined associations among perceived neighborhood walkability, physical activity (PA), and obesity among United States adults.MethodsData from the 2020 National Health Interview Survey were analyzed. Walkability was assessed using a summative scale and was categorized as low, medium, or high. PA was categorized as insufficient (0‐149 min/wk) or sufficient (150+ min/wk). Multivariable regressions estimated an association between obesity and BMI and PA/walkability. Mediation analysis was used to partition contribution of PA as a mediator. Effect modification by race and ethnicity in the association between walkability and BMI was explored.ResultsThe sample includedN= 31,568 adults. Compared with those in low‐walkability neighborhoods, participants in high‐walkability neighborhoods had increased odds of sufficient PA (odds ratio [OR] = 1.48; 95% CI: 1.30‐1.69) and decreased obesity odds (OR = 0.76; 95% CI: 0.66‐0.87). PA partially mediated the association between walkability and BMI (23.4%; 95% CI: 14.6%‐62.7%). The association between walkability and BMI was modified by race and ethnicity (F[5,567]= 2.75;p= 0.018). Among White, Black, Hispanic, and Asian adults, BMI decreased with increasing walkability; among American Indian/Alaska Native and multiracial/other adults, BMI increased with increasing walkability.ConclusionsThe findings highlight the importance of investing in the built environment to improve perceptions of walkability and promote PA and healthy weight, as well as developing interventions to target racial and ethnic disparities in these outcomes.