Weight and Veterans' Environments Study (WAVES) I and II: Rationale, Methods, and Cohort Characteristics.

Weight and Veterans' Environments Study (WAVES) I and II: Rationale, Methods, and Cohort Characteristics.
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DOI:
10.1177/0890117117694448
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发表时间:
2018-03
期刊:
American journal of health promotion : AJHP
影响因子:
--
通讯作者:
Fitzgibbon ML
Fitzgibbon ML
中科院分区:
其他
文献类型:
--
作者:
Zenk SN;Tarlov E;Powell LM;Wing C;Matthews SA;Slater S;Gordon HS;Berbaum M;Fitzgibbon ML

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Present the rationale, methods, and cohort characteristics for two complementary “big data” studies of residential environment contributions to body weight, metabolic risk, and weight management program participation and effectiveness. Retrospective cohort Continental U.S. 3,261,115 veterans who received Department of Veteran Affairs (VA) healthcare in 2009–2014, including 169,910 weight management program participants and a propensity-score derived comparison group. VA MOVE! weight management program, an evidence-based lifestyle intervention. BMI, metabolic risk measures, MOVE! participation; residential environmental attributes (e.g., food outlet availability, walkability); MOVE! program characteristics. Descriptive statistics presented on cohort characteristics and environments where they live. Forty-four percent of men and 42.8% of women were obese, while 4.9% of men and 9.9% of women engaged in MOVE!. About half of the cohort had at least one supermarket within one-mile of their home, while they averaged close to 4 convenience stores (3.6 for men; 3.9 for women) and 8 fast food restaurants (7.9 for men; 8.2 for women). Forty-one percent of men and 38.6% of women did not have a park, and 35.5% of men and 31.3% of women did not have a commercial fitness facility within one-mile. Drawing on a large nationwide cohort residing in diverse environments, these studies are poised to significantly inform policy and weight management program design.
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