Family income and childhood obesity in eight European cities: The mediating roles of neighborhood characteristics and physical activity
Family income and childhood obesity in eight European cities: The mediating roles of neighborhood characteristics and physical activity
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DOI：
10.1016/j.socscimed.2012.03.037
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发表时间：
2012-08-01
影响因子：
5.4
通讯作者：
Vermeylen, Francoise
中科院分区：
文献类型：
--
作者：
Evans, Gary W.;Jones-Rounds, McKenzie L.;Vermeylen, Francoise
利用世界卫生组织在欧洲八个城市（福尔利、维尔纽斯、费雷拉-杜阿连特茹、波恩、日内瓦、昂热、布拉迪斯拉发、布达佩斯）进行的欧洲住房和健康状况大型分析和审查（LARES）研究项目的数据，我们研究了家庭收入和儿童BMI之间的有据可查的负相关性是否可以部分解释为开放的绿色空间和随之而来的体力活动。我们发现，在1184名6-18岁儿童中，家庭收入与BMI呈负相关。利用结构方程模型，对年龄和性别进行统计控制，我们发现家庭收入和BMI之间存在两条间接路径。一种间接的关系通过开放的绿色空间和身体活动连续运作。第二种方法是通过单独的身体活动。孩子的身高和体重以及身体活动水平由他们的母亲报告。开放的绿色空间由经过训练的观察者对孩子家周围区域的评分进行评估。研究的局限性和影响，更好地了解肥胖的生态背景进行了讨论。(C)2012爱思唯尔有限公司保留所有权利。
Utilizing data from the Large Analysis and Review of European Housing and Health Status (LARES) research program conducted by the WHO in eight European cities (Forli, Vilnius, Ferreira do Alentejo, Bonn, Geneva, Angers, Bratislava, Budapest), we examined whether the well-documented inverse correlation between family income and children's BMI might be explained, in part, by access to open green space and ensuing physical activity. We found that household income was inversely related to BMI among 1184 children, ages 6-18 years of age. Utilizing structural equation modeling with statistical controls for age and gender, we found evidence for two indirect paths between household income and BMI. One indirect relationship operates successively through open green space and physical activity. The second path operates through physical activity alone. The child's height and weight as well as level of physical activity were reported by their mother. Open green space was assessed by trained observers' ratings of the area surrounding the child's home. Limitations of the study and implications for better understanding of the ecological context of obesity are discussed. (C) 2012 Elsevier Ltd. All rights reserved.