Neighborhood playgrounds, fast food restaurants, and crime: relationships to overweight in low-income preschool children
Neighborhood playgrounds, fast food restaurants, and crime: relationships to overweight in low-income preschool children
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DOI：
10.1016/j.ypmed.2003.09.029
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发表时间：
2004-01-01
影响因子：
5.1
通讯作者：
Whitaker, RC
中科院分区：
文献类型：
--
作者：
Burdette, HL;Whitaker, RC
背景我们研究了学龄前儿童超重与三个环境因素之间的关系，即儿童住所与游乐场和快餐店的距离以及儿童社区的安全性。我们假设那些居住在远离游乐场、靠近快餐店和不安全社区的儿童更有可能超重。这是一项对居住在俄亥俄州辛辛那提的7,020名36至59个月的低收入儿童进行的横断面研究。超重定义为测量的体重指数大于或等于第95百分位数。每个孩子的住所与最近的公共游乐场和快餐店之间的距离是通过地理信息系统确定的。邻里安全的定义是每年每1,000名居民中警察报告的犯罪数量，在46个城市社区。总体而言，9.2%的儿童超重，76%的黑人和23%的白色。从孩子的家到最近的游乐场和快餐店的平均（+/-SD）距离分别为0.31（+/-0.22）和0.70（+/-0.38）英里。儿童超重与靠近游乐场、快餐店或社区犯罪水平之间没有关联。儿童超重和游乐场接近之间的关联并没有因社区犯罪水平而有所不同。在城市低收入学龄前儿童中，超重与靠近游乐场和快餐店或社区犯罪水平无关。(C)2003年美国健康基金会和爱思唯尔公司All rights reserved.
Background. We examined the relationship between overweight in preschool children and three environmental factors-the proximity of the children's residences to playgrounds and to fast food restaurants and the safety of the children's neighborhoods. We hypothesized that children who lived farther from playgrounds, closer to fast food restaurants, and in unsafe neighborhoods were more likely to be overweight.Methods. This was a cross-sectional study of 7,020 low-income children, 36 through 59 months of age living in Cincinnati, OH. Overweight was defined as a measured body mass index greater than or equal to95th percentile. The distance between each child's residence and the nearest public playground and fast food restaurant was determined with geographic information systems. Neighborhood safety was defined by the number of police-reported crimes per 1,000 residents per year in each of 46 city neighborhoods.Results. Overall, 9.2% of the children were overweight, 76% black, and 23% white. The mean (+/-SD) distances from a child's home to the nearest playground and fast food restaurant were 0.31 (+/-0.22) and 0.70 (+/-0.38) miles, respectively. There was no association between child overweight and proximity to playgrounds, proximity to fast food restaurants, or level of neighborhood crime. The association between child overweight and playground proximity did not differ by neighborhood crime level.Conclusions. Within a population of urban low-income preschoolers, overweight was not associated with proximity to playgrounds and fast food restaurants or with the level of neighborhood crime. (C) 2003 American Health Foundation and Elsevier Inc. All rights reserved.