Neighborhood and weight-related health behaviors in the Look AHEAD (Action for Health in Diabetes) study.
Neighborhood and weight-related health behaviors in the Look AHEAD (Action for Health in Diabetes) study.
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DOI：
10.1186/1471-2458-10-312
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发表时间：
2010-06-04
影响因子：
4.5
通讯作者：
Look AHEAD Research Group
中科院分区：
文献类型：
--
作者：
Gary-Webb TL;Baptiste-Roberts K;Pham L;Wesche-Thobaben J;Patricio J;Pi-Sunyer FX;Brown AF;Jones L;Brancati FL;Look AHEAD Research Group
之前的研究表明，邻里因素与肥胖有关，但很少有研究评估这种关系与体重控制行为的关系。本研究旨在进行多层次分析，以检视邻里自尊与体重相关健康行为的关系。在这项名为展望未来(糖尿病健康行动)的辅助研究中，来自4个诊所的1219名参与者的个人水平数据与2000年美国人口普查和其他数据库中的社区水平数据联系在一起，这是一项在2型糖尿病患者中进行的长期减肥试验。社区变量包括社会经济地位(生活在联邦贫困线以下的百分比)以及食品店、便利店和餐馆的可用性。因变量包括BMI、饮食模式、体重控制行为以及与食物和体力活动相关的资源使用。多水平模型被用来解释个体水平的SES和潜在的混杂因素。餐厅的可用性与几种饮食和体重控制行为有关。与餐馆较少社区的参与者相比，餐馆较多社区的参与者更有可能在非快餐店吃早餐(患病率1.29，95%CI：1.01~1.62)和午餐(PR=1.19，1.04~1.36)。与那些住在餐馆较少的社区的人相比，他们尝试减肥的可能性较小(OR=0.93，0.89-0.97)，但更有可能分别从事食物和体育活动的体重控制行为。相比之下，邻居的SES与体重控制行为几乎没有关联。在这组选定的减肥试验参与者中，餐厅的可用性与一些体重控制做法有关，但社区SES不相关。未来的研究应该关注其他人群，并通过体重控制实践评估身体和社会环境的各个方面。
Previous studies have shown that neighborhood factors are associated with obesity, but few studies have evaluated the association with weight control behaviors. This study aims to conduct a multi-level analysis to examine the relationship between neighborhood SES and weight-related health behaviors. In this ancillary study to Look AHEAD (Action for Health in Diabetes) a trial of long-term weight loss among individuals with type 2 diabetes, individual-level data on 1219 participants from 4 clinic sites at baseline were linked to neighborhood-level data at the tract level from the 2000 US Census and other databases. Neighborhood variables included SES (% living below the federal poverty level) and the availability of food stores, convenience stores, and restaurants. Dependent variables included BMI, eating patterns, weight control behaviors and resource use related to food and physical activity. Multi-level models were used to account for individual-level SES and potential confounders. The availability of restaurants was related to several eating and weight control behaviors. Compared to their counterparts in neighborhoods with fewer restaurants, participants in neighborhoods with more restaurants were more likely to eat breakfast (prevalence Ratio [PR] 1.29 95% CI: 1.01-1.62) and lunch (PR = 1.19, 1.04-1.36) at non-fast food restaurants. They were less likely to be attempting weight loss (OR = 0.93, 0.89-0.97) but more likely to engage in weight control behaviors for food and physical activity, respectively, than those who lived in neighborhoods with fewer restaurants. In contrast, neighborhood SES had little association with weight control behaviors. In this selected group of weight loss trial participants, restaurant availability was associated with some weight control practices, but neighborhood SES was not. Future studies should give attention to other populations and to evaluating various aspects of the physical and social environment with weight control practices.
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影响因子：
120.7
作者：
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通讯作者：
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