City features related to obesity in preschool children: a cross-sectional analysis of 159 cities in six Latin American countries.
City features related to obesity in preschool children: a cross-sectional analysis of 159 cities in six Latin American countries.
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DOI：
10.1016/j.lana.2023.100458
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发表时间：
2023-04
期刊：
影响因子：
--
通讯作者：
Miranda, J. Jaime
中科院分区：
文献类型：
--
作者：
Zafra-Tanaka, Jessica Hanae;Braverman, Ariela;Anza-Ramirez, Cecilia;Ortigoza, Ana;Lazo, Mariana;Doberti, Tamara;Rodriguez-Osiac, Lorena;Lovasi, Gina S.;Mazariegos, Monica;Sarmiento, Olga;Ferrer, Carolina Perez;Miranda, J. Jaime
Childhood obesity is a rising global health problem. The rapid urbanization experienced in Latin America might impact childhood obesity through different pathways involving urban built and social features of cities. We aimed to evaluate the association between built and social environment features of cities and childhood obesity across countries and cities in Latin America. Cross-sectional analysis of data from 20,040 children aged 1–5 years living in 159 large cities in six Latin American countries. We used individual-level anthropometric data for excess weight (overweight or obesity) from health surveys that could be linked to city-level data. City and sub-city level exposures included the social environment (living conditions, service provision and educational attainment) and the built environment (fragmentation, isolation, presence of mass transit, population density, intersection density and percent greenness). Multi-level logistic models were used to explore associations between city features and excess weight, adjusting for age, sex, and head of household education. The overall prevalence of excess weight among preschool children was 8% but varied substantially between and within countries, ranging from 4% to 25%. Our analysis showed that 97% of the variability was between individuals within sub-city units and around 3% of the variance in z-scores of weight for height was explained by the city and sub-city levels. At the city-level, a higher distance between urban patches (isolation, per 1 SD increase) was associated with lower odds of excess weight (OR 0.90, 95% CI 0.82–0.99). Higher sub-city education was also associated with lower odds of excess weight, but better sub-city living conditions were associated with higher odds of excess weight. Built and social environment features are related to excess weight in preschool children. Our evidence from a wide range of large Latin American cities suggests that urban health interventions may be suitable alternatives towards attaining the goal of reducing excess weight early in the life course. The SALURBAL project (Salud Urbana en América Latina, Urban Health in Latin America) is funded by [205177/Z/16/Z].
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影响因子：
10.4
作者：
Duncan DT;Sharifi M;Melly SJ;Marshall R;Sequist TD;Rifas-Shiman SL;Taveras EM
通讯作者：
Taveras EM
影响因子：
5.1
作者：
Navalpotro, Lourdes;Regidor, Enrique;Astasio, Paloma
通讯作者：
Astasio, Paloma
DOI：
10.1007/s11524-018-00326-0
发表时间：
2019-04-01
影响因子：
6.6
作者：
Quistberg, D. Alex;Roux, Ana V. Diez;Stankov, Ivana
通讯作者：
Stankov, Ivana
DOI：
10.1111/obr.12571
发表时间：
2017-07
期刊：
Obesity reviews : an official journal of the International Association for the Study of Obesity
影响因子：
--
作者：
Corvalán C;Garmendia ML;Jones-Smith J;Lutter CK;Miranda JJ;Pedraza LS;Popkin BM;Ramirez-Zea M;Salvo D;Stein AD
通讯作者：
Stein AD
影响因子：
5.4
作者：
Cerin, Ester;Conway, Terry L.;Sallis, James F.
通讯作者：
Sallis, James F.