Associations of the Neighborhood Built Environment with Gestational Weight Gain.
Associations of the Neighborhood Built Environment with Gestational Weight Gain.
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DOI：
10.1055/s-0041-1730363
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发表时间：
2023-04
影响因子：
2
通讯作者：
NICHD nuMoM2b NHLBI nuMoM2b Heart Health Study Networks
中科院分区：
文献类型：
--
作者：
Grobman WA;Crenshaw EG;Marsh DJ;McNeil RB;Pemberton VL;Haas DM;Debbink M;Mercer BM;Parry S;Reddy U;Saade G;Simhan H;Mukhtar F;Wing DA;Kershaw KN;NICHD nuMoM2b NHLBI nuMoM2b Heart Health Study Networks
本研究旨在确定建筑环境中与体力活动和饮食相关的特定因素是否与妊娠期体重增加不足或过多有关。这一分析基于未分娩妊娠结局研究的数据：监测准妈妈，这是一组未分娩妇女的预期队列，从怀孕开始到分娩一直被跟踪。在每次研究访问中，记录家庭地址并对其进行地理编码。地点与几个建筑环境特征有关，如人口普查区域全国可步行指数(2010年可步行指数)，以及住宅区半径3公里内的健身房、公园和杂货店的数量。GWG的主要结果(根据孕前体重和分娩时体重的差值计算)根据孕周增加的体重分为不足、适当或过度三类。多项回归(广义Logit)模型评估了建筑环境中的每个因素与GWG过多或不足之间的关系。在分析样本中的8182名女性中，5819名(71.1%)GWG过多，1426名(17.4%)GWG适中，937名(11.5%)GWG不足。在所考察的大多数变量中，更有利于体力活动和健康食物供应的建筑环境与GWG类别过高或不足的几率较低相关。例如，参与者住址3公里内的健身房或公园数量越多，发生GWG过多(健身房：调整后的赔率比[AOR]=0.93[0.89-0.96]，公园：0.94[0.90-0.98])或GWG不足(健身房：0.91[0.86-0.96]；公园：0.91[0.86-0.97])的几率较低。同样，杂货店的数量越多，GWG过多的几率就越低(0.94[0.91-0.97])。在不同的未分娩妇女群体中，建筑环境的多个方面与GWG过多和不足有关。
This study aimed to determine whether specific factors of the built environment related to physical activity and diet are associated with inadequate and excessive gestational weight gain (GWG). This analysis is based on data from the Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-To-Be, a prospective cohort of nulliparous women who were followed from the beginning of their pregnancies through delivery. At each study visit, home addresses were recorded and geocoded. Locations were linked to several built-environment characteristics such as the census tract National Walkability Score (the 2010 Walkability Index) and the number of gyms, parks, and grocery stores within a 3-km radius of residential address. The primary outcome of GWG (calculated as the difference between prepregnancy weight and weight at delivery) was categorized as inadequate, appropriate, or excessive based on weight gained per week of gestation. Multinomial regression (generalized logit) models evaluated the relationship between each factor in the built environment and excessive or inadequate GWG. Of the 8,182 women in the analytic sample, 5,819 (71.1%) had excessive GWG, 1,426 (17.4%) had appropriate GWG, and 937 (11.5%) had inadequate GWG. For the majority of variables examined, built environments more conducive to physical activity and healthful food availability were associated with a lower odds of excessive or inadequate GWG category. For example, a higher number of gyms or parks within 3 km of a participant’s residential address was associated with lower odds of having excessive (gyms: adjusted odds ratio [aOR]=0.93 [0.89–0.96], parks: 0.94 [0.90–0.98]) or inadequate GWG (gyms: 0.91 [0.86–0.96]; parks: 0.91 [0.86–0.97]). Similarly, a higher number of grocery stores was associated with lower odds of having excessive GWG (0.94 [0.91–0.97]). Among a diverse population of nulliparous women, multiple aspects of the built environment are associated with excessive and inadequate GWG.
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影响因子：
2.8
作者：
Gelormino E;Melis G;Marietta C;Costa G
通讯作者：
Costa G
影响因子：
7.2
作者：
Blackwell SC;Landon MB;Mele L;Reddy UM;Casey BM;Wapner RJ;Varner MW;Rouse DJ;Thorp JM Jr;Sciscione A;Catalano P;Saade G;Caritis SN;Sorokin Y;Grobman WA;Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units (MFMU) Network
通讯作者：
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units (MFMU) Network
影响因子：
9.8
作者：
Catalano, Patrick M.;Mele, Lisa;Landon, Mark B.;Ramin, Susan M.;Reddy, Uma M.;Casey, Brian;Wapner, Ronald J.;Varner, Michael W.;Rouse, Dwight J.;Thorp, John M., Jr.;Saade, George;Sorokin, Yoram;Peaceman, Alan M.;Tolosa, Jorge E.
通讯作者：
Tolosa, Jorge E.
影响因子：
9.8
作者：
Haas, David M.;Parker, Corette B.;Wing, Deborah A.;Parry, Samuel;Grobman, William A.;Mercer, Brian M.;Simhan, Hyagriv N.;Hoffman, Matthew K.;Silver, Robert M.;Wadhwa, Pathik;Iams, Jay D.;Koch, Matthew A.;Caritis, Steve N.;Wapner, Ronald J.;Esplin, Sean;Elovitz, Michal A.;Foroud, Tatiana;Peaceman, Alan M.;Saade, George R.;Willinger, Marian;Reddy, Uma M.
通讯作者：
Reddy, Uma M.
影响因子：
7.2
作者：
Grobman, William A.;Bailit, Jennifer L.;Van Dorsten, J. Peter
通讯作者：
Van Dorsten, J. Peter