Environmental and lifestyle factors associated with overweight and obesity in Perth, Australia
Environmental and lifestyle factors associated with overweight and obesity in Perth, Australia
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DOI：
10.4278/0890-1171-18.1.93
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发表时间：
2003-09-01
影响因子：
2.7
通讯作者：
Donovan, RJ
中科院分区：
文献类型：
--
作者：
Giles-Corti, B;Macintyre, S;Donovan, RJ
目的。研究环境和生活方式因素与超重或肥胖之间的关系。对娱乐设施进行横断面调查和环境扫描。西澳大利亚州珀斯都会区。健康的久坐不动的工人和家庭主妇，年龄在18至59岁(n=1803)，生活在社会不利程度最高和最低五分之一的地区。4个生活方式因素，1个社会环境因素，5个物理环境因素(3个客观测量)。在调整人口统计学因素和模型中的其他变量后，超重与居住在高速公路(OR[OR]，4.24；95%可信区间[CI]，1.62-11.09)或仅在一侧没有人行道或人行道的街道(OR 1.35；95%CI，1.03-1.78)以及在步行距离内看不到小路(OR 1.42；95%CI，1.08-1.86)相关。4个或更多的娱乐设施(OR，1.68；95%CI，1.11-2.55)和人行道(OR 1.62；95%CI，0.98-2.68)和步行距离内没有商店(OR，1.84；95%CI，1.01-3.36)与肥胖有关。相反，经常使用机动车与肥胖呈负相关(OR.56；95%CI，.32-99)。每天看电视3小时或更长时间(OR值分别为1.92和1.85)和认为自己不如他人活跃(OR值分别为1.66和4.05)的人都与超重和肥胖有关。在调整了个人人口统计因素和模型中的所有其他变量后，居住地的社会经济状况和休闲体育活动与超重或肥胖没有关联。影响超重和肥胖的因素似乎不同，但物理环境的各个方面可能是重要的。客观测量的邻里环境因素值得进一步调查。
Purpose. To examine associations between environmental and lifestyle factors and overweight or obesity.Design. A cross-sectional survey and an environmental scan of recreational facilities.Setting. Metropolitan Perth, Western Australia.Subjects. Healthy sedentary workers and homemakers aged 18 to 59 years (n=1803) living in areas within the top and bottom quintiles of social disadvantage.Measures. Four lifestyle factors, one social environmental factor, and five physical environment factors (three objectively measured).Results. After adjustment for demographic factors and other variables in the model, overweight was associated with living on a highway (odds ratio [OR], 4.24; 95% confidence interval [CI], 1.62-11.09) or streets with no sidewalks or sidewalks on one side only (OR 1.35; 95% CI, 1.03-1.78) and perceiving no paths within walking distance (OR 1.42; 95% CI, 1.08-1.86). Poor access to four or more recreational facilities (OR, 1.68; 95% CI, 1.11-2.55) and sidewalks (OR 1.62; 95% CI, .98-2.68) and perceiving no shop within walking distance (OR, 1.84; 95% CI, 1.01-3.36) were associated with obesity. Conversely, access to a motor vehicle all the time was negatively associated with obesity (OR .56; 95% CI, .32-99). Watching 3 or more hours of television daily (ORs, 1.92 and 1.85, respectively) and rating oneself as less active than others (ORs, 1.66 and 4.05, respectively) were associated with both overweight and obesity. After adjustment for individual demographic factors and all other variables in the model, socioeconomic status of area of residence and leisure-time physical activity were not associated with overweight or obesity.Conclusion. Factors that influence overweight and obesity appear to differ, but aspects of the physical environment may be important. Objectively measured neighborhood environment factors warrant further investigation.