Longitudinal influences of neighbourhood built and social environment on children's weight status.

Longitudinal influences of neighbourhood built and social environment on children's weight status.
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DOI:
10.3390/ijerph10105083
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发表时间:
2013-10-15
影响因子:
--
通讯作者:
Müller MJ
Müller MJ
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Gose M;Plachta-Danielzik S;Willié B;Johannsen M;Landsberg B;Müller MJ

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研究的目的是考察社区社会环境与儿童体重指数标准差得分(BMI-SDS)之间的4年纵向关系,同时考虑到建筑环境。此外,我们还分析了社会环境和家庭/社会数据之间的潜在交互作用对儿童BMI-SD的影响。2006-2008年至2010-2012年期间,对485名儿童进行了人体测量(基线年龄:6.1岁(5.8-6.4岁))。父母报告了社会人口学特征和对居住环境的感知。使用地理信息系统检查每个参与者地址点800米欧几里得缓冲区内的街道长度、食品店数量以及与最近的游乐场和公园/绿地的距离。从德国基尔州首府获得了关于邻里特征的其他数据(例如,交通密度、可步行程度、犯罪率)。在多因素模型中,步行、街道类型、所在地区的社会经济状况和感知的卡车/公共汽车通行频率与4年后的BMI-SDS相关,但只有邻近的社会经济状况对BMI-SD的变化有影响。然而,家庭/社会因素而不是邻里环境(尤其是社会环境)在4年内对儿童的BMI-SD有影响。因此,儿童超重的社会不平等只能部分地用社会邻里环境来解释。
The objective was to examine longitudinal 4-year-relationships between neighbourhood social environment and children’s body mass index-standard deviation score (BMI-SDS) taking into account the built environment. Furthermore, we have analysed the influence of potential interactions between the social environment and family/social data on children’s BMI-SDS. Between 2006–2008 and 2010–2012, anthropometric measurements were conducted among 485 children (age at baseline: 6.1 (5.8–6.4)). Socio-demographic characteristics and perception of residential environment were reported by parents. Geographic Information Systems were used to examine street length, number of food outlets and distance to the nearest playground and park/green space within an 800 m Euclidian buffer of each participant address point. Additional data on neighbourhood characteristics (e.g., traffic density, walkability, crime rates) were obtained from the State Capital of Kiel, Germany. In a multivariate model, walkability, street type, socioeconomic status of the district and perceived frequency of passing trucks/busses were associated with BMI-SDS over 4 years, but only neighbourhood SES had an effect on change in BMI-SDS. However, familial/social factors rather than neighbourhood environment (especially social environment) had an impact on children’s BMI-SDS over 4 years. Thus, social inequalities in childhood overweight are only partially explained by social neighbourhood environment.
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