Neighborhood and weight-related health behaviors in the Look AHEAD (Action for Health in Diabetes) Study
Autor: | LaShanda Jones, Frederick L. Brancati, Arleen F. Brown, F. Xavier Pi-Sunyer, Luu Pham, Tiffany L. Gary-Webb, Kesha Baptiste-Roberts, Jacqueline Wesche-Thobaben, Jennifer Patricio |
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Jazyk: | angličtina |
Rok vydání: | 2010 |
Předmět: |
Male
medicine.medical_specialty Restaurants Adolescent Health Behavior 030209 endocrinology & metabolism Body Mass Index 03 medical and health sciences Young Adult 0302 clinical medicine Weight loss Residence Characteristics Environmental health Epidemiology Research article Weight Loss medicine Diabetes Mellitus Humans 030212 general & internal medicine Child Socioeconomic status Exercise 2. Zero hunger business.industry Public health lcsh:Public aspects of medicine 1. No poverty Public Health Environmental and Occupational Health Social environment lcsh:RA1-1270 Feeding Behavior social sciences medicine.disease Obesity United States 3. Good health Socioeconomic Factors population characteristics Female medicine.symptom Biostatistics business Body mass index |
Zdroj: | BMC Public Health, Vol 10, Iss 1, p 312 (2010) Gary-Webb, Tiffany L; Baptiste-Roberts, Kesha; Pham, Luu; Wesche-Thobaben, Jacqueline; Patricio, Jennifer; Pi-Sunyer, F Xavier; et al.(2010). Neighborhood and weight-related health behaviors in the Look AHEAD (Action for Health in Diabetes) study. BMC Public Health, 10(1), 312. doi: http://dx.doi.org/10.1186/1471-2458-10-312. Retrieved from: http://www.escholarship.org/uc/item/0tg9m5h2 BMC Public Health |
ISSN: | 1471-2458 |
Popis: | Background 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. Methods 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. Results 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. Conclusion 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. |
Databáze: | OpenAIRE |
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