Development of a national childhood obesogenic environment index in the United States: differences by region and rurality

Autor: Andrew T. Kaczynski, Jan M. Eberth, Ellen W. Stowe, Marilyn E. Wende, Angela D. Liese, Alexander C. McLain, Charity B. Breneman, Michele J. Josey
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: International Journal of Behavioral Nutrition and Physical Activity, Vol 17, Iss 1, Pp 1-11 (2020)
Druh dokumentu: article
ISSN: 1479-5868
DOI: 10.1186/s12966-020-00984-x
Popis: Abstract Background Diverse environmental factors are associated with physical activity (PA) and healthy eating (HE) among youth. However, no study has created a comprehensive obesogenic environment index for children that can be applied at a large geographic scale. The purpose of this study was to describe the development of a childhood obesogenic environment index (COEI) at the county level across the United States. Methods A comprehensive search of review articles (n = 20) and input from experts (n = 12) were used to identify community-level variables associated with youth PA, HE, or overweight/obesity for potential inclusion in the index. Based on strength of associations in the literature, expert ratings, expertise of team members, and data source availability, 10 key variables were identified – six related to HE (# per 1000 residents for grocery/superstores, farmers markets, fast food restaurants, full-service restaurants, and convenience stores; as well as percentage of births at baby (breastfeeding)-friendly facilities) and four related to PA (percentage of population living close to exercise opportunities, percentage of population
Databáze: Directory of Open Access Journals
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