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ABSTRACT: Objective
This study examined the cross-sectional and longitudinal relationships of built environment characteristics with adiposity and glycaemic measures.Method
Longitudinal study sample consisted of 4,010 Framingham Heart Study Offspring (baseline: 1998-2001; follow-up: 2005-2008) and Generation Three (baseline: 2002-2005; follow-up: 2008-2011) participants (54.8% women, baseline mean age 48.6 years). Built environment characteristics (intersection density, greenspace, recreation land and food stores) at baseline were collected. Adiposity and glycaemic measures (body mass index [BMI], waist circumference, abdominal subcutaneous and visceral adipose tissue, and fasting plasma glucose) at baseline and changes during 6.4-year follow-up were measured.Results
In cross-sectional models, higher intersection density and food store density (total food stores, fast food restaurants and supermarkets) were linearly associated with higher BMI (all p < 0.05). Higher greenspace was associated with lower BMI, waist circumference, fasting plasma glucose, prevalent obesity and prevalent diabetes (all p < 0.05). Longitudinally, higher intersection density and food store density, and lower greenspace were associated with smaller increases in abdominal visceral adipose tissue (all p < 0.05). Higher densities of intersections, fast food restaurants and supermarkets were associated with smaller increases in fasting plasma glucose (all p < 0.05).Conclusions
Collectively, built environment characteristics are associated with adiposity and glycaemic traits, suggesting the potential mechanisms by which built environment influences cardiometabolic health.
SUBMITTER: Lee JJ
PROVIDER: S-EPMC5598022 | biostudies-literature | 2017 Sep
REPOSITORIES: biostudies-literature
Lee J J JJ Hwang S-J SJ Mutalik K K Corey D D Joyce R R Block J P JP Fox C S CS Powell-Wiley T M TM
Obesity science & practice 20170711 3
<h4>Objective</h4>This study examined the cross-sectional and longitudinal relationships of built environment characteristics with adiposity and glycaemic measures.<h4>Method</h4>Longitudinal study sample consisted of 4,010 Framingham Heart Study Offspring (baseline: 1998-2001; follow-up: 2005-2008) and Generation Three (baseline: 2002-2005; follow-up: 2008-2011) participants (54.8% women, baseline mean age 48.6 years). Built environment characteristics (intersection density, greenspace, recreat ...[more]