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Neighbourhood socioeconomic status and cross-sectional associations with obesity and urinary biomarkers of diet among New York City adults: the heart follow-up study.

ABSTRACT: OBJECTIVE:To determine whether neighbourhood socioeconomic status (SES) is associated with body mass index (BMI), waist circumference (WC) and biomarkers of diet (urinary sodium and potassium excretion). DESIGN:A cross-sectional study. SETTING:The data reported were from the 2010 Heart Follow-up Study, a population-based representative survey of 1645 adults. PARTICIPANTS:Community-dwelling diverse residents of New York City nested within 128 neighbourhoods (zip codes). PRIMARY AND SECONDARY OUTCOME MEASURES:BMI (kg/m2) and WC (inches) were measured during in-home visits, and 24-hour urine sample was collected to measure biomarkers of diet: sodium (mg/day) and potassium (mg/day), with high sodium and low potassium indicative of worse diet quality. RESULTS:After adjusting for individual-level characteristics using multilevel linear regressions, low versus high neighbourhood SES tertile was associated with 1.83?kg/m2 higher BMI (95%?CI 0.41 to 3.98) and 251?mg/day lower potassium excretion (95%?CI -409 to 93) among women only, with no associations among men (P values for neighbourhood SES by sex interactions <0.05). CONCLUSION:Our results suggest that women may be particularly vulnerable to the effects of a socioeconomically disadvantaged neighbourhood. Future neighbourhood research should explore sex differences, as these can inform tailored interventions. TRIAL REGISTRATION NUMBER:NCT01889589; Results.

SUBMITTER: Elfassy T

PROVIDER: S-EPMC5778292 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature

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Neighbourhood socioeconomic status and cross-sectional associations with obesity and urinary biomarkers of diet among New York City adults: the heart follow-up study.

Elfassy Tali T Yi Stella S SS Llabre Maria M MM Schneiderman Neil N Gellman Marc M Florez Hermes H Prado Guillermo G Zeki Al Hazzouri Adina A

BMJ open 20171229 12

<h4>Objective</h4>To determine whether neighbourhood socioeconomic status (SES) is associated with body mass index (BMI), waist circumference (WC) and biomarkers of diet (urinary sodium and potassium excretion).<h4>Design</h4>A cross-sectional study.<h4>Setting</h4>The data reported were from the 2010 Heart Follow-up Study, a population-based representative survey of 1645 adults.<h4>Participants</h4>Community-dwelling diverse residents of New York City nested within 128 neighbourhoods (zip codes ...[more]

PMID: 29289939

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Dataset Information

Neighbourhood socioeconomic status and cross-sectional associations with obesity and urinary biomarkers of diet among New York City adults: the heart follow-up study.

Publications

Neighbourhood socioeconomic status and cross-sectional associations with obesity and urinary biomarkers of diet among New York City adults: the heart follow-up study.

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