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Obesogenic environments: a systematic review of the association between the physical environment and adult weight status, the SPOTLIGHT project.

ABSTRACT: BACKGROUND: Understanding which physical environmental factors affect adult obesity, and how best to influence them, is important for public health and urban planning. Previous attempts to summarise the literature have not systematically assessed the methodological quality of included studies, or accounted for environmental differences between continents or the ways in which environmental characteristics were measured. METHODS: We have conducted an updated review of the scientific literature on associations of physical environmental factors with adult weight status, stratified by continent and mode of measurement, accompanied by a detailed risk-of-bias assessment. Five databases were systematically searched for studies published between 1995 and 2013. RESULTS: Two factors, urban sprawl and land use mix, were found consistently associated with weight status, although only in North America. CONCLUSIONS: With the exception of urban sprawl and land use mix in the US the results of the current review confirm that the available research does not allow robust identification of ways in which that physical environment influences adult weight status, even after taking into account methodological quality.

SUBMITTER: Mackenbach JD

PROVIDER: S-EPMC4015813 | biostudies-other | 2014

REPOSITORIES: biostudies-other

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Obesogenic environments: a systematic review of the association between the physical environment and adult weight status, the SPOTLIGHT project.

Mackenbach Joreintje D JD Rutter Harry H Compernolle Sofie S Glonti Ketevan K Oppert Jean-Michel JM Charreire Helene H De Bourdeaudhuij Ilse I Brug Johannes J Nijpels Giel G Lakerveld Jeroen J

BMC public health 20140306

<h4>Background</h4>Understanding which physical environmental factors affect adult obesity, and how best to influence them, is important for public health and urban planning. Previous attempts to summarise the literature have not systematically assessed the methodological quality of included studies, or accounted for environmental differences between continents or the ways in which environmental characteristics were measured.<h4>Methods</h4>We have conducted an updated review of the scientific l ...[more]

PMID: 24602291

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Project description:BackgroundNo studies appear to examine potential associations between changes in built environments across childhood and the developmental trajectories of child weight status.ObjectiveExamine the developmental trajectories of child weight status with respect to changes in childhood exposure to the built environments.MethodsThis study used data of 9589 children with biennial follow-up (2004-2016), retrieved from the Longitudinal Study of Australian Children. Changes in objectively-measured child weight status (i.e., body mass index-BMI, waist circumference) were investigated in relation to changes in seven built environments (i.e., neighbourhood safety; green space quality; footpaths and street conditions; public transport; shopping facilities; basic services; and local traffic) subjectively reported by caregivers. Group-based discrete trajectory mixture models were used to classify children according to their developmental trajectories of built environments and weight status. Multilevel multinomial logistic regression was employed to examine associations between built environments and child weight status adjusted for confounding.ResultsTwo, four, and six trajectory groups were developed for built environment variables. Three groups namely "moderate", "high", and "extreme increase" were generated for each BMI and waist circumference. Findings from multilevel analyses indicated that growing up in neighbourhoods that are considered highly safe, with better quality of green space nearby, and in areas with low local traffic over time are protective against unhealthy weight increase in childhood. Meanwhile, living with better access to shopping facilities and basic services was associated with an unhealthy increase in BMI and/or waist circumference. No clear associations appeared between the quality of footpath and street conditions, access to public transport, and child weight status.ConclusionsBuilt environments might act either as a risk or protective factor of an unhealthy increase in child weight status. Enabling health-promoting neighbourhoods (i.e., highly safe, quality green space nearby, low local traffic) is important to support a healthy weight trajectory across childhood.

Dataset Information

Obesogenic environments: a systematic review of the association between the physical environment and adult weight status, the SPOTLIGHT project.

Publications

Obesogenic environments: a systematic review of the association between the physical environment and adult weight status, the SPOTLIGHT project.

Similar Datasets

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