TY - JOUR
T1 - Combined measure of neighborhood food and physical activity environments and weight-related outcomes
T2 - The CARDIA study
AU - Meyer, Katie A.
AU - Boone-Heinonen, Janne
AU - Duffey, Kiyah J.
AU - Rodriguez, Daniel A.
AU - Kiefe, Catarina I.
AU - Lewis, Cora E.
AU - Gordon-Larsen, Penny
N1 - Publisher Copyright:
© 2015 Elsevier Ltd.
PY - 2015/5/1
Y1 - 2015/5/1
N2 - Engagement in healthy lifestyle behaviors likely reflects access to a diverse and synergistic set of food and physical activity resources, yet most research examines discrete characteristics. We characterized neighborhoods with respect to their composition of features, and quantified associations with diet, physical activity (PA), body mass index (BMI), and insulin resistance (IR) in a longitudinal biracial cohort (. n=4143; aged 25-37; 1992-2006). We used latent class analysis to derive population-density-specific (<. vs.≥1750 people per sq km) clusters of neighborhood indicators: road connectivity, parks and PA facilities, and food stores/restaurants. In lower population density areas, a latent class with higher food and PA resource diversity (relative to other clusters) was significantly associated with higher diet quality. In higher population density areas, a cluster with relatively more natural food/specialty stores; fewer convenience stores; and more PA resources was associated with higher diet quality. Neighborhood clusters were inconsistently associated with BMI and IR, and not associated with fast food consumption, walking, biking, or running.
AB - Engagement in healthy lifestyle behaviors likely reflects access to a diverse and synergistic set of food and physical activity resources, yet most research examines discrete characteristics. We characterized neighborhoods with respect to their composition of features, and quantified associations with diet, physical activity (PA), body mass index (BMI), and insulin resistance (IR) in a longitudinal biracial cohort (. n=4143; aged 25-37; 1992-2006). We used latent class analysis to derive population-density-specific (<. vs.≥1750 people per sq km) clusters of neighborhood indicators: road connectivity, parks and PA facilities, and food stores/restaurants. In lower population density areas, a latent class with higher food and PA resource diversity (relative to other clusters) was significantly associated with higher diet quality. In higher population density areas, a cluster with relatively more natural food/specialty stores; fewer convenience stores; and more PA resources was associated with higher diet quality. Neighborhood clusters were inconsistently associated with BMI and IR, and not associated with fast food consumption, walking, biking, or running.
KW - Diet
KW - Insulin resistance
KW - Neighborhood
KW - Obesity
KW - Physical activity
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U2 - 10.1016/j.healthplace.2015.01.004
DO - 10.1016/j.healthplace.2015.01.004
M3 - Article
C2 - 25723792
AN - SCOPUS:84923233194
SN - 1353-8292
VL - 33
SP - 9
EP - 18
JO - Health and Place
JF - Health and Place
ER -