Combined measure of neighborhood food and physical activity environments and weight-related outcomes: The CARDIA study

Katie A. Meyer; Janne Boone-Heinonen; Kiyah J. Duffey; Daniel A. Rodriguez; Catarina I. Kiefe; Cora E. Lewis; Penny Gordon-Larsen

doi:10.1016/j.healthplace.2015.01.004

Combined measure of neighborhood food and physical activity environments and weight-related outcomes: The CARDIA study

Katie A. Meyer
, Janne Boone-Heinonen
, Kiyah J. Duffey
, Daniel A. Rodriguez
, Catarina I. Kiefe
, Cora E. Lewis
, Penny Gordon-Larsen

School Of Public Health

Research output: Contribution to journal › Article › peer-review

52 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	9-18
Number of pages	10
Journal	Health and Place
Volume	33
DOIs	https://doi.org/10.1016/j.healthplace.2015.01.004
State	Published - May 1 2015

Funding

The authors would like to acknowledge CARDIA Chief Reviewer Linda Van Horn, PhD, whose thoughtful suggestions improved the paper. The authors have no financial or other conflicts of interest to disclose. Katie Meyer and Penny Gordon-Larsen had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of data analysis. This work was funded by the National Heart, Lung, and Blood Institute (NHLBI) R01HL104580 . The Coronary Artery Risk Development in Young Adults Study (CARDIA) is supported by contracts HHSN268201300025C , HHSN268201300026C , HHSN268201300027C , HHSN268201300028C , HHSN268201300029C , and HHSN268200900041C from the NHLBI, the Intramural Research Program of the National Institute on Aging (NIA), and an intra-agency agreement between NIA and NHLBI ( AG0005 ). For general support, the authors are grateful to the Carolina Population Center, University of North Carolina at Chapel Hill (Grant R24HD050924 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development [ NICHD ]), the Nutrition Obesity Research Center (NORC), University of North Carolina (Grant P30DK56350 from the National Institute for Diabetes and Digestive and Kidney Diseases [ NIDDK ]), and the UNC Center for Environmental Health and Susceptibility (CEHS), University of North Carolina (Grant P30ES010126 from the National Institute of Environmental Health Sciences [ NIEHS ]). NIH had no role in the design or conduct of the study; collection, management, analysis, or interpretation of the data; or preparation, review, or approval of the manuscript.

Funders	Funder number
UNC-CH Center for Environmental Health and Susceptibility
Author National Institutes of Health National Institutes of Health National Institutes of Health National Institutes of Health The Bev Hartig Huntington's Disease Foundation National Institutes of Health
National Institute of Aging	AG0005
National Institute of Health National Heart, Lung, and Blood Institute	HHSN268200900041C, HHSN268201300027C, R01HL104580
National Institute of Diabetes and Digestive and Kidney Diseases	P30DK079626, P30DK056350
National Institutes of Health/National Institute of Environmental Health Sciences	P30ES010126
The National Institute of Child Health and Human Development	K12HD043488
University of North Carolina Wilmington	P30DK56350
University of North Carolina at Chapel Hill
Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health	R24HD050924
Nutrition Obesity Research Center, University of North Carolina
Carolina Population Center, University of North Carolina at Chapel Hill
Central European History Society

Keywords

Diet
Insulin resistance
Neighborhood
Obesity
Physical activity

ASJC Scopus subject areas

Health(social science)
Sociology and Political Science
Life-span and Life-course Studies

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10.1016/j.healthplace.2015.01.004

Cite this

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title = "Combined measure of neighborhood food and physical activity environments and weight-related outcomes: The CARDIA study",

abstract = "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.",

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AU - Lewis, Cora E.

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Combined measure of neighborhood food and physical activity environments and weight-related outcomes: The CARDIA study

Abstract

Funding

Keywords

ASJC Scopus subject areas

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