Neighborhood influences on girls' obesity risk across the transition to adolescence

Lindsay T. Hoyt, Lawrence H. Kushi, Cindy W. Leung, Dana C. Nickleach, Nancy Adler, Barbara A. Laraia, Robert A. Hiatt, Irene H. Yen

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

BACKGROUND AND OBJECTIVES: The neighborhoods in which children live, play, and eat provide an environmental context that may influence obesity risk and ameliorate or exacerbate health disparities. The current study examines whether neighborhood characteristics predict obesity in a prospective cohort of girls. METHODS: Participants were 174 girls (aged 8-10 years at baseline), a subset from the Cohort Study of Young Girls' Nutrition, Environment, and Transitions. Trained observers completed street audits within a 0.25-mile radius around each girl's residence. Four scales (food and service retail, recreation, walkability, and physical disorder) were created from 40 observed neighborhood features. BMI was calculated from clinically measured height and weight. Obesity was defined as BMI-for-age ≥95%. Logistic regression models using generalized estimating equations were used to examine neighborhood influences on obesity risk over 4 years of follow-up, controlling for race/ethnicity, pubertal status, and baseline BMI. Fully adjusted models also controlled for household income, parent education, and a census tract measure of neighborhood socioeconomic status. RESULTS: A 1-SD increase on the food and service retail scale was associated with a 2.27 (95% confidence interval, 1.42 to 3.61; P < .001) increased odds of being obese. A 1-SD increase in physical disorder was associated with a 2.41 (95% confidence interval, 1.31 to 4.44; P = .005) increased odds of being obese. Other neighborhood scales were not associated with risk for obesity. CONCLUSIONS: Neighborhood food and retail environment and physical disorder around a girl's home predict risk for obesity across the transition from late childhood to adolescence.

Original languageEnglish (US)
Pages (from-to)942-949
Number of pages8
JournalPediatrics
Volume134
Issue number5
DOIs
StatePublished - Nov 1 2014
Externally publishedYes

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Obesity
Food Services
Logistic Models
Confidence Intervals
Recreation
Censuses
Social Class
Cohort Studies
Education
Weights and Measures
Food
Health

Keywords

  • Adolescent development
  • Neighborhood
  • Obesity

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

Hoyt, L. T., Kushi, L. H., Leung, C. W., Nickleach, D. C., Adler, N., Laraia, B. A., ... Yen, I. H. (2014). Neighborhood influences on girls' obesity risk across the transition to adolescence. Pediatrics, 134(5), 942-949. https://doi.org/10.1542/peds.2014-1286

Neighborhood influences on girls' obesity risk across the transition to adolescence. / Hoyt, Lindsay T.; Kushi, Lawrence H.; Leung, Cindy W.; Nickleach, Dana C.; Adler, Nancy; Laraia, Barbara A.; Hiatt, Robert A.; Yen, Irene H.

In: Pediatrics, Vol. 134, No. 5, 01.11.2014, p. 942-949.

Research output: Contribution to journalArticle

Hoyt, LT, Kushi, LH, Leung, CW, Nickleach, DC, Adler, N, Laraia, BA, Hiatt, RA & Yen, IH 2014, 'Neighborhood influences on girls' obesity risk across the transition to adolescence', Pediatrics, vol. 134, no. 5, pp. 942-949. https://doi.org/10.1542/peds.2014-1286
Hoyt LT, Kushi LH, Leung CW, Nickleach DC, Adler N, Laraia BA et al. Neighborhood influences on girls' obesity risk across the transition to adolescence. Pediatrics. 2014 Nov 1;134(5):942-949. https://doi.org/10.1542/peds.2014-1286
Hoyt, Lindsay T. ; Kushi, Lawrence H. ; Leung, Cindy W. ; Nickleach, Dana C. ; Adler, Nancy ; Laraia, Barbara A. ; Hiatt, Robert A. ; Yen, Irene H. / Neighborhood influences on girls' obesity risk across the transition to adolescence. In: Pediatrics. 2014 ; Vol. 134, No. 5. pp. 942-949.
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