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Relationships between neighborhoods, physical activity, and obesity: a multilevel analysis of a large Canadian city.
Obesity (Silver Spring) 2012; 20(10):2093-100O

Abstract

In Canada, there is limited research examining the associations between objectively measured neighborhood environments and physical activity (PA) and obesity. The purpose of this study was to determine the relationships between variables from built and social environments and PA and overweight/obesity across 86 Ottawa, Canada neighborhoods. Individual-level data including self-reported leisure-time PA (LTPA), height, and weight were examined in a sample of 4,727 adults from four combined cycles (years 2001/03/05/07) of the Canadian Community Health Survey (CCHS). Data on neighborhood characteristics were obtained from the Ottawa Neighbourhood Study (ONS); a large study of neighborhoods and health in Ottawa, Canada. Binomial multivariate multilevel models were used to examine the relationships between environmental and individual variables with LTPA and overweight/obesity using survey weights in men and women separately. Within the sample, ~75% of the adults were inactive (<3.0 kcal/kg/day) while half were overweight/obese. Results of the multilevel models suggested that for females greater park area was associated with increased odds of LTPA and overweight/obesity. Greater neighborhood density of convenience stores and fast food outlets were associated with increased odds of females being overweight/obese. Higher crime rates were associated with greater odds of LTPA in males, and lower odds of male and female overweight/obesity. Season was significantly associated with PA in men and women; the odds of LTPA in winter months were half that of summer months. Findings revealed that park area, crime rates, and neighborhood food outlets may have different roles with LTPA and overweight/obesity in men and women and future prospective studies are needed.

Authors+Show Affiliations

Population Health PhD Program, University of Ottawa, Ottawa, Ontario, Canada. s.prince.ware@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22262164

Citation

Prince, Stephanie A., et al. "Relationships Between Neighborhoods, Physical Activity, and Obesity: a Multilevel Analysis of a Large Canadian City." Obesity (Silver Spring, Md.), vol. 20, no. 10, 2012, pp. 2093-100.
Prince SA, Kristjansson EA, Russell K, et al. Relationships between neighborhoods, physical activity, and obesity: a multilevel analysis of a large Canadian city. Obesity (Silver Spring). 2012;20(10):2093-100.
Prince, S. A., Kristjansson, E. A., Russell, K., Billette, J. M., Sawada, M. C., Ali, A., ... Prud'homme, D. (2012). Relationships between neighborhoods, physical activity, and obesity: a multilevel analysis of a large Canadian city. Obesity (Silver Spring, Md.), 20(10), pp. 2093-100. doi:10.1038/oby.2011.392.
Prince SA, et al. Relationships Between Neighborhoods, Physical Activity, and Obesity: a Multilevel Analysis of a Large Canadian City. Obesity (Silver Spring). 2012;20(10):2093-100. PubMed PMID: 22262164.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relationships between neighborhoods, physical activity, and obesity: a multilevel analysis of a large Canadian city. AU - Prince,Stephanie A, AU - Kristjansson,Elizabeth A, AU - Russell,Katherine, AU - Billette,Jean-Michel, AU - Sawada,Michael C, AU - Ali,Amira, AU - Tremblay,Mark S, AU - Prud'homme,Denis, Y1 - 2012/01/19/ PY - 2012/1/21/entrez PY - 2012/1/21/pubmed PY - 2013/3/21/medline SP - 2093 EP - 100 JF - Obesity (Silver Spring, Md.) JO - Obesity (Silver Spring) VL - 20 IS - 10 N2 - In Canada, there is limited research examining the associations between objectively measured neighborhood environments and physical activity (PA) and obesity. The purpose of this study was to determine the relationships between variables from built and social environments and PA and overweight/obesity across 86 Ottawa, Canada neighborhoods. Individual-level data including self-reported leisure-time PA (LTPA), height, and weight were examined in a sample of 4,727 adults from four combined cycles (years 2001/03/05/07) of the Canadian Community Health Survey (CCHS). Data on neighborhood characteristics were obtained from the Ottawa Neighbourhood Study (ONS); a large study of neighborhoods and health in Ottawa, Canada. Binomial multivariate multilevel models were used to examine the relationships between environmental and individual variables with LTPA and overweight/obesity using survey weights in men and women separately. Within the sample, ~75% of the adults were inactive (<3.0 kcal/kg/day) while half were overweight/obese. Results of the multilevel models suggested that for females greater park area was associated with increased odds of LTPA and overweight/obesity. Greater neighborhood density of convenience stores and fast food outlets were associated with increased odds of females being overweight/obese. Higher crime rates were associated with greater odds of LTPA in males, and lower odds of male and female overweight/obesity. Season was significantly associated with PA in men and women; the odds of LTPA in winter months were half that of summer months. Findings revealed that park area, crime rates, and neighborhood food outlets may have different roles with LTPA and overweight/obesity in men and women and future prospective studies are needed. SN - 1930-739X UR - https://www.unboundmedicine.com/medline/citation/22262164/Relationships_between_neighborhoods_physical_activity_and_obesity:_a_multilevel_analysis_of_a_large_Canadian_city_ L2 - https://doi.org/10.1038/oby.2011.392 DB - PRIME DP - Unbound Medicine ER -