Green neighborhoods, food retail and childhood overweight: Differences by population density

Gilbert C. Liu, Jeffrey S. Wilson, Rong Qi, Jun Ying

Research output: Contribution to journalArticle

157 Citations (Scopus)

Abstract

Purpose. This study examines relationships between overweight in children and two environmental factors-amount of vegetation surrounding a child's place of residence and proximity of the child's residence to various types of food retail locations. We hypothesize that living in greener neighborhoods, farther from fast food restaurants, and closer to supermarkets would be associated with lower risk of overweight. Design. Cross-sectional study. Setting. Network of primary care pediatric clinics in Marion County, Indiana. Subjects. We acquired data for 7334 subjects, ages 3 to 18 years, presenting for routine well-child care. Measures. Neighborhood vegetation and proximity to food retail were calculated using geographic information systems for each subject using circular and network buffers. Child weight status was defined using body mass index percentiles. Analysis. We used cumulative logit models to examine associations between an index of overweight, neighborhood vegetation, and food retail environment. Results. After controlling for individual socio-demographics and neighborhood socioeconomic status, measures of vegetation and food retail significantly predicted overweight in children. Increased neighborhood vegetation was associated with decreased risk for overweight, but only for subjects residing in higher population density regions. Increased distance between a subject's residence and the nearest large brand name supermarkets was associated with increased risk of overweight, but only for subjects residing in lower population density regions. Conclusions. This research suggests that aspects of the built environment are determinants of child weight status, ostensibly by influencing physical activity and dietary behaviors.

Original languageEnglish
Pages (from-to)317-325
Number of pages9
JournalAmerican Journal of Health Promotion
Volume21
Issue number4 SUPPL.
StatePublished - Mar 2007

Fingerprint

population density
Population Density
childhood
food
Food
Fast Foods
Weights and Measures
brand name
Restaurants
Geographic Information Systems
place of residence
Child Care
child care
cross-sectional study
Social Class
Names
environmental factors
social status
Primary Health Care
Buffers

Keywords

  • Manuscript format: research
  • Obesity, Environment Design, Ecosystem, Food Industry, Prevention Research
  • Outcome measure: biometric: body mass index percentile
  • Research purpose: modeling/relationship testing
  • Study design: cross-sectional

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Green neighborhoods, food retail and childhood overweight : Differences by population density. / Liu, Gilbert C.; Wilson, Jeffrey S.; Qi, Rong; Ying, Jun.

In: American Journal of Health Promotion, Vol. 21, No. 4 SUPPL., 03.2007, p. 317-325.

Research output: Contribution to journalArticle

Liu, Gilbert C. ; Wilson, Jeffrey S. ; Qi, Rong ; Ying, Jun. / Green neighborhoods, food retail and childhood overweight : Differences by population density. In: American Journal of Health Promotion. 2007 ; Vol. 21, No. 4 SUPPL. pp. 317-325.
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