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Filgueiras MDS, Pessoa MC, Bressan J, Fogal Vegi AS, do Carmo AS, Albuquerque FMD, Gardone DS, Novaes JFD. Characteristics of the obesogenic environment around schools are associated with body fat and low-grade inflammation in Brazilian children. Public Health Nutr 2023; 26:2407-2417. [PMID: 37559196 DOI: 10.1017/s1368980023001696] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/11/2023]
Abstract
OBJECTIVE To assess the association of obesogenic environmental characteristics around schools with body adiposity and adipokine concentrations in Brazilian children. DESIGN Cross-sectional study. Body adiposity was assessed using the dual-energy X-ray absorptiometry. Concentrations of leptin, adiponectin, retinol-binding protein 4 (RBP4) and chemerin were measured. Predominantly ultra-processed food (UPF) stores, public physical activity (PA) facilities, green spaces, walkability, traffic accidents and crime were evaluated. The neighbourhood unit was the 400 m (0·25 miles) road network buffer around schools. The association of environmental characteristics with body adiposity and adipokine concentrations was assessed by linear regression models using generalised estimating equations. SETTING Urban schools (n 24), Viçosa, Minas Gerais, Brazil. PARTICIPANTS Children aged 8 and 9 years (n 378). RESULTS A higher density of predominantly UPF stores and a lower percentage of green space were associated with higher total (β: 0·12; 95 % CI 0·06, 0·18 and β: -0·10; 95 % CI -0·16, -0·04, respectively) and android body fat (β: 0·28; 95 % CI 0·13, 0·43 and β: -0·18; 95 % CI -0·32, -0·04, respectively). In addition, the densities of PA facilities and crime were inversely associated with leptin concentrations. Traffic accidents density and percentage of green spaces around schools had, respectively, a positive and an inverse association with concentrations of adiponectin and RBP4. CONCLUSIONS Obesogenic environmental characteristics around schools were associated with total and android body fat, as well as with pro-inflammatory adipokine concentrations in Brazilian children from a medium-sized city.
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Affiliation(s)
- Mariana De Santis Filgueiras
- Department of Nutrition and Health, Universidade Federal de Viçosa, Av. P.H. Rolfs s/n, Centro de Ciências Biológicas II, Campus Universitário, Viçosa36570-900, Minas Gerais, Brazil
| | - Milene Cristine Pessoa
- Department of Nutrition, Nursing School, Universidade Federal de Minas Gerais, Av. Prof. Alfredo Balena, 190, Santa Efigênia, Belo Horizonte30130-100, Minas Gerais, Brazil
| | - Josefina Bressan
- Department of Nutrition and Health, Universidade Federal de Viçosa, Av. P.H. Rolfs s/n, Centro de Ciências Biológicas II, Campus Universitário, Viçosa36570-900, Minas Gerais, Brazil
| | - Aline Siqueira Fogal Vegi
- Nutrition School, Universidade Federal de Ouro Preto, Rua Dois, Campus Morro do Cruzeiro, Ouro Preto35400-000, Minas Gerais, Brazil
| | - Ariene Silva do Carmo
- Department of Nutrition, Nursing School, Universidade Federal de Minas Gerais, Av. Prof. Alfredo Balena, 190, Santa Efigênia, Belo Horizonte30130-100, Minas Gerais, Brazil
| | - Fernanda Martins de Albuquerque
- Department of Nutrition and Health, Universidade Federal de Viçosa, Av. P.H. Rolfs s/n, Centro de Ciências Biológicas II, Campus Universitário, Viçosa36570-900, Minas Gerais, Brazil
| | - Danielle Soares Gardone
- Department of Nutrition, Nursing School, Universidade Federal de Minas Gerais, Av. Prof. Alfredo Balena, 190, Santa Efigênia, Belo Horizonte30130-100, Minas Gerais, Brazil
| | - Juliana Farias de Novaes
- Department of Nutrition and Health, Universidade Federal de Viçosa, Av. P.H. Rolfs s/n, Centro de Ciências Biológicas II, Campus Universitário, Viçosa36570-900, Minas Gerais, Brazil
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Zougheibe R, Jepson B, Norman R, Gudes O, Dewan A. Is there a correlation between children's outdoor active mobility behaviour and neighbourhood safety? A systematic review of the evidence. BMJ Open 2021; 11:e047062. [PMID: 34233987 PMCID: PMC8264888 DOI: 10.1136/bmjopen-2020-047062] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
OBJECTIVE To identify, summarise and evaluate evidence on the correlation between perceived and actual neighbourhood safety (personal and road danger) and diverse forms of outdoor active mobility behaviour (ie, active play, exercise, and travel) among primary-school-aged children. DESIGN A systematic review of evidence from observational studies exploring children's active mobility behaviour and safety. DATA SOURCES Six electronic databases were searched: Google Scholar, PubMed, Scopus, Science Direct, ProQuest and Web of Science from study inception until July 2020. DATA EXTRACTION AND SYNTHESIS Study selection and quality assessment were conducted independently by two reviewers. We expanded on a quality assessment tool and adopted a vote-counting technique to determine strength of evidence. The outcomes were categorised by individual, family and neighbourhood levels. RESULTS A total of 29 studies were included, with a majority of cross-sectional design. Higher parental perceived personal safety correlated with increased children's active mobility behaviour, but most commonly in active travel (eg, independent walking or cycling to a local destination). Increased concerns regarding road danger correlated with a decrease in each type of children's active behaviour; active travel, play and exercise. However, these correlations were influenced by child's sex/gender, age, car ownership, neighbourhood types, across time, and proximity to destination. Limited or inconclusive evidence was found on correlate of children's outdoor active mobility behaviour to 'stranger danger', children's perceived personal safety, race/ethnicity, socioeconomic status or measured safety. CONCLUSION Children are restricted by perception of safety. Encouraging children's active travel may require future strategies to address characteristics relevant to types of the neighbourhood that promote a high sense of personal safety. Children and parents may embrace other types of active mobility behaviour if road danger is mitigated. Sex/gender and age-specific interventions and redesign of public places could lead to child-friendly cities. Future studies may benefit from adopting validated measurement methods and fill existing research gaps.
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Affiliation(s)
- Roula Zougheibe
- School of Earth and Planetary Sciences, Curtin University, Perth, Western Australia, Australia
| | - Beverly Jepson
- School of Allied Health, Curtin University, Perth, Western Australia, Australia
| | - Richard Norman
- School of Public Health, Curtin University, Perth, Western Australia, Australia
| | - Ori Gudes
- School of Population Health, UNSW, Sydney, New South Wales, Australia
| | - Ashraf Dewan
- School of Earth and Planetary Sciences, Curtin University, Perth, Western Australia, Australia
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Jia P, Pan X, Liu F, He P, Zhang W, Liu L, Zou Y, Chen L. Land use mix in the neighbourhood and childhood obesity. Obes Rev 2021; 22 Suppl 1:e13098. [PMID: 32743975 PMCID: PMC7988622 DOI: 10.1111/obr.13098] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2020] [Accepted: 06/25/2020] [Indexed: 12/21/2022]
Abstract
Land use mix (LUM) in the neighbourhood is an important aspect for promoting healthier lifestyles and consequently reducing the risk for childhood obesity. However, findings of the association between LUM and childhood obesity remain controversial. A literature search was conducted on Cochrane Library, PubMed and Web of Science for articles published before 1 January 2019. In total, 25 cross-sectional and two longitudinal studies were identified. Among them, Geographic Information Systems were used to measure LUM in 15 studies, and perceived LUM was measured in 12 studies. Generally, most studies revealed an association between a higher LUM and higher PA levels and lower obesity rates, although some studies also reported null or negative associations. The various exposure and outcome assessment have limited the synthesis to obtain pooled estimates. The evidence remains scare on the association between LUM and children's weight status, and more longitudinal studies are needed to examine the independent pathways and causality between LUM and weight-related behaviours/outcomes.
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Affiliation(s)
- Peng Jia
- Department of Land Surveying and Geo-Informatics, The Hong Kong Polytechnic University, Hong Kong, China.,Faculty of Geo-information Science and Earth Observation, University of Twente, Enschede, The Netherlands.,International Institute of Spatial Lifecourse Epidemiology (ISLE), Hong Kong, China
| | - Xiongfeng Pan
- International Institute of Spatial Lifecourse Epidemiology (ISLE), Hong Kong, China.,Xiangya School of Public Health, Central South University, Changsha, China
| | - Fangchao Liu
- Department of Epidemiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Pan He
- Department of Earth System Science, Tsinghua University, Beijing, China
| | - Weiwei Zhang
- School of Environmental Science and Engineering, Suzhou University of Science and Technology, Suzhou, China
| | - Li Liu
- Aerospace Information Research Institute, Chinese Academy of Sciences, Beijing, China
| | - Yuxuan Zou
- International Institute of Spatial Lifecourse Epidemiology (ISLE), Hong Kong, China.,School of Geographical Sciences, Guangzhou University, Guangzhou, China
| | - Liding Chen
- State Key Laboratory of Urban and Regional Ecology, Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing, China
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4
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Wang Z, Zhao L, Huang Q, Hong A, Yu C, Xiao Q, Zou B, Ji S, Zhang L, Zou K, Ning Y, Zhang J, Jia P. Traffic-related environmental factors and childhood obesity: A systematic review and meta-analysis. Obes Rev 2021; 22 Suppl 1:e12995. [PMID: 32003149 PMCID: PMC7988540 DOI: 10.1111/obr.12995] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Accepted: 11/29/2019] [Indexed: 02/05/2023]
Abstract
A growing body of research links traffic-related environmental factors to childhood obesity; however, the evidence is still inconclusive. This review aims to fill this important research gap by systematically reviewing existing research on the relationship between traffic-related environmental factors and childhood obesity. Based on the inclusion criteria, 39 studies are selected with environmental factors of interest, including traffic flow, traffic pollution, traffic noise, and traffic safety. Weight-related behaviours include active travel/transport, physical activity (PA), and intake of a high trans-fat diet or stress symptoms; weight-related outcomes are mainly body mass index (BMI) or BMI z-scores and overweight/obesity. Of 16 studies of weight-related behaviours, significant associations are reported in 11 out of 12 studies on traffic flow (two positively and nine negatively associated with PA), five out of six studies on traffic safety (four positively and one negatively associated with PA), one study on traffic pollution (positively with unhealthy food consumption), and one study on traffic noise (negatively associated with PA). Among 23 studies of weight-related outcomes, significant associations are reported in six out of 14 studies on traffic flow (five positively and one negatively associated with obesity outcome), seven out of 10 studies on traffic pollution (all positively associated with obesity outcome), and two out of five on traffic noise (all positively associated with obesity outcome). Our findings show that long-term traffic pollution is weakly positively associated with children's BMI growth, and traffic flow, pollution, and noise could affect weight-related behaviours. Associations between traffic density and noise and weight status are rather inconclusive.
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Affiliation(s)
- Zhuo Wang
- Department of Chronic and Non-communicable Disease Control and Prevention, Sichuan Center of Disease Control and Prevention, Chengdu, China
| | - Li Zhao
- Department of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China.,Healthy Food Evaluation Research Center, Sichuan University, Chengdu, Sichuan, China.,International Institute of Spatial Lifecourse Epidemiology (ISLE), Hong Kong, China
| | - Qin Huang
- Department of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Andy Hong
- International Institute of Spatial Lifecourse Epidemiology (ISLE), Hong Kong, China.,The George Institute for Global Health, University of Oxford, Oxford, UK
| | - Chao Yu
- State Key Laboratory of Remote Sensing Science, Aerospace Information Research Institute, Chinese Academy of Sciences, Beijing, China
| | - Qian Xiao
- International Institute of Spatial Lifecourse Epidemiology (ISLE), Hong Kong, China.,Department of Health and Human Physiology, University of Iowa, Iowa City, Iowa.,Department of Epidemiology, University of Iowa, Iowa City, Iowa
| | - Bin Zou
- School of Geosciences and Info-physics, Central South University, Changsha, China
| | - Shuming Ji
- Department of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Longhao Zhang
- Office of "Double First Class" Construction, West China School of Medicine/West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Kun Zou
- Department of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Yi Ning
- International Institute of Spatial Lifecourse Epidemiology (ISLE), Hong Kong, China.,Meinian Institute of Health, Beijing, China
| | - Junfeng Zhang
- Nicholas School of the Environment, Duke University, Durham, North Carolina.,Global Health Institute, Duke University, Durham, North Carolina.,BIC-ESAT and SKL-ESPC, College of Environmental Sciences and Engineering, Peking University, Beijing, China.,Duke Kunshan University, Kunshan, Jiangsu, China
| | - Peng Jia
- International Institute of Spatial Lifecourse Epidemiology (ISLE), Hong Kong, China.,Faculty of Geo-information Science and Earth Observation, University of Twente, Enschede, The Netherlands.,Department of Land Surveying and Geo-Informatics, The Hong Kong Polytechnic University, Hong Kong, China
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To QG, Gallegos D, Do DV, Tran HTM, To KG, Wharton L, Trost SG. Correlates of physical activity in fifth-grade students in Ho Chi Minh City, Vietnam. SPORTS MEDICINE AND HEALTH SCIENCE 2020; 2:33-37. [PMID: 35783334 PMCID: PMC9219262 DOI: 10.1016/j.smhs.2020.02.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2019] [Accepted: 02/07/2020] [Indexed: 11/28/2022] Open
Abstract
Studies investigating correlates of physical activity (PA) using objective PA measurements among primary school-aged children are limited in Asia, particularly Vietnam. This study examined psychosocial and environmental factors associated with PA among fifth-grade students in eight primary schools in Ho Chi Minh city, Vietnam. Bivariate analyses showed that for every month increase in students’ age, an increase of 66 steps/day (p<0.05) was found; boys had 1442 more steps/day than girls (p<0.001); and students from lower income households had 1169 steps/day less than those from higher income households (p<0.01). For every unit increase in self-efficacy, perceived social influences, intention to be physically active, and parental support for PA, an increase of 220, 200, 522, and 117 steps/day (p<0.01) was found respectively. In multivariable analysis, only intention and parental support for PA remained significant (p<0.01). About 21% of variation in daily steps was explained by demographic characteristics and an additional 13% by psychosocial influences. In conclusion, intention to be physically active and parental support are important factors and should be considered when designing PA interventions in school/community-based settings.
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Affiliation(s)
- Quyen G. To
- Appleton Institute, School of Health, Medical and Applied Sciences, Central Queensland University, Australia
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Australia
- Corresponding author. Central Queensland University, Rockhampton, Australia.
| | - Danielle Gallegos
- School of Exercise and Nutrition Sciences, Institute for Health and Biomedical Innovation at QLD Centre for Children's Health Research, Queensland University of Technology, Brisbane, Australia
| | - Dung V. Do
- Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Viet Nam
| | | | - Kien G. To
- Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Viet Nam
| | - Lee Wharton
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Australia
| | - Stewart G. Trost
- School of Exercise and Nutrition Sciences, Institute for Health and Biomedical Innovation at QLD Centre for Children's Health Research, Queensland University of Technology, Brisbane, Australia
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Nordbø ECA, Nordh H, Raanaas RK, Aamodt G. Promoting activity participation and well-being among children and adolescents. JBI Evid Synth 2020; 18:370-458. [DOI: 10.11124/jbisrir-d-19-00051] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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