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Neighborhood sidewalk access and childhood obesity

The lack of access to sidewalks is a barrier for physical activity (PA) and may be a risk factor for childhood obesity. However, previous studies reported mixed findings and the association between sidewalk accessibility and childhood obesity remains unclear. This study systematically examined the e...

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Autores principales: Wei, Junxiang, Wu, Yang, Zheng, Jinge, Nie, Peng, Jia, Peng, Wang, Youfa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7988567/
https://www.ncbi.nlm.nih.gov/pubmed/32638457
http://dx.doi.org/10.1111/obr.13057
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author Wei, Junxiang
Wu, Yang
Zheng, Jinge
Nie, Peng
Jia, Peng
Wang, Youfa
author_facet Wei, Junxiang
Wu, Yang
Zheng, Jinge
Nie, Peng
Jia, Peng
Wang, Youfa
author_sort Wei, Junxiang
collection PubMed
description The lack of access to sidewalks is a barrier for physical activity (PA) and may be a risk factor for childhood obesity. However, previous studies reported mixed findings and the association between sidewalk accessibility and childhood obesity remains unclear. This study systematically examined the evidence on the association between sidewalk accessibility and childhood obesity. PubMed, Cochrane Library, and Web of Science were searched for relevant articles (published before 1 January 2019) that reported on the association between neighborhood sidewalk access and weight‐related behaviors and outcomes in children. Seventeen studies conducted in five countries were included. Ten studies used objective measure of access to sidewalks, seven studies measured children's height and weight, and seven studies objectively measured the PA or sedentary behaviors. Ten studies reported on the association of better access to sidewalks with increased PA (β ranging from 0.032 to 2.159; p < 0.05), reduced sedentary behaviors (β ranging from −0.19 to −0.14; p < 0.05), lower body mass index (BMI) (β ranging from −0.261 to −0.144; p < 0.001), or obesity risks (OR ranging from 1.02 to 1.32; p < 0.05); while the remaining seven studies did not report a desirable obesity–sidewalk association. Our findings support the hypothesis that higher sidewalk accessibility is associated with higher PA levels, lower BMI, and obesity risks. Efforts in building healthy environments, including health‐promoting city planning, can help minimize the growing obesity epidemic and promote public health.
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spelling pubmed-79885672021-03-25 Neighborhood sidewalk access and childhood obesity Wei, Junxiang Wu, Yang Zheng, Jinge Nie, Peng Jia, Peng Wang, Youfa Obes Rev Obesogenic Environment and Childhood Obesity The lack of access to sidewalks is a barrier for physical activity (PA) and may be a risk factor for childhood obesity. However, previous studies reported mixed findings and the association between sidewalk accessibility and childhood obesity remains unclear. This study systematically examined the evidence on the association between sidewalk accessibility and childhood obesity. PubMed, Cochrane Library, and Web of Science were searched for relevant articles (published before 1 January 2019) that reported on the association between neighborhood sidewalk access and weight‐related behaviors and outcomes in children. Seventeen studies conducted in five countries were included. Ten studies used objective measure of access to sidewalks, seven studies measured children's height and weight, and seven studies objectively measured the PA or sedentary behaviors. Ten studies reported on the association of better access to sidewalks with increased PA (β ranging from 0.032 to 2.159; p < 0.05), reduced sedentary behaviors (β ranging from −0.19 to −0.14; p < 0.05), lower body mass index (BMI) (β ranging from −0.261 to −0.144; p < 0.001), or obesity risks (OR ranging from 1.02 to 1.32; p < 0.05); while the remaining seven studies did not report a desirable obesity–sidewalk association. Our findings support the hypothesis that higher sidewalk accessibility is associated with higher PA levels, lower BMI, and obesity risks. Efforts in building healthy environments, including health‐promoting city planning, can help minimize the growing obesity epidemic and promote public health. John Wiley and Sons Inc. 2020-07-07 2021-02 /pmc/articles/PMC7988567/ /pubmed/32638457 http://dx.doi.org/10.1111/obr.13057 Text en © 2020 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Obesogenic Environment and Childhood Obesity
Wei, Junxiang
Wu, Yang
Zheng, Jinge
Nie, Peng
Jia, Peng
Wang, Youfa
Neighborhood sidewalk access and childhood obesity
title Neighborhood sidewalk access and childhood obesity
title_full Neighborhood sidewalk access and childhood obesity
title_fullStr Neighborhood sidewalk access and childhood obesity
title_full_unstemmed Neighborhood sidewalk access and childhood obesity
title_short Neighborhood sidewalk access and childhood obesity
title_sort neighborhood sidewalk access and childhood obesity
topic Obesogenic Environment and Childhood Obesity
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7988567/
https://www.ncbi.nlm.nih.gov/pubmed/32638457
http://dx.doi.org/10.1111/obr.13057
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