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Neighborhood Greenspace and Changes in Pediatric Obesity During COVID-19
INTRODUCTION: Pediatric obesity rates increased during the COVID-19 pandemic. This study examined the associations of neighborhood greenspace with changes in pediatric obesity during the pandemic. METHODS: Electronic health record data from a large pediatric primary care network were extracted to cr...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Journal of Preventive Medicine. Published by Elsevier Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9420704/ https://www.ncbi.nlm.nih.gov/pubmed/36116998 http://dx.doi.org/10.1016/j.amepre.2022.07.014 |
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author | Mayne, Stephanie L. Kelleher, Shannon Hannan, Chloe Kelly, Mary Kate Powell, Maura Dalembert, George McPeak, Katie Jenssen, Brian P. Fiks, Alexander G. |
author_facet | Mayne, Stephanie L. Kelleher, Shannon Hannan, Chloe Kelly, Mary Kate Powell, Maura Dalembert, George McPeak, Katie Jenssen, Brian P. Fiks, Alexander G. |
author_sort | Mayne, Stephanie L. |
collection | PubMed |
description | INTRODUCTION: Pediatric obesity rates increased during the COVID-19 pandemic. This study examined the associations of neighborhood greenspace with changes in pediatric obesity during the pandemic. METHODS: Electronic health record data from a large pediatric primary care network were extracted to create a retrospective cohort of patients aged 2–17 years with a visit in each of 2 periods: June 2019–December 2019 (before pandemic) and June 2020–December 2020 (pandemic). Multivariable longitudinal generalized estimating equations Poisson regression estimated the associations of census tract‒level Normalized Difference Vegetation Index with (1) changes in obesity risk during the pandemic and (2) risk of new-onset obesity among children who were not obese prepandemic. Analyses were conducted between November 2021 and May 2022. RESULTS: Among 81,418 children (mean age: 8.4 years, 18% Black), the percentage of children who were obese increased by 3.2% during the pandemic. Children in Normalized Difference Vegetation Index Quartiles 2–4 had smaller increases in obesity risk during the pandemic than those in Quartile 1 (risk ratio=0.96, 95% CI=0.93, 0.99; Quartile 3 risk ratio=0.95; 95% CI=0.91, 0.98; Quartile 4 risk ratio=0.95, 95% CI=0.92, 0.99). Among the subset who were not obese before the pandemic, children in Normalized Difference Vegetation Index quartiles 3–4 had a lower risk of new-onset obesity during the pandemic (Quartile 3 risk ratio=0.82, 95% CI=0.71, 0.95; Quartile 4 risk ratio=0.73, 95% CI=0.62, 0.85). Higher Normalized Difference Vegetation Index was associated with smaller increases in obesity risk and lower risk of new-onset obesity among children in urban and suburban areas, but results were in the opposite direction for children in rural areas. CONCLUSIONS: Children living in greener neighborhoods experienced smaller increases in obesity during the pandemic than children in less green neighborhoods, although findings differed by urbanicity. |
format | Online Article Text |
id | pubmed-9420704 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | American Journal of Preventive Medicine. Published by Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-94207042022-08-30 Neighborhood Greenspace and Changes in Pediatric Obesity During COVID-19 Mayne, Stephanie L. Kelleher, Shannon Hannan, Chloe Kelly, Mary Kate Powell, Maura Dalembert, George McPeak, Katie Jenssen, Brian P. Fiks, Alexander G. Am J Prev Med Research Article INTRODUCTION: Pediatric obesity rates increased during the COVID-19 pandemic. This study examined the associations of neighborhood greenspace with changes in pediatric obesity during the pandemic. METHODS: Electronic health record data from a large pediatric primary care network were extracted to create a retrospective cohort of patients aged 2–17 years with a visit in each of 2 periods: June 2019–December 2019 (before pandemic) and June 2020–December 2020 (pandemic). Multivariable longitudinal generalized estimating equations Poisson regression estimated the associations of census tract‒level Normalized Difference Vegetation Index with (1) changes in obesity risk during the pandemic and (2) risk of new-onset obesity among children who were not obese prepandemic. Analyses were conducted between November 2021 and May 2022. RESULTS: Among 81,418 children (mean age: 8.4 years, 18% Black), the percentage of children who were obese increased by 3.2% during the pandemic. Children in Normalized Difference Vegetation Index Quartiles 2–4 had smaller increases in obesity risk during the pandemic than those in Quartile 1 (risk ratio=0.96, 95% CI=0.93, 0.99; Quartile 3 risk ratio=0.95; 95% CI=0.91, 0.98; Quartile 4 risk ratio=0.95, 95% CI=0.92, 0.99). Among the subset who were not obese before the pandemic, children in Normalized Difference Vegetation Index quartiles 3–4 had a lower risk of new-onset obesity during the pandemic (Quartile 3 risk ratio=0.82, 95% CI=0.71, 0.95; Quartile 4 risk ratio=0.73, 95% CI=0.62, 0.85). Higher Normalized Difference Vegetation Index was associated with smaller increases in obesity risk and lower risk of new-onset obesity among children in urban and suburban areas, but results were in the opposite direction for children in rural areas. CONCLUSIONS: Children living in greener neighborhoods experienced smaller increases in obesity during the pandemic than children in less green neighborhoods, although findings differed by urbanicity. American Journal of Preventive Medicine. Published by Elsevier Inc. 2023-01 2022-08-29 /pmc/articles/PMC9420704/ /pubmed/36116998 http://dx.doi.org/10.1016/j.amepre.2022.07.014 Text en © 2022 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Research Article Mayne, Stephanie L. Kelleher, Shannon Hannan, Chloe Kelly, Mary Kate Powell, Maura Dalembert, George McPeak, Katie Jenssen, Brian P. Fiks, Alexander G. Neighborhood Greenspace and Changes in Pediatric Obesity During COVID-19 |
title | Neighborhood Greenspace and Changes in Pediatric Obesity During COVID-19 |
title_full | Neighborhood Greenspace and Changes in Pediatric Obesity During COVID-19 |
title_fullStr | Neighborhood Greenspace and Changes in Pediatric Obesity During COVID-19 |
title_full_unstemmed | Neighborhood Greenspace and Changes in Pediatric Obesity During COVID-19 |
title_short | Neighborhood Greenspace and Changes in Pediatric Obesity During COVID-19 |
title_sort | neighborhood greenspace and changes in pediatric obesity during covid-19 |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9420704/ https://www.ncbi.nlm.nih.gov/pubmed/36116998 http://dx.doi.org/10.1016/j.amepre.2022.07.014 |
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