Are perceived and objective distances to fresh food and physical activity resources associated with cardiometabolic risk?

Katherine L. Baldock, Catherine Paquet, Natasha J. Howard, Neil T. Coffee, Anne W. Taylor, Mark Daniel

    Research output: Contribution to journal › Article

    • 2 Citations

    Abstract

    Perceived and objective measures of neighbourhood features have shown limited correspondence. Few studies have examined whether discordance between objective measures and individual perceptions of neighbourhood environments relates to individual health. Individuals with mismatched perceptions may benefit from initiatives to improve understandings of resource availability. This study utilised data from n = 1491 adult participants in a biomedical cohort to evaluate cross-sectional associations between measures of access (perceived, objective, and perceived-objective mismatch) to fruit and vegetable retailers (FVR) and public open space (POS), and clinically-measured metabolic syndrome and its component risk factors: central obesity, dyslipidaemia, hypertension and pre-diabetes/diabetes. Access measures included perceived distances from home to the nearest FVR and POS, corresponding objectively-assessed road network distances, and the discordance between perceived and objective distances (overestimated (i.e., mismatched) distances versus matched perceived-objective distances). Individual and neighbourhood measures were spatially joined using a geographic information system. Associations were evaluated using multilevel logistic regression, accounting for individual and area-level covariates. Hypertension was positively associated with perceived distances to FVR (odds ratio (OR) = 1.14, 95% confidence interval (CI) = 1.02, 1.28) and POS (OR = 1.19, 95% CI = 1.05, 1.34), after accounting for covariates and objective distances. Hypertension was positively associated with overestimating distances to FVR (OR = 1.36, 95% CI = 1.02, 1.80). Overestimating distances to POS was positively associated with both hypertension (OR = 1.42, 95% CI = 1.11, 1.83) and dyslipidaemia (OR = 1.25, 95% CI = 1.00, 1.57). Results provide new evidence for specific associations between perceived and overestimated distances from home to nearby resources and cardiometabolic risk factors

    LanguageEnglish
    Article number224
    Pages1-17
    Number of pages17
    JournalInternational Journal of Environmental Research and Public Health
    Volume15
    Issue number2
    DOIs
    StatePublished - 29 Jan 2018

    Fingerprint

    Vegetables
    Odds Ratio
    Confidence Intervals
    Exercise
    Fruit
    Food
    Hypertension
    Dyslipidemias
    Geographic Information Systems
    Abdominal Obesity
    Logistic Models
    Health

    Cite this

    Baldock, Katherine L. ; Paquet, Catherine ; Howard, Natasha J. ; Coffee, Neil T. ; Taylor, Anne W. ; Daniel, Mark. / Are perceived and objective distances to fresh food and physical activity resources associated with cardiometabolic risk?. In: International Journal of Environmental Research and Public Health. 2018 ; Vol. 15, No. 2. pp. 1-17
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    abstract = "Perceived and objective measures of neighbourhood features have shown limited correspondence. Few studies have examined whether discordance between objective measures and individual perceptions of neighbourhood environments relates to individual health. Individuals with mismatched perceptions may benefit from initiatives to improve understandings of resource availability. This study utilised data from n = 1491 adult participants in a biomedical cohort to evaluate cross-sectional associations between measures of access (perceived, objective, and perceived-objective mismatch) to fruit and vegetable retailers (FVR) and public open space (POS), and clinically-measured metabolic syndrome and its component risk factors: central obesity, dyslipidaemia, hypertension and pre-diabetes/diabetes. Access measures included perceived distances from home to the nearest FVR and POS, corresponding objectively-assessed road network distances, and the discordance between perceived and objective distances (overestimated (i.e., mismatched) distances versus matched perceived-objective distances). Individual and neighbourhood measures were spatially joined using a geographic information system. Associations were evaluated using multilevel logistic regression, accounting for individual and area-level covariates. Hypertension was positively associated with perceived distances to FVR (odds ratio (OR) = 1.14, 95{\%} confidence interval (CI) = 1.02, 1.28) and POS (OR = 1.19, 95{\%} CI = 1.05, 1.34), after accounting for covariates and objective distances. Hypertension was positively associated with overestimating distances to FVR (OR = 1.36, 95{\%} CI = 1.02, 1.80). Overestimating distances to POS was positively associated with both hypertension (OR = 1.42, 95{\%} CI = 1.11, 1.83) and dyslipidaemia (OR = 1.25, 95{\%} CI = 1.00, 1.57). Results provide new evidence for specific associations between perceived and overestimated distances from home to nearby resources and cardiometabolic risk factors",
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    Baldock, KL, Paquet, C, Howard, NJ, Coffee, NT, Taylor, AW & Daniel, M 2018, 'Are perceived and objective distances to fresh food and physical activity resources associated with cardiometabolic risk?' International Journal of Environmental Research and Public Health, vol. 15, no. 2, 224, pp. 1-17. DOI: 10.3390/ijerph15020224

    Are perceived and objective distances to fresh food and physical activity resources associated with cardiometabolic risk? / Baldock, Katherine L.; Paquet, Catherine; Howard, Natasha J.; Coffee, Neil T.; Taylor, Anne W.; Daniel, Mark.

    In: International Journal of Environmental Research and Public Health, Vol. 15, No. 2, 224, 29.01.2018, p. 1-17.

    Research output: Contribution to journal › Article

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    Baldock KL, Paquet C, Howard NJ, Coffee NT, Taylor AW, Daniel M. Are perceived and objective distances to fresh food and physical activity resources associated with cardiometabolic risk? International Journal of Environmental Research and Public Health. 2018 Jan 29;15(2):1-17. 224. Available from, DOI: 10.3390/ijerph15020224

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