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

doi:10.3390/ijerph15020224

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

Health Research Institute

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

13 Downloads (Pure)

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

Original language	English
Article number	224
Pages (from-to)	1-17
Number of pages	17
Journal	International Journal of Environmental Research and Public Health
Volume	15
Issue number	2
DOIs	https://doi.org/10.3390/ijerph15020224
Publication status	Published - Jan 2018

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.3390/ijerph15020224Licence: CC BY

Journal articleFinal published version, 1.46 MBLicence: CC BY

Cite this

@article{0ca604793ec744ce8656b22af8013900,

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

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",

keywords = "Australia, Cardiometabolic risk factors, Food environment, Geographic information system, Neighbourhood, Perceptions, Physical activity environment, food environment, physical activity environment, cardiometabolic risk factors, perceptions, neighbourhood, geographic information system, Residence Characteristics, Geographic Information Systems, Metabolic Syndrome/epidemiology, Vegetables, Humans, Middle Aged, Male, Prediabetic State/epidemiology, Exercise, Adult, Female, Cross-Sectional Studies, Fruit, Risk Factors, Obesity/epidemiology, Hypertension/epidemiology, Logistic Models, South Australia/epidemiology, Dyslipidemias/epidemiology, Perception, Cohort Studies",

author = "Baldock, {Katherine L.} and Catherine Paquet and Howard, {Natasha J.} and Coffee, {Neil T.} and Taylor, {Anne W.} and Mark Daniel",

note = "Funding Information: Acknowledgments: This research was conducted under a National Health and Medical Research Council (NHMRC) Project Grant (no. 631917) and Partnership Grant (no. 570150) investigating the relationships between place and metabolic syndrome (PAMS). Additional support was from a Research SA Research Chair (Social Epidemiology) awarded to MD. CP was funded by a NHMRC Post-doctoral Training Research Fellowship (no. 570139) and salary support from an NHMRC Program Grant (no. 631947). This paper was reviewed for scientific content and consistency of data interpretation by the Chief Investigators of the North West Adelaide Health Study (NWAHS). The authors are grateful for the interest and commitment of cohort participants. They appreciate the contributions of research support staff involved in recruitment and clinical follow-up. Funding Information: This study was part of the Place and Metabolic Syndrome (PAMS) project, drawing on individual-level data from the North West Adelaide Health Study (NWAHS) conducted in the north-western region of Adelaide (Figure 1), the capital city of South Australia, Australia. Adelaide in 2006 had a population of approximately 1.1 million persons, residing within a geographic area extending 30 kilometres (km) east-west, and 80 km north-south [52]. PAMS received approvals from the Ethics of Human Research Committees of the Central Northern Adelaide Health Service (Application no.: 2010010) University of South Australia (Protocol no.: P029/10), and South Australian Department of Health (Protocol no.: 354/03/2013). Publisher Copyright: {\textcopyright} 2018 by the authors. Licensee MDPI, Basel, Switzerland.",

year = "2018",

month = jan,

doi = "10.3390/ijerph15020224",

language = "English",

volume = "15",

pages = "1--17",

journal = "International Journal of Environmental Research and Public Health",

issn = "1660-4601",

publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",

number = "2",

}