TY - JOUR
T1 - Are perceived and objective distances to fresh food and physical activity resources associated with cardiometabolic risk?
AU - Baldock, Katherine L.
AU - Paquet, Catherine
AU - Howard, Natasha J.
AU - Coffee, Neil T.
AU - Taylor, Anne W.
AU - Daniel, Mark
PY - 2018/1
Y1 - 2018/1
N2 - 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
AB - 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
KW - Australia
KW - Cardiometabolic risk factors
KW - Food environment
KW - Geographic information system
KW - Neighbourhood
KW - Perceptions
KW - Physical activity environment
KW - food environment
KW - physical activity environment
KW - cardiometabolic risk factors
KW - perceptions
KW - neighbourhood
KW - geographic information system
KW - Residence Characteristics
KW - Geographic Information Systems
KW - Metabolic Syndrome/epidemiology
KW - Vegetables
KW - Humans
KW - Middle Aged
KW - Male
KW - Prediabetic State/epidemiology
KW - Exercise
KW - Adult
KW - Female
KW - Cross-Sectional Studies
KW - Fruit
KW - Risk Factors
KW - Obesity/epidemiology
KW - Hypertension/epidemiology
KW - Logistic Models
KW - South Australia/epidemiology
KW - Dyslipidemias/epidemiology
KW - Perception
KW - Cohort Studies
UR - http://www.scopus.com/inward/record.url?scp=85041477296&partnerID=8YFLogxK
UR - http://www.mendeley.com/research/perceived-objective-distances-fresh-food-physical-activity-resources-associated-cardiometabolic-risk
U2 - 10.3390/ijerph15020224
DO - 10.3390/ijerph15020224
M3 - Article
C2 - 29382169
AN - SCOPUS:85041477296
VL - 15
SP - 1
EP - 17
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
SN - 1660-4601
IS - 2
M1 - 224
ER -