International study of perceived neighbourhood environmental attributes and Body Mass Index: IPEN Adult study in 12 countries

I De Bourdeaudhuij, D Van Dyck, D Salvo, Rachel DAVEY, RS Reiss, Grant Schofield, Rodrigo Reis, Josef Mitáš, Breum Christiansen, Duncan Macfarlane, Takemi Sugiyama, Inés Ontoso, Neville Owen, Terry L. Conway, James F. Sallis, Ester Cerin

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Background: Ecological models of health behaviour are an important conceptual framework to address the multiple correlates of obesity. Several single-country studies previously examined the relationship between the built environment and obesity in adults, but results are very diverse. An important reason for these mixed results is the limited variability in built environments in these single-country studies. Therefore, the aim of this study was to examine associations between perceived neighbourhood built environmental attributes and BMI/weight status in a multi-country study including 12 environmentally and culturally diverse countries. Methods: A multi-site cross-sectional study was conducted in 17 cities (study sites) across 12 countries (Australia, Belgium, Brazil, China, Colombia, Czech Republic, Denmark, Mexico, New Zealand, Spain, the UK and USA). Participants (n = 14222, 18-66 years) self-reported perceived neighbourhood environmental attributes. Height and weight were self-reported in eight countries, and measured in person in four countries. Results: Three environmental attributes were associated with BMI or weight status in pooled data from 12 countries. Safety from traffic was the most robust correlate, suggesting that creating safe routes for walking/cycling by reducing the speed and volume of traffic might have a positive impact upon weight status/BMI across various geographical locations. Close proximity to several local destinations was associated with BMI across all countries, suggesting compact neighbourhoods with more places to walk related to lower BMI. Safety from crime showed a curvilinear relationship with BMI, with especially poor crime safety being related to higher BMI. Conclusions: Environmental interventions involving these three attributes appear to have international relevance and focusing on these might have implications for tackling overweight/obesity.

Original languageEnglish
Pages (from-to)1-10
Number of pages10
JournalThe International Journal of Behavioral Nutrition and Physical Activity
Volume12
Issue number62
DOIs
Publication statusPublished - 16 May 2015

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Body Mass Index
Weights and Measures
Obesity
Crime
Safety
Colombia
Czech Republic
Belgium
Health Behavior
Denmark
Mexico
New Zealand
Spain
Walking
Brazil
China
Cross-Sectional Studies

Cite this

De Bourdeaudhuij, I ; Van Dyck, D ; Salvo, D ; DAVEY, Rachel ; Reiss, RS ; Schofield, Grant ; Reis, Rodrigo ; Mitáš, Josef ; Christiansen, Breum ; Macfarlane, Duncan ; Sugiyama, Takemi ; Ontoso, Inés ; Owen, Neville ; Conway, Terry L. ; Sallis, James F. ; Cerin, Ester. / International study of perceived neighbourhood environmental attributes and Body Mass Index: IPEN Adult study in 12 countries. In: The International Journal of Behavioral Nutrition and Physical Activity. 2015 ; Vol. 12, No. 62. pp. 1-10.
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title = "International study of perceived neighbourhood environmental attributes and Body Mass Index: IPEN Adult study in 12 countries",
abstract = "Background: Ecological models of health behaviour are an important conceptual framework to address the multiple correlates of obesity. Several single-country studies previously examined the relationship between the built environment and obesity in adults, but results are very diverse. An important reason for these mixed results is the limited variability in built environments in these single-country studies. Therefore, the aim of this study was to examine associations between perceived neighbourhood built environmental attributes and BMI/weight status in a multi-country study including 12 environmentally and culturally diverse countries. Methods: A multi-site cross-sectional study was conducted in 17 cities (study sites) across 12 countries (Australia, Belgium, Brazil, China, Colombia, Czech Republic, Denmark, Mexico, New Zealand, Spain, the UK and USA). Participants (n = 14222, 18-66 years) self-reported perceived neighbourhood environmental attributes. Height and weight were self-reported in eight countries, and measured in person in four countries. Results: Three environmental attributes were associated with BMI or weight status in pooled data from 12 countries. Safety from traffic was the most robust correlate, suggesting that creating safe routes for walking/cycling by reducing the speed and volume of traffic might have a positive impact upon weight status/BMI across various geographical locations. Close proximity to several local destinations was associated with BMI across all countries, suggesting compact neighbourhoods with more places to walk related to lower BMI. Safety from crime showed a curvilinear relationship with BMI, with especially poor crime safety being related to higher BMI. Conclusions: Environmental interventions involving these three attributes appear to have international relevance and focusing on these might have implications for tackling overweight/obesity.",
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De Bourdeaudhuij, I, Van Dyck, D, Salvo, D, DAVEY, R, Reiss, RS, Schofield, G, Reis, R, Mitáš, J, Christiansen, B, Macfarlane, D, Sugiyama, T, Ontoso, I, Owen, N, Conway, TL, Sallis, JF & Cerin, E 2015, 'International study of perceived neighbourhood environmental attributes and Body Mass Index: IPEN Adult study in 12 countries', The International Journal of Behavioral Nutrition and Physical Activity, vol. 12, no. 62, pp. 1-10. https://doi.org/10.1186/s12966-015-0228-y

International study of perceived neighbourhood environmental attributes and Body Mass Index: IPEN Adult study in 12 countries. / De Bourdeaudhuij, I; Van Dyck, D; Salvo, D; DAVEY, Rachel; Reiss, RS; Schofield, Grant; Reis, Rodrigo; Mitáš, Josef; Christiansen, Breum; Macfarlane, Duncan; Sugiyama, Takemi; Ontoso, Inés; Owen, Neville; Conway, Terry L.; Sallis, James F.; Cerin, Ester.

In: The International Journal of Behavioral Nutrition and Physical Activity, Vol. 12, No. 62, 16.05.2015, p. 1-10.

Research output: Contribution to journalArticle

TY - JOUR

T1 - International study of perceived neighbourhood environmental attributes and Body Mass Index: IPEN Adult study in 12 countries

AU - De Bourdeaudhuij, I

AU - Van Dyck, D

AU - Salvo, D

AU - DAVEY, Rachel

AU - Reiss, RS

AU - Schofield, Grant

AU - Reis, Rodrigo

AU - Mitáš, Josef

AU - Christiansen, Breum

AU - Macfarlane, Duncan

AU - Sugiyama, Takemi

AU - Ontoso, Inés

AU - Owen, Neville

AU - Conway, Terry L.

AU - Sallis, James F.

AU - Cerin, Ester

PY - 2015/5/16

Y1 - 2015/5/16

N2 - Background: Ecological models of health behaviour are an important conceptual framework to address the multiple correlates of obesity. Several single-country studies previously examined the relationship between the built environment and obesity in adults, but results are very diverse. An important reason for these mixed results is the limited variability in built environments in these single-country studies. Therefore, the aim of this study was to examine associations between perceived neighbourhood built environmental attributes and BMI/weight status in a multi-country study including 12 environmentally and culturally diverse countries. Methods: A multi-site cross-sectional study was conducted in 17 cities (study sites) across 12 countries (Australia, Belgium, Brazil, China, Colombia, Czech Republic, Denmark, Mexico, New Zealand, Spain, the UK and USA). Participants (n = 14222, 18-66 years) self-reported perceived neighbourhood environmental attributes. Height and weight were self-reported in eight countries, and measured in person in four countries. Results: Three environmental attributes were associated with BMI or weight status in pooled data from 12 countries. Safety from traffic was the most robust correlate, suggesting that creating safe routes for walking/cycling by reducing the speed and volume of traffic might have a positive impact upon weight status/BMI across various geographical locations. Close proximity to several local destinations was associated with BMI across all countries, suggesting compact neighbourhoods with more places to walk related to lower BMI. Safety from crime showed a curvilinear relationship with BMI, with especially poor crime safety being related to higher BMI. Conclusions: Environmental interventions involving these three attributes appear to have international relevance and focusing on these might have implications for tackling overweight/obesity.

AB - Background: Ecological models of health behaviour are an important conceptual framework to address the multiple correlates of obesity. Several single-country studies previously examined the relationship between the built environment and obesity in adults, but results are very diverse. An important reason for these mixed results is the limited variability in built environments in these single-country studies. Therefore, the aim of this study was to examine associations between perceived neighbourhood built environmental attributes and BMI/weight status in a multi-country study including 12 environmentally and culturally diverse countries. Methods: A multi-site cross-sectional study was conducted in 17 cities (study sites) across 12 countries (Australia, Belgium, Brazil, China, Colombia, Czech Republic, Denmark, Mexico, New Zealand, Spain, the UK and USA). Participants (n = 14222, 18-66 years) self-reported perceived neighbourhood environmental attributes. Height and weight were self-reported in eight countries, and measured in person in four countries. Results: Three environmental attributes were associated with BMI or weight status in pooled data from 12 countries. Safety from traffic was the most robust correlate, suggesting that creating safe routes for walking/cycling by reducing the speed and volume of traffic might have a positive impact upon weight status/BMI across various geographical locations. Close proximity to several local destinations was associated with BMI across all countries, suggesting compact neighbourhoods with more places to walk related to lower BMI. Safety from crime showed a curvilinear relationship with BMI, with especially poor crime safety being related to higher BMI. Conclusions: Environmental interventions involving these three attributes appear to have international relevance and focusing on these might have implications for tackling overweight/obesity.

KW - Built environment

KW - International

KW - Pooled data

KW - Weight status

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