OBJECTIVE: This cross-sectional study aimed to identify sociodemographic and behavioural characteristics of 'overweight-resilient' women, that is, women who were in a healthy body weight range, despite living in socioeconomically disadvantaged neighbourhoods that place them at increased risk of obesity. The study also aimed to test a comprehensive theoretically derived model of the associations between intrapersonal, social and environmental factors and obesity among this target group. PARTICIPANTS: A total of 3235 women aged 18-45 years from 80 urban and rural neighbourhoods throughout Victoria, Australia, participated in the Resilience for Eating and Activity Despite Inequality study. MEASUREMENTS: Women reported height, weight, sociodemographic characteristics, leisure-time physical activity, dietary behaviours and a range of theoretically derived cognitive, social and neighbourhood environmental characteristics hypothesized to influence obesity risk. A theoretical model predicting body mass index (BMI) was tested using structural equation models. RESULTS: Women classified as 'resilient' to obesity tended to be younger, born overseas, more highly educated, unmarried and to have higher or undisclosed household incomes. They engaged in more leisure-time physical activity and consumed less fast foods and soft drinks than overweight/obese women. Neighbourhood characteristics, social characteristics and cognitive characteristics all contributed to explaining variation in BMI in the hypothesized directions. CONCLUSIONS: These results demonstrate several characteristics of women appearing 'resilient' to obesity, despite their increased risk conferred by residing in socioeconomically disadvantaged neighbourhoods. Acknowledging the cross-sectional study design, the results advance theoretical frameworks aimed at investigating obesity risk by providing evidence in support of a comprehensive model of direct and indirect effects on obesity of neighbourhood, as well as social, cognitive and behavioural characteristics.
OBJECTIVE: This cross-sectional study aimed to identify sociodemographic and behavioural characteristics of 'overweight-resilient' women, that is, women who were in a healthy body weight range, despite living in socioeconomically disadvantaged neighbourhoods that place them at increased risk of obesity. The study also aimed to test a comprehensive theoretically derived model of the associations between intrapersonal, social and environmental factors and obesity among this target group. PARTICIPANTS: A total of 3235 women aged 18-45 years from 80 urban and rural neighbourhoods throughout Victoria, Australia, participated in the Resilience for Eating and Activity Despite Inequality study. MEASUREMENTS: Women reported height, weight, sociodemographic characteristics, leisure-time physical activity, dietary behaviours and a range of theoretically derived cognitive, social and neighbourhood environmental characteristics hypothesized to influence obesity risk. A theoretical model predicting body mass index (BMI) was tested using structural equation models. RESULTS:Women classified as 'resilient' to obesity tended to be younger, born overseas, more highly educated, unmarried and to have higher or undisclosed household incomes. They engaged in more leisure-time physical activity and consumed less fast foods and soft drinks than overweight/obesewomen. Neighbourhood characteristics, social characteristics and cognitive characteristics all contributed to explaining variation in BMI in the hypothesized directions. CONCLUSIONS: These results demonstrate several characteristics of women appearing 'resilient' to obesity, despite their increased risk conferred by residing in socioeconomically disadvantaged neighbourhoods. Acknowledging the cross-sectional study design, the results advance theoretical frameworks aimed at investigating obesity risk by providing evidence in support of a comprehensive model of direct and indirect effects on obesity of neighbourhood, as well as social, cognitive and behavioural characteristics.
Authors: Raquel G Hernandez; Arik V Marcell; Janelle Garcia; Ernest K Amankwah; Tina L Cheng Journal: Clin Pediatr (Phila) Date: 2015-02-16 Impact factor: 1.168
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Authors: Kylie Ball; Verity Cleland; Jo Salmon; Anna F Timperio; Sarah McNaughton; Lukar Thornton; Karen Campbell; Michelle Jackson; Louise A Baur; Gita Mishra; Johannes Brug; Robert W Jeffery; Abby King; Ichiro Kawachi; David A Crawford Journal: Int J Epidemiol Date: 2012-12-18 Impact factor: 7.196
Authors: Andrew Bonney; Darren J Mayne; Bryan D Jones; Lawrence Bott; Stephen E J Andersen; Peter Caputi; Kathryn M Weston; Don C Iverson Journal: PLoS One Date: 2015-08-28 Impact factor: 3.240
Authors: Andrea S Richardson; Katie A Meyer; Annie Green Howard; Janne Boone-Heinonen; Barry M Popkin; Kelly R Evenson; James M Shikany; Cora E Lewis; Penny Gordon-Larsen Journal: Health Place Date: 2015-10-27 Impact factor: 4.931