BACKGROUND: Research suggests the neighborhood built environment is related to child physical activity and eating. PURPOSE: The purpose of this study was to determine if characteristics of the neighborhood environment moderate the relationship between obesity treatment and weight loss, and if outcomes of particular treatments are moderated by built environment characteristics. METHOD: The relationship between the built environment and standardized BMI (zBMI) changes for 191 8-12-year-old children who participated in one of four randomized, controlled trials of pediatric weight management was assessed using mixed models analysis of covariance. RESULTS: At 2-year follow-up, greater parkland, fewer convenience stores, and fewer supermarkets were associated with greater zBMI reduction across all interventions. No treatments interacted with characteristics of the built environment. CONCLUSIONS: Activity- and eating-related built neighborhood characteristics are associated with child success in behavioral obesity treatments. Efficacy may be improved by individualizing treatments based on built environment characteristics.
RCT Entities:
BACKGROUND: Research suggests the neighborhood built environment is related to child physical activity and eating. PURPOSE: The purpose of this study was to determine if characteristics of the neighborhood environment moderate the relationship between obesity treatment and weight loss, and if outcomes of particular treatments are moderated by built environment characteristics. METHOD: The relationship between the built environment and standardized BMI (zBMI) changes for 191 8-12-year-old children who participated in one of four randomized, controlled trials of pediatric weight management was assessed using mixed models analysis of covariance. RESULTS: At 2-year follow-up, greater parkland, fewer convenience stores, and fewer supermarkets were associated with greater zBMI reduction across all interventions. No treatments interacted with characteristics of the built environment. CONCLUSIONS: Activity- and eating-related built neighborhood characteristics are associated with child success in behavioral obesity treatments. Efficacy may be improved by individualizing treatments based on built environment characteristics.
Authors: Robert J Kuczmarski; Cynthia L Ogden; Shumei S Guo; Laurence M Grummer-Strawn; Katherine M Flegal; Zuguo Mei; Rong Wei; Lester R Curtin; Alex F Roche; Clifford L Johnson Journal: Vital Health Stat 11 Date: 2002-05
Authors: Mona Sharifi; Thomas D Sequist; Sheryl L Rifas-Shiman; Steven J Melly; Dustin T Duncan; Christine M Horan; Renata L Smith; Richard Marshall; Elsie M Taveras Journal: Prev Med Date: 2016-07-09 Impact factor: 4.018
Authors: Punam Ohri-Vachaspati; Derek DeLia; Robin S DeWeese; Noe C Crespo; Michael Todd; Michael J Yedidia Journal: Public Health Nutr Date: 2014-11-06 Impact factor: 4.022
Authors: Stephanie T Broyles; Candice A Myers; Kathryn T Drazba; Arwen M Marker; Timothy S Church; Robert L Newton Journal: J Urban Health Date: 2016-04 Impact factor: 3.671
Authors: Lauren Fiechtner; Ken Kleinman; Steven J Melly; Mona Sharifi; Richard Marshall; Jason Block; Erika R Cheng; Elsie M Taveras Journal: Am J Public Health Date: 2016-01-21 Impact factor: 9.308