Tiffany M Powell-Wiley1, Colby Ayers2, Priscilla Agyemang3, Tammy Leonard4, David Berrigan5, Rachel Ballard-Barbash6, Min Lian7, Sandeep R Das8, Christine M Hoehner9. 1. Cardiovascular and Pulmonary Branch, National Heart, Lung, and Blood Institutes, National Institutes of Health, Bethesda, MD 20892, United States; Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD 20850, United States. Electronic address: tiffany.powell@nih.gov. 2. Division of Cardiology, Department of Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75235, United States. Electronic address: colby.ayers@utsouthwestern.edu. 3. Cardiovascular and Pulmonary Branch, National Heart, Lung, and Blood Institutes, National Institutes of Health, Bethesda, MD 20892, United States. Electronic address: pagyeman169@gmail.com. 4. Department of Economics, University of Texas at Dallas, Richardson, TX 75080, United States. Electronic address: Leonard@utdallas.edu. 5. Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD 20850, United States. Electronic address: berrigad@mail.nih.gov. 6. Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD 20850, United States. Electronic address: barbashr@mail.nih.gov. 7. Washington University, St. Louis, MO 63130, United States. Electronic address: mlian@dom.wustl.edu. 8. Division of Cardiology, Department of Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75235, United States. Electronic address: Sandeep.das@utsouthwestern.edu. 9. Washington University, St. Louis, MO 63130, United States. Electronic address: christyhoehner@gmail.com.
Abstract
OBJECTIVE: The aim of this study is to examine a relationship between neighborhood-level socioeconomic deprivation and weight change in a multi-ethnic cohort from Dallas County, Texas and whether behavioral/psychosocial factors attenuate the relationship. METHODS: Non-movers (those in the same neighborhood throughout the study period) aged 18-65 (N=939) in Dallas Heart Study (DHS) underwent weight measurements between 2000 and 2009 (median 7-year follow-up). Geocoded home addresses defined block groups; a neighborhood deprivation index (NDI) was created (higher NDI=greater deprivation). Multi-level modeling determined weight change relative to NDI. Model fit improvement was examined with adding physical activity and neighborhood environment perceptions (higher score=more unfavorable perceptions) as covariates. A significant interaction between residence length and NDI was found (p-interaction=0.04); results were stratified by median residence length (11 years). RESULTS: Adjusting for age, sex, race/ethnicity, smoking, and education/income, those who lived in neighborhood >11 years gained 1.0 kg per one-unit increment of NDI (p=0.03), or 6 kg for those in highest NDI tertile compared with those in the lowest tertile. Physical activity improved model fit; NDI remained associated with weight gain after adjustment for physical activity and neighborhood environment perceptions. There was no significant relationship between NDI and weight change for those in their neighborhood ≤11 years. CONCLUSIONS: Living in more socioeconomically deprived neighborhoods over a longer time period was associated with weight gain in DHS. Published by Elsevier Inc.
OBJECTIVE: The aim of this study is to examine a relationship between neighborhood-level socioeconomic deprivation and weight change in a multi-ethnic cohort from Dallas County, Texas and whether behavioral/psychosocial factors attenuate the relationship. METHODS: Non-movers (those in the same neighborhood throughout the study period) aged 18-65 (N=939) in Dallas Heart Study (DHS) underwent weight measurements between 2000 and 2009 (median 7-year follow-up). Geocoded home addresses defined block groups; a neighborhood deprivation index (NDI) was created (higher NDI=greater deprivation). Multi-level modeling determined weight change relative to NDI. Model fit improvement was examined with adding physical activity and neighborhood environment perceptions (higher score=more unfavorable perceptions) as covariates. A significant interaction between residence length and NDI was found (p-interaction=0.04); results were stratified by median residence length (11 years). RESULTS: Adjusting for age, sex, race/ethnicity, smoking, and education/income, those who lived in neighborhood >11 years gained 1.0 kg per one-unit increment of NDI (p=0.03), or 6 kg for those in highest NDI tertile compared with those in the lowest tertile. Physical activity improved model fit; NDI remained associated with weight gain after adjustment for physical activity and neighborhood environment perceptions. There was no significant relationship between NDI and weight change for those in their neighborhood ≤11 years. CONCLUSIONS: Living in more socioeconomically deprived neighborhoods over a longer time period was associated with weight gain in DHS. Published by Elsevier Inc.
Entities:
Keywords:
Neighborhood environment; Obesity; Socioeconomic deprivation; Socioeconomic status
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