TY - JOUR
T1 - Fast-food restaurants, park access, and insulin resistance among hispanic youth
AU - Hsieh, Stephanie
AU - Klassen, Ann C.
AU - Curriero, Frank C.
AU - Caulfield, Laura E.
AU - Cheskin, Lawrence J.
AU - Davis, Jaimie N.
AU - Goran, Michael I.
AU - Weigensberg, Marc J.
AU - Spruijt-Metz, Donna
N1 - Funding Information:
This work was supported by the Robert Wood Johnson Foundation (68562), Johns Hopkins Center for a Livable Future, National Cancer Institute (NCI), University of Southern California Center for Transdisciplinary Research on Energetics and Cancer ( U54 CA 116848 ), National Institute of Child Health and Human Development ( R01 HD/HL 33064 ), National Center for Complementary and Alternative Medicine ( R21 AT002556 ), National Center for Minority Health Disparities ( P60 MD002254 ), National Institute of Diabetes and Digestive and Kidney Diseases ( K01DK078858 ), and the National Center for Research Resources (NCRR)/NIH ( M01 RR 00043 ).
PY - 2014/4
Y1 - 2014/4
N2 - Background Evidence of associations between the built environment and obesity risk has been steadily building, yet few studies have focused on the relationship between the built environment and aspects of metabolism related to obesity's most tightly linked comorbidity, type 2 diabetes. Purpose To examine the relationship between aspects of the neighborhood built environment and insulin resistance using accurate laboratory measures to account for fat distribution and adiposity. Methods Data on 453 Hispanic youth (aged 8-18 years) from 2001 to 2011 were paired with neighborhood built environment and 2000 Census data. Analyses were conducted in 2011. Walking-distance buffers were built around participants' residential locations. Body composition and fat distribution were assessed using dual x-ray absorptiometry and waist circumference. Variables for park space, food access, walkability, and neighborhood sociocultural aspects were entered into a multivariate regression model predicting insulin resistance as determined by the homeostasis model assessment. Results Independent of obesity measures, greater fast-food restaurant density was associated with higher insulin resistance. Increased park space and neighborhood linguistic isolation were associated with lower insulin resistance among boys. Among girls, park space was associated with lower insulin resistance, but greater neighborhood linguistic isolation was associated with higher insulin resistance. A significant interaction between waist circumference and neighborhood linguistic isolation indicated that the negative association between neighborhood linguistic isolation and insulin resistance diminished with increased waist circumference. Conclusions Reducing access to fast food and increasing public park space may be valuable to addressing insulin resistance and type 2 diabetes, but effects may vary by gender.
AB - Background Evidence of associations between the built environment and obesity risk has been steadily building, yet few studies have focused on the relationship between the built environment and aspects of metabolism related to obesity's most tightly linked comorbidity, type 2 diabetes. Purpose To examine the relationship between aspects of the neighborhood built environment and insulin resistance using accurate laboratory measures to account for fat distribution and adiposity. Methods Data on 453 Hispanic youth (aged 8-18 years) from 2001 to 2011 were paired with neighborhood built environment and 2000 Census data. Analyses were conducted in 2011. Walking-distance buffers were built around participants' residential locations. Body composition and fat distribution were assessed using dual x-ray absorptiometry and waist circumference. Variables for park space, food access, walkability, and neighborhood sociocultural aspects were entered into a multivariate regression model predicting insulin resistance as determined by the homeostasis model assessment. Results Independent of obesity measures, greater fast-food restaurant density was associated with higher insulin resistance. Increased park space and neighborhood linguistic isolation were associated with lower insulin resistance among boys. Among girls, park space was associated with lower insulin resistance, but greater neighborhood linguistic isolation was associated with higher insulin resistance. A significant interaction between waist circumference and neighborhood linguistic isolation indicated that the negative association between neighborhood linguistic isolation and insulin resistance diminished with increased waist circumference. Conclusions Reducing access to fast food and increasing public park space may be valuable to addressing insulin resistance and type 2 diabetes, but effects may vary by gender.
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U2 - 10.1016/j.amepre.2013.12.007
DO - 10.1016/j.amepre.2013.12.007
M3 - Article
C2 - 24650840
AN - SCOPUS:84896505189
SN - 0749-3797
VL - 46
SP - 378
EP - 387
JO - American journal of preventive medicine
JF - American journal of preventive medicine
IS - 4
ER -