Walking mediates associations between neighborhood activity supportiveness and BMI in the Women's Health Initiative San Diego cohort

Jordan A. Carlson, Rosemay A. Remigio-Baker, Cheryl A M Anderson, Marc A. Adams, Gregory J. Norman, Jacqueline Kerr, Michael H. Criqui, Matthew Allison

Research output: Contribution to journalArticle

Abstract

Objectives: To investigate whether walking mediates neighborhood built environment associations with weight status in middle- and older-aged women. Methods: Participants ( N=5085; mean age=64±7.7; 75.4% White non-Hispanic) were from the Women's Health Initiative San Diego cohort baseline visits. Body mass index (BMI) and waist circumference were measured objectively. Walking was assessed via survey. The geographic information system (GIS)-based home neighborhood activity supportiveness index included residential density, street connectivity, land use mix, and number of parks. Results: BMI was 0.22 units higher and the odds ratio for being obese (vs. normal or overweight) was 8% higher for every standard deviation decrease in neighborhood activity supportiveness. Walking partially mediated these associations (22-23% attenuation). Findings were less robust for waist circumference. Conclusions: Findings suggest women who lived in activity-supportive neighborhoods had a lower BMI than their counterparts, in part because they walked more. Improving neighborhood activity supportiveness has population-level implications for improving weight status and health.

Original languageEnglish (US)
Pages (from-to)48-53
Number of pages6
JournalHealth and Place
Volume38
DOIs
StatePublished - Mar 1 2016
Externally publishedYes

Fingerprint

womens health
Women's Health
walking
body mass
Walking
Body Mass Index
health
Waist Circumference
residential density
Weights and Measures
Geographic Information Systems
demographic situation
Health Status
connectivity
information system
land use
Odds Ratio
index
Population

Keywords

  • Aging
  • Obesity
  • Physical activity
  • Waist circumference
  • Walkability

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Geography, Planning and Development
  • Health(social science)

Cite this

Carlson, J. A., Remigio-Baker, R. A., Anderson, C. A. M., Adams, M. A., Norman, G. J., Kerr, J., ... Allison, M. (2016). Walking mediates associations between neighborhood activity supportiveness and BMI in the Women's Health Initiative San Diego cohort. Health and Place, 38, 48-53. https://doi.org/10.1016/j.healthplace.2016.01.001

Walking mediates associations between neighborhood activity supportiveness and BMI in the Women's Health Initiative San Diego cohort. / Carlson, Jordan A.; Remigio-Baker, Rosemay A.; Anderson, Cheryl A M; Adams, Marc A.; Norman, Gregory J.; Kerr, Jacqueline; Criqui, Michael H.; Allison, Matthew.

In: Health and Place, Vol. 38, 01.03.2016, p. 48-53.

Research output: Contribution to journalArticle

Carlson, JA, Remigio-Baker, RA, Anderson, CAM, Adams, MA, Norman, GJ, Kerr, J, Criqui, MH & Allison, M 2016, 'Walking mediates associations between neighborhood activity supportiveness and BMI in the Women's Health Initiative San Diego cohort', Health and Place, vol. 38, pp. 48-53. https://doi.org/10.1016/j.healthplace.2016.01.001
Carlson, Jordan A. ; Remigio-Baker, Rosemay A. ; Anderson, Cheryl A M ; Adams, Marc A. ; Norman, Gregory J. ; Kerr, Jacqueline ; Criqui, Michael H. ; Allison, Matthew. / Walking mediates associations between neighborhood activity supportiveness and BMI in the Women's Health Initiative San Diego cohort. In: Health and Place. 2016 ; Vol. 38. pp. 48-53.
@article{f00d2687f9c94becb250b8e62e8b0a9d,
title = "Walking mediates associations between neighborhood activity supportiveness and BMI in the Women's Health Initiative San Diego cohort",
abstract = "Objectives: To investigate whether walking mediates neighborhood built environment associations with weight status in middle- and older-aged women. Methods: Participants ( N=5085; mean age=64±7.7; 75.4{\%} White non-Hispanic) were from the Women's Health Initiative San Diego cohort baseline visits. Body mass index (BMI) and waist circumference were measured objectively. Walking was assessed via survey. The geographic information system (GIS)-based home neighborhood activity supportiveness index included residential density, street connectivity, land use mix, and number of parks. Results: BMI was 0.22 units higher and the odds ratio for being obese (vs. normal or overweight) was 8{\%} higher for every standard deviation decrease in neighborhood activity supportiveness. Walking partially mediated these associations (22-23{\%} attenuation). Findings were less robust for waist circumference. Conclusions: Findings suggest women who lived in activity-supportive neighborhoods had a lower BMI than their counterparts, in part because they walked more. Improving neighborhood activity supportiveness has population-level implications for improving weight status and health.",
keywords = "Aging, Obesity, Physical activity, Waist circumference, Walkability",
author = "Carlson, {Jordan A.} and Remigio-Baker, {Rosemay A.} and Anderson, {Cheryl A M} and Adams, {Marc A.} and Norman, {Gregory J.} and Jacqueline Kerr and Criqui, {Michael H.} and Matthew Allison",
year = "2016",
month = "3",
day = "1",
doi = "10.1016/j.healthplace.2016.01.001",
language = "English (US)",
volume = "38",
pages = "48--53",
journal = "Health and Place",
issn = "1353-8292",
publisher = "Elsevier Limited",

}

TY - JOUR

T1 - Walking mediates associations between neighborhood activity supportiveness and BMI in the Women's Health Initiative San Diego cohort

AU - Carlson, Jordan A.

AU - Remigio-Baker, Rosemay A.

AU - Anderson, Cheryl A M

AU - Adams, Marc A.

AU - Norman, Gregory J.

AU - Kerr, Jacqueline

AU - Criqui, Michael H.

AU - Allison, Matthew

PY - 2016/3/1

Y1 - 2016/3/1

N2 - Objectives: To investigate whether walking mediates neighborhood built environment associations with weight status in middle- and older-aged women. Methods: Participants ( N=5085; mean age=64±7.7; 75.4% White non-Hispanic) were from the Women's Health Initiative San Diego cohort baseline visits. Body mass index (BMI) and waist circumference were measured objectively. Walking was assessed via survey. The geographic information system (GIS)-based home neighborhood activity supportiveness index included residential density, street connectivity, land use mix, and number of parks. Results: BMI was 0.22 units higher and the odds ratio for being obese (vs. normal or overweight) was 8% higher for every standard deviation decrease in neighborhood activity supportiveness. Walking partially mediated these associations (22-23% attenuation). Findings were less robust for waist circumference. Conclusions: Findings suggest women who lived in activity-supportive neighborhoods had a lower BMI than their counterparts, in part because they walked more. Improving neighborhood activity supportiveness has population-level implications for improving weight status and health.

AB - Objectives: To investigate whether walking mediates neighborhood built environment associations with weight status in middle- and older-aged women. Methods: Participants ( N=5085; mean age=64±7.7; 75.4% White non-Hispanic) were from the Women's Health Initiative San Diego cohort baseline visits. Body mass index (BMI) and waist circumference were measured objectively. Walking was assessed via survey. The geographic information system (GIS)-based home neighborhood activity supportiveness index included residential density, street connectivity, land use mix, and number of parks. Results: BMI was 0.22 units higher and the odds ratio for being obese (vs. normal or overweight) was 8% higher for every standard deviation decrease in neighborhood activity supportiveness. Walking partially mediated these associations (22-23% attenuation). Findings were less robust for waist circumference. Conclusions: Findings suggest women who lived in activity-supportive neighborhoods had a lower BMI than their counterparts, in part because they walked more. Improving neighborhood activity supportiveness has population-level implications for improving weight status and health.

KW - Aging

KW - Obesity

KW - Physical activity

KW - Waist circumference

KW - Walkability

UR - http://www.scopus.com/inward/record.url?scp=84955108444&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84955108444&partnerID=8YFLogxK

U2 - 10.1016/j.healthplace.2016.01.001

DO - 10.1016/j.healthplace.2016.01.001

M3 - Article

VL - 38

SP - 48

EP - 53

JO - Health and Place

JF - Health and Place

SN - 1353-8292

ER -