A cross-sectional and longitudinal study of neighbourhood disadvantage and cardiovascular disease and the mediating role of physical activity

Saghapour, Tayebeh; Giles‐Corti, Billie; Rachele, Jerome N.; Turrell, Gavin

doi:10.1016/j.ypmed.2021.106506

Cited by 9 publications

(7 citation statements)

References 43 publications

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“…However, physical activity levels are shown in prior research studies to be lower in minority/lowincome subgroups [8]. Prior studies also show that for disadvantaged populations, physical activity is a particularly important driver of cardiovascular health disparities [24], and that lower neighborhood support of physical activity is associated with higher youth obesity [25]. Given that social and structural drivers of health are critical determinants of youth physical activity participation [2,19], promoting active transportation may present an opportunity to increase physical activity and reduce youth health disparities in under resourced settings [17].…”

Section: Discussionmentioning

confidence: 96%

Predictors and Patterns of Physical Activity From Transportation Among United States Youth, 2007-2016

D’Agostino

Armstrong

Alexander

et al. 2021

Journal of Adolescent Health

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Physical activity is strongly associated with health benefits in youth, although wide disparities in physical activity persist across sex, race/ethnicity, and income. Active transportation is an important source of youth physical activity. We aimed to describe active transportation patterns for United States adolescents and young adults ages 12e25 years across sociodemographic and weight status characteristics. Methods: Cross-sectional secondary data analyses were based on self-reported transportationrelated physical activity using the National Health and Nutrition Examination Survey, 2007-2016. Results: Of the sample (n ¼ 8,680; population represented, N ¼ 57,768,628), 4,300 (49.5%) were adolescents (12-17 y), and 4,380 (50.4%) were young adults (18-25 y). Male adolescents were more likely to participate in any (risk ratio [RR] ¼ 1.3; 95% confidence interval [CI], 1.16-1.40) and daily (RR ¼ 1.3; 95% CI, 1.06-1.63) active transportation than females. Black (RR ¼ 1.1; 95% CI, 1.01-1.31) and Hispanic (RR ¼ 1.2; 95% CI, 1.05-1.31) adolescents were more likely to engage in any active transportation than whites. Young adult males were more likely to participate in any (RR ¼ 1.3; 95% CI, 1.20-1.50) and daily (RR ¼ 1.3; 95% CI, 1.08-1.55) active transportation than females. Young adults with a lower family income, and both adolescents and young adults with a lower household education, were more likely to engage in any and daily active transportation. We also observed an inverse relationship between weight class and active transportation participation. Conclusion: Active transportation was higher in males, minority, and lower income youth. Our study findings provide evidence for physical activity interventions, suggesting active transportation is a feasible target for low-income and minority youth to reduce physical activity disparities and support optimal health.

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Section: Discussionmentioning

confidence: 96%

Predictors and Patterns of Physical Activity From Transportation Among United States Youth, 2007-2016

D’Agostino

Armstrong

Alexander

et al. 2021

Journal of Adolescent Health

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“…For example, a large population-based cohort study in the US and UK showed that low ASES was significantly associated with higher risk of mortality and CVD, and these associations were mediated by lifestyle factors such as smoking, alcohol, physical activity, and diet ( Zhang et al, 2021 ). Another prospective study among mid-to-older aged adults from Australia found low ASES to be significantly associated with CVD incidence independent of individual-level SES, and physical activity to be a mediator of this association ( Saghapour et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

“…There are few studies which clearly link ASES to metabolic CVD risk factors. However, the role of mediators is not clearly understood, and only few studies have identified lifestyle behaviors as mediators of the association between ASES and CVD ( Saghapour et al, 2021 ; Zhang et al, 2021 ) but not metabolic CVD risk factors. To our knowledge, the potential impact of ASES on cardiometabolic risk factors via various lifestyle behaviors independent of individual-level SES has not previously been investigated.…”

Section: Introductionmentioning

confidence: 99%

Lifestyle factors as mediators of area-level socio-economic differentials in cardiovascular disease risk factors. The Tromsø Study

Tiwari

Cerin

Wilsgaard

et al. 2022

SSM - Population Health

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“…In Australia and many other developed countries, residents of socioeconomically disadvantaged neighbourhoods experience higher rates of morbidity and mortality for cardiovascular disease (CVD) and Type 2 diabetes (T2D) than residents of more advantaged neighbourhoods [1][2][3]. Neighbourhood inequities in anthropometric factors such as overweight and obesity likely contribute to associations between neighbourhood disadvantage, CVD and T2D.…”

Section: Introductionmentioning

confidence: 99%

Neighbourhood socioeconomic disadvantage and body size in Australia’s capital cities: The contribution of obesogenic environments

2023

Self Cite

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Residents of socioeconomically disadvantaged neighbourhoods have higher rates of overweight and obesity and chronic disease than their counterparts from advantaged neighbourhoods. This study assessed whether associations between neighbourhood disadvantage and measured body mass index (BMI) and waist circumference, are accounted for by obesogenic environments (i.e., residential distance to the Central Business District [CBD], supermarket availability, access to walkable destinations). The study used 2017–18 National Health Survey data for working-aged adults (aged ≥18 years, n = 9,367) residing in 3,454 neighbourhoods across Australia’s state and territory capital cities. In five of eight cities (i.e., Sydney, Melbourne, Brisbane, Adelaide, and Perth) residents of disadvantaged neighbourhoods had significantly higher BMI and a larger waist circumference than residents of more advantaged areas. There was no association between neighbourhood disadvantage and body size in Hobart, Darwin, and Canberra. Associations between neighbourhood disadvantage and body size were partially explained by neighbourhood differences in distance to the CBD but not supermarket availability or walkable amenities. The results of this study point to the role of urban design and city planning as mechanisms for addressing social and economic inequities in Australia’s capital cities, and as solutions to this country’s overweight and obesity epidemic and associated rising rates of chronic disease.

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A cross-sectional and longitudinal study of neighbourhood disadvantage and cardiovascular disease and the mediating role of physical activity

Cited by 9 publications

References 43 publications

Predictors and Patterns of Physical Activity From Transportation Among United States Youth, 2007-2016

Predictors and Patterns of Physical Activity From Transportation Among United States Youth, 2007-2016

Lifestyle factors as mediators of area-level socio-economic differentials in cardiovascular disease risk factors. The Tromsø Study

Neighbourhood socioeconomic disadvantage and body size in Australia’s capital cities: The contribution of obesogenic environments

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