Does Physical Activity Mediate the Association Between Perceived Neighborhood Aesthetics and Overweight/Obesity Among South African Adults Living in Selected Urban and Rural Communities?

Malambo, Pasmore; Kengne, André Pascal; Lambert, Estelle V.; Villiers, Anniza de; Puoane, Thandi

doi:10.1123/jpah.2016-0147

Cited by 7 publications

(6 citation statements)

References 34 publications

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“…The literature on PA as a mediator among walkability, BMI, and obesity has been mixed. Whereas some studies have reported that PA partially mediates the association between walkability and BMI or obesity [14][15][16][17], other studies have found no mediating effect of PA on this association [18][19][20]. Results from our mediation analysis indicate that, in our nationally representative sample of US adults, PA partially mediated the effect of perceived walkability on BMI.…”

Section: Discussioncontrasting

confidence: 55%

Higher walkability associated with increased physical activity and reduced obesity among United States adults

Wang

Narcisse

McElfish

2022

Obesity

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Objective This study examined associations among perceived neighborhood walkability, physical activity (PA), and obesity among United States adults. Methods Data from the 2020 National Health Interview Survey were analyzed. Walkability was assessed using a summative scale and was categorized as low, medium, or high. PA was categorized as insufficient (0‐149 min/wk) or sufficient (150+ min/wk). Multivariable regressions estimated an association between obesity and BMI and PA/walkability. Mediation analysis was used to partition contribution of PA as a mediator. Effect modification by race and ethnicity in the association between walkability and BMI was explored. Results The sample included N = 31,568 adults. Compared with those in low‐walkability neighborhoods, participants in high‐walkability neighborhoods had increased odds of sufficient PA (odds ratio [OR] = 1.48; 95% CI: 1.30‐1.69) and decreased obesity odds (OR = 0.76; 95% CI: 0.66‐0.87). PA partially mediated the association between walkability and BMI (23.4%; 95% CI: 14.6%‐62.7%). The association between walkability and BMI was modified by race and ethnicity (F[5,567] = 2.75; p = 0.018). Among White, Black, Hispanic, and Asian adults, BMI decreased with increasing walkability; among American Indian/Alaska Native and multiracial/other adults, BMI increased with increasing walkability. Conclusions The findings highlight the importance of investing in the built environment to improve perceptions of walkability and promote PA and healthy weight, as well as developing interventions to target racial and ethnic disparities in these outcomes.

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Section: Discussioncontrasting

confidence: 55%

Higher walkability associated with increased physical activity and reduced obesity among United States adults

Wang

Narcisse

McElfish

2022

Obesity

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“…A few studies already examined whether PA and/or ST mediated the relationships between the physical environment and weight outcomes (Malambo et al, 2017;Van Dyck et al, 2010;Poortinga, 2006). While Poortinga (2006) and Malambo et al (2017) found that self-reported PA was not a mediator of the associations between perceived environmental characteristics and adults' weight outcomes, results of a Belgian study showed that accelerometer-assessed MVPA mediated the association between neighbourhood walkability and BMI. Accelerometer-assessed ST was not a significant mediator in that study (Van Dyck et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Do physical activity and sedentary time mediate the association of the perceived environment with BMI? The IPEN adult study

et al. 2020

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“…It is important to note that the Scale of Perception of the Environment for the Practice of Physical Activity has been adapted from a globally-recognized scale that has the objective of assessing walkability and physical activity practice, but has been used with different health outcomes 46,47 . In Brazil, the EpiFloripa study evaluated the characteristics of the neighborhood environment and sedentary behavior in the elderly using the scale proposed by Florindo et al 30 .…”

Section: Discussionmentioning

confidence: 99%

Built and social environments and overweight among Brazilian adults from medium-sized city: CUME Project

Domingos

Hermsdorff

Mendes

et al. 2022

Ciênc. saúde coletiva

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A cross-sectional study enrolled participants from the CUME project (n = 289) who lived in Viçosa, Brazil. The neighborhood unit adopted was the buffer (200 meters), considering the participant’s residence as central point. We measure the number of public and private facilities inside the buffer as well as violent criminal occurrences. Food establishments were categorized into establishments with predominant sale of natural or minimally processed foods, mixed establishments, and establishments with predominant sale of ultra-processed foods. Those who attended the face-to-face interview filled two scales of perception of the environment. Overall, 33.6% of participants reported overweight. We observed a higher concentration of individuals close to the central region of the city. Access to different establishments, food environments, and criminal occurrences differed between normal-weight and overweight individuals. The groups deferred in the perception of the location of squares, open public spaces, clubs, and soccer fields. The results indicate the association between environmental characteristics and overweight in Brazilian adults.

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Does Physical Activity Mediate the Association Between Perceived Neighborhood Aesthetics and Overweight/Obesity Among South African Adults Living in Selected Urban and Rural Communities?

Cited by 7 publications

References 34 publications

Higher walkability associated with increased physical activity and reduced obesity among United States adults

Higher walkability associated with increased physical activity and reduced obesity among United States adults

Do physical activity and sedentary time mediate the association of the perceived environment with BMI? The IPEN adult study

Built and social environments and overweight among Brazilian adults from medium-sized city: CUME Project

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