Parental Perceptions of Child’s Medical Care and Neighborhood and Child’s Behavioral Risk Factors for Obesity in U.S. Children by Body Mass Index Classification

Vaccaro, Joan A.; Zarini, Gustavo G.; Huffman, Fatma G.

doi:10.1155/2019/3737194

Cited by 4 publications

(1 citation statement)

References 35 publications

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“…Third, youth who lacked parks were more likely to be overweight or obese. This finding replicates past reports about parks and child weight (50,51). Singh et al (2007) reported that U.S. children without parks had a 20% higher risk of obesity and a 22% higher risk of being overweight (2).…”

Section: Discussionsupporting

confidence: 83%

Association of neighborhood parks with child health in the United States

Reuben

Rutherford

James

et al. 2020

Preventive Medicine

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While there is evidence that parks support pediatric health, there have been no national studies. We assessed whether the presence of a neighborhood park is associated with pediatric physical or mental health across the U.S. using a nationally representative cross-sectional random sample of American children ages 0-17. Caregivers reported on the presence of parks in their child's neighborhood and the child's physical activity, screen-time, sleep, weight, and diagnosis of anxiety, depression, or attention deficit hyperactivity disorder (ADHD). Covariates included child and family sociodemographics and, for 29 states, neighborhood urbanicity. Caregivers reported on 49,146 children (mean age 9.4 years; 49% female). There were 11,791 (24%) children living in neighborhoods lacking a park; children in non-urban locations (aOR 2.19, 95% CI 1.40-1.67) or below the federal poverty level (aOR=1.48, 95%CI 1.38-1.58) had higher odds of lacking a park. Irrespective of sociodemographics, children lacking parks were more likely to have no physical activity each week (aOR1.36, 95% CI 1.24, 1.48), spend ≥ 4 hours per weekday in front of a screen (aOR=1.19, 95% CI 1.14, 1.25), or obtain inadequate sleep (aOR=1.23, 95% CI 1.18, 1.29). Children without parks were more likely obese (aOR=1.32, 95% CI 1.21, 1.43), overweight (aOR 1.25, 95%CI 1.17, 1.33), or diagnosed with ADHD (aOR 1.20, 95% CI 1.12, 1.29), but not more likely diagnosed with anxiety or depression (aOR=1.04, 95%CI 0.97, 1.11). Associations between parks and pediatric physical and mental health suggests that the provision of neighborhood parks could represent a low-cost childhood health intervention.

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Section: Discussionsupporting

confidence: 83%

Association of neighborhood parks with child health in the United States

Reuben

Rutherford

James

et al. 2020

Preventive Medicine

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Examining the Association Between Parental Factors and Childhood Obesity

Webber-Ritchey

Habtezgi

et al. 2023

Journal of Community Health Nursing

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Association of greenspaces exposure with cardiometabolic risk factors: a systematic review and meta-analysis

Sharifi,

Sobhani,

Ramezanghorbani

et al. 2024

BMC Cardiovasc Disord

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Background Cardiometabolic conditions are major contributors to the global burden of disease. An emerging body of evidence has associated access to and surrounding public open spaces (POS) and greenspace with cardiometabolic risk factors, including obesity, body mass index (BMI), hypertension (HTN), blood glucose (BG), and lipid profiles. This systematic review aimed to synthesize this evidence. Methods This systematic review was conducted based on the PRISMA guidelines. Four electronic databases including Web of Science, PubMed, Scopus, and Google Scholar were searched for eligible articles published until July 2023. All observational studies which assessed the association of greenspace and POS with cardiometabolic risk factors including obesity, BMI, HTN, BG, and lipid profiles were included and reviewed by two authors independently. Heterogeneity between studies was assessed using the I2 index and Cochrane’s Q test. Random/fixed effect meta-analyses were used to combine the association between greenspace exposure with cardiometabolic risk factors. Results Overall, 118 relevant articles were included in our review. The majority of the articles were conducted in North America or Europe. In qualitative synthesis, access or proximity to greenspaces or POS impacts BMI and blood pressure or HTN, BG, and lipid profiles via various mechanisms. According to the random effect meta-analysis, more access to greenspace was significantly associated with lower odds of HTN (odds ratio (OR): 0.81, 95% confidence intervals (CIs): 0.61–0.99), obesity (OR: 0.83, 95% CIs: 0.77–0.90), and diabetes (OR:0.79, 95% CI: 0.67,0.90). Conclusions Findings of this systematic review and meta-analysis suggested that greenspace accessibility is associated with some cardiometabolic risk factors. Improving greenspace accessibility could be considered as one of the main strategies to reduce cardiometabolic risk factors at population level.

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Parental Perceptions of Child’s Medical Care and Neighborhood and Child’s Behavioral Risk Factors for Obesity in U.S. Children by Body Mass Index Classification

Cited by 4 publications

References 35 publications

Association of neighborhood parks with child health in the United States

Association of neighborhood parks with child health in the United States

Examining the Association Between Parental Factors and Childhood Obesity

Association of greenspaces exposure with cardiometabolic risk factors: a systematic review and meta-analysis

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