Spatial accessibility to physical activity facilities and to food outlets and overweight in French youth

Casey, Romain; Chaix, Basile; Weber, Christiane; Schweitzer, B.; Charreire, Hélène; Salze, Paul; Badariotti, Dominique; Banos, Arnaud; Jm, Oppert; Simon, Caitlin

doi:10.1038/ijo.2012.10

Cited by 35 publications

(36 citation statements)

References 37 publications

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“…Such strategies may also contribute to reducing the gaps in social 15 and environmental 16 inequities associated with obesity. If not limited to the school setting and integrating other dimensions of the ecological model such as co-participation and community partnering, 17 they have the potential to increase not only leisure PA (LPA) but also non-exercise PA (for example, active transport), and to reduce sedentary behavior (SB).…”

Section: Introductionmentioning

confidence: 99%

A socio-ecological approach promoting physical activity and limiting sedentary behavior in adolescence showed weight benefits maintained 2.5 years after intervention cessation

et al. 2014

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Background:Obesity in youth remains a major public health issue. Yet no effective long-term preventive strategy exists. We previously showed that a school-based socio-ecological approach targeting behavior and social/environmental influences on physical activity (PA) prevented 4-year excessive weight gain in 12-year olds. In this study, we investigated if this efficacy persists 30 months after intervention cessation.Methods and Findings:The program targeted students, family, school and the living environment to promote/support PA and prevent sedentary behavior (SB). A total of 732 students from eight randomized middle schools completed the 4-year trial. At the 30-month post-trial follow-up, body mass index (BMI), fat mass index (FMI), leisure PA (LPA), home/school/workplace active commuting, TV/video time (TVT), and attitudes toward PA were measured in 531 adolescents. The beneficial effects of the intervention on the excess BMI increase (+0.01 vs +0.34 kg m−2 in the intervention and control groups, respectively) and on the overweight incidence in initially non-overweight students (4.3% vs 8.6% odds ratio=0.48 (95% confidence interval: 0.23–1.01)) were maintained at the post-trial follow-up. LPA was not maintained at the level achieved during the trial. However, we still observed a prevention of the age-related decrease of the adolescents' percentage reporting regular LPA (−14.4% vs −26.5%) and a higher intention to exercise in the intervention group. The intervention promoted lower TVT (−14.0 vs +13.6 min per day) and higher active commuting changes (+11.7% vs −4.8%). Trends in higher BMI reduction in students with high initial TVT and in the least wealthy group were noted. TVT changes throughout the follow-up predicted excess BMI and FMI changes.Conclusions:Long-term multilevel approach targeting PA and SB prevents excessive weight gain up to 30 months after intervention cessation. The efficacy may be higher in the most sedentary and least wealthy adolescents. Healthy PA-related behavior inducing long-lasting weight effects can be promoted in youth providing that an ecological approach is introduced in the prevention strategy.

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Section: Introductionmentioning

confidence: 99%

A socio-ecological approach promoting physical activity and limiting sedentary behavior in adolescence showed weight benefits maintained 2.5 years after intervention cessation

et al. 2014

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“…Evidence from France suggests that variations in accessibility to physical activity facilities in urban areas may influence levels of obesity amongst some children in particular socio-economic groups (Casey et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Accessibility to sport facilities in Wales: A GIS-based analysis of socio-economic variations in provision

2015

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Previous studies concerned with investigating the relationship between levels of physical activity and aspects of the built environment have often led to inconsistent and mixed findings concerning associations between the availability of recreational or sport facilities and area socio-economic status. Further complications may arise when analysis is conducted separately for access to either publicly available or private facilities or where alternative methodological approaches to measuring accessibility are adopted. This paper provides a review of such research before exploring the potential use of methods for examining variations in accessibility based on enhanced floating catchment area (FCA) models which are increasingly being advocated in medical geography applications. Using bespoke tools developed within a commercial GIS package, which are being made publicly available by the authors, and a national database of sport facilities, variations in accessibility are investigated in relation to a widely used measure of deprivation in the UK. Findings from this analysis suggest that whilst those living in deprived areas of Wales have greater potential access to publicly available sporting opportunities, associations with privately owned facilities are reversed for some distance thresholds and at different spatial scales. The paper concludes by drawing attention to the implications of such findings given current financial pressures on local government and other sport and leisure providers and highlights how spatial analytical techniques can be used to monitor such trends.

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“…There is growing attention to the influences of FEs on globally increasing childhood obesity, as the FE, particularly in residential neighborhoods, has been recognized to play a vital role in shaping individual purchasing and eating behaviors . For example, many cross‐sectional studies have shown that higher neighborhood access to grocery stores, supermarkets, and full‐service restaurants is associated with higher consumption of healthy food, lower body mass index (BMI), and less severe obesity outcomes in youth; children living in neighborhoods with a higher density of or proximity to fast‐food restaurants and convenience stores tend to have less healthy eating behaviors and a higher BMI and weight status.…”

Section: Introductionmentioning

confidence: 99%

Improvement in food environments may help prevent childhood obesity: Evidence from a 9‐year cohort study

et al. 2019

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Summary Background Effects of food environments (FEs) on childhood obesity are mixed. Objectives To examine the association of residential FEs with childhood obesity and variation of the association across gender and urbanicity. Methods We used the US Early Childhood Longitudinal Study—Kindergarten Cohort data, with 9440 kindergarteners followed up from 1998 to 2007. The Dun and Bradstreet commercial datasets in 1998 and 2007 were used to construct 12 FE measures of children, ie, changes in the food outlet mix and density of supermarkets, convenience stores, full‐service restaurants, fast‐food restaurants, retail bakery, dairy‐product stores, health/dietetic food stores, confectionery stores, fruit/vegetable markets, meat/fish markets, and beverage stores. Two‐level mixed‐effect and cluster robust logistic regression models were fitted to examine associations. Results Decreased exposures to full‐service restaurants, retail bakeries, fruit/vegetable markets, and beverage stores were generally obesogenic, while decreased exposure to dairy‐product stores was generally obesoprotective; the magnitude and statistical significance of these associations varied by gender and urbanicity of residence. Higher obesity risk was associated with increased exposure to full‐service restaurants among girls, and with decreased exposures to fruit/vegetable markets in urban children, to beverage stores in suburban children, and to health/dietetic food stores in rural children. Mixed findings existed between genders on the associations of fruit/vegetable markets with child weight status. Conclusion In the United States, exposure to different FEs seemed to lead to different childhood obesity risks during 1998 to 2007; the association varied across gender and urbanicity. This study has important implications for future urban design and community‐based interventions in fighting the obesity epidemic.

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Spatial accessibility to physical activity facilities and to food outlets and overweight in French youth

Cited by 35 publications

References 37 publications

A socio-ecological approach promoting physical activity and limiting sedentary behavior in adolescence showed weight benefits maintained 2.5 years after intervention cessation

A socio-ecological approach promoting physical activity and limiting sedentary behavior in adolescence showed weight benefits maintained 2.5 years after intervention cessation

Accessibility to sport facilities in Wales: A GIS-based analysis of socio-economic variations in provision

Improvement in food environments may help prevent childhood obesity: Evidence from a 9‐year cohort study

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