The influence of neighborhood built environment on school-age children’s outdoor leisure activities and obesity: a case study of Shanghai central city in China

Tan, Wei; Lü, Xin

doi:10.3389/fpubh.2023.1168077

Cited by 3 publications

(1 citation statement)

References 33 publications

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“…In our study, patients faced limitations in their ability to exercise during confinement due to a lack of space, their physical condition, or a lack of company. This factor highlights a difficulty that many children and adolescents with obesity face, even in other conditions before the pandemic, as made clear by Tan and collaborators in a Chinese population; they showed that access to public spaces in the urban environment influences the individual health of these patients [13].…”

Section: Discussionmentioning

confidence: 88%

Barriers in the Management of Obesity in Mexican Children and Adolescents through the COVID-19 Lockdown—Lessons Learned and Perspectives for the Future

Arellano-Alvarez,

Muñoz-Guerrero,

Ruiz-Barranco

et al. 2023

Nutrients

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The COVID-19 lockdown caused health system issues, including the need for long-term care for patients with conditions like childhood obesity. We wanted to know how the lockdown had changed our patients’ health and which variables had greater influence in preventing and managing overweight and obesity in kids and teens during and after the lockdown. Methods: Our study comprised two phases. The initial descriptive cross-sectional phase included surveys of children who are overweight or obese and their parents/guardians from the Pediatric Obesity Clinic at the Child Welfare Unit (UBI, acronym in Spanish) in the Hospital General de México “Dr. Eduardo Liceaga” (n = 129). The participants were studied to explore changes in lifestyle, physical activity, sleep patterns, eating behaviors, food consumption, anxiety, and depression. In the second phase, the biochemical, body composition, and anthropometric parameters of 29 pre-COVID-19 patients were compared before and after the lockdown. Results: The survey showed more moderate anxiety and depression, alterations in sleep, physical inactivity, and an increase in the consumption of animal products, fruits, cereals, tubers, sugary drinks, and ultra-processed food. In the study’s comparative phase, we observed a substantial increase in BMI z-score (p = 0.01), waist circumference (p < 0.001), fat mass (p < 0.001), percentage of adiposity (p = 0.002), and basal glucose (p = 0.047) and a drop in lean mass (p = 0.008). Conclusions: The pandemic led to a loss of routines and socioeconomic changes that made it difficult to address weight and obesity in young people. The results show that managing obesity in our patients involves considering both lifestyle and the social environment. This encourages us to consider a comprehensive and personalized approach.

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Section: Discussionmentioning

confidence: 88%

Barriers in the Management of Obesity in Mexican Children and Adolescents through the COVID-19 Lockdown—Lessons Learned and Perspectives for the Future

Arellano-Alvarez,

Muñoz-Guerrero,

Ruiz-Barranco

et al. 2023

Nutrients

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Transforming leisure time physical activity into a habit through social institutions

Mokhtari Dinani,

Moslehi,

Aghaei

2024

Journal of Ethnicity in Substance Abuse

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Built environment and childhood obesity

Sridhar,

Gumpeny

2024

World J Clin Pediatr

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Childhood obesity, an escalating global health challenge, is intricately linked to the built environment in which children live, learn, and play. This review and perspective examined the multifaceted relationship between the built environment and childhood obesity, offering insights into potential interventions for prevention. Factors such as urbanization, access to unhealthy food options, sedentary behaviors, and socioeconomic disparities are critical contributors to this complex epidemic. Built environment encompasses the human-modified spaces such as homes, schools, workplaces, and urban areas. These settings can influence children’s physical activity levels, dietary habits, and overall health. The built environment can be modified to prevent childhood obesity by enhancing active transportation through the development of safe walking and cycling routes, creating accessible and inviting green spaces and play areas, and promoting healthy food environments by regulating fast-food outlet density. School design is another area for intervention, with a focus on integrating outdoor spaces and facilities that promote physical activity and healthy eating. Community engagement and education in reinforcing healthy behaviors is necessary, alongside the potential of technology and innovation in encouraging physical activity among children. Policy and legislative support are crucial for sustaining these efforts. In conclusion, addressing the built environment in the fight against childhood obesity requires the need for a comprehensive, multipronged approach that leverages the built environment as a tool for promoting healthier lifestyles among children, ultimately paving the way for a healthier, more active future generation.

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The influence of neighborhood built environment on school-age children’s outdoor leisure activities and obesity: a case study of Shanghai central city in China

Cited by 3 publications

References 33 publications

Barriers in the Management of Obesity in Mexican Children and Adolescents through the COVID-19 Lockdown—Lessons Learned and Perspectives for the Future

Barriers in the Management of Obesity in Mexican Children and Adolescents through the COVID-19 Lockdown—Lessons Learned and Perspectives for the Future

Transforming leisure time physical activity into a habit through social institutions

Built environment and childhood obesity

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