4.6 Article

Influence of urban neighbourhood environment on physical activity and obesity-related diseases

期刊

PUBLIC HEALTH
卷 129, 期 9, 页码 1204-1210

出版社

W B SAUNDERS CO LTD
DOI: 10.1016/j.puhe.2015.06.002

关键词

Neighbourhood environment; Physical activity; Walking; Obesity; Obesity-related diseases

资金

  1. Research Affairs of Seoul National University and Seoul National University Research and Development Board Foundation, Korea [800-20110045]
  2. National Research Foundation of Korea Grant - Korean Government (MOE) [220-2009-1-B00046]
  3. National Research Foundation of Korea [220-2009-1-B00046] Funding Source: Korea Institute of Science & Technology Information (KISTI), National Science & Technology Information Service (NTIS)

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Objectives: The impact of characteristics of neighbourhood environment on physical activity and obesity-related diseases is still the subject of debate. This study aimed to explore the impact of urban neighbourhood environment on physical activity and obesity-related diseases. Study design: Cross-sectional study. Methods: Individuals who participated in the 2009 national health-screening programme, submitted all necessary information, and had lived in Community 1 (Haengdang) or Community 2 (Ilsan) for at least 2 years (n - 16,178) were selected for inclusion in this study. Anthro-pometric measures were taken and physical activity was assessed using a short questionnaire. Results: No significant difference in the trigger factors for walking, including the amount of neighbourhood park space, number of shopping malls, and distance between the community and shopping malls, was found between the two communities. However, Community 2 had a better street environment than Community 1. Participants who lived in Community 2 were more physically active [adjusted odds ratio (OR) 1.31, 95% confidence interval (CI) 1.16-1.48] and walked more regularly (adjusted OR 1.09, 95% CI 1.02-1.17) than participants who lived in Community 1, and were less likely to have abdominal obesity (adjusted OR 0.83, 95% CI 0.77-0.91), hypertension (adjusted OR 0.88, 95% CI 0.80-0.97) and diabetes (adjusted OR 0.86, 95% CI 0.75-0.99). However, the risk of dyslipidaemia, especially in terms of low-density lipoprotein cholesterol, was higher in Community 2. Conclusions: These results suggest that a walkable environment has a positive influence on hypertension and diabetes, and physical activity is the possible mechanism for this association. A walkable environment may function as an important tool for health promotion in urban areas. (C) 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

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