Neighbourhood Environments and Obesity Among Adults: A Multilevel Analysis of an Urban Brazilian Context

Overview

Journal Prev Med Rep

Date 2016 Feb 5

PMID 26844089

Citations 11

Authors

Fernanda Penido Matozinhos

Crizian Saar Gomes

Amanda Cristina de Souza Andrade

Larissa Loures Mendes

Milene Cristine Pessoa

Amelia Augusta de Lima Friche

Gustavo Velasquez-Melendez

Affiliations

Soon will be listed here.

Abstract

Objective. This study identified environmental variables associated with obesity in the adult population of a city in Brazil. Methods. It was conducted using the Surveillance System for Risk and Protective Factors for Chronic Diseases by Telephone Survey from 2008 to 2010. The body mass index (BMI) was calculated from the participants' self-reported weight and height. Obesity was defined as a BMI ≥ 30 kg/m2. The food establishments, georeferenced areas conducive to physical activity, total income of the neighbourhood, homicide rate and population density were used to characterise the environment. In addition, individual variables were considered. A multilevel logistic regression was performed. Results. A total of 5273 individuals were evaluated. The odds of obesity was found to be significantly decreased with increases in the number of establishments that sell healthy food, number of restaurants, number of places for physical activity and total income - in different models. In addition, these associations remained significant after adjustment for age, gender, education and consumption of meat with visible fat. Conclusions. This study contributes to a better understanding of the complex interaction between environmental and individual determinants of obesity and may aid in the development of effective interventions, such as the expansion of obesity control programmes.

Citing Articles

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