Mediating role of energy-balance related behaviors in the association of neighborhood socio-economic status and residential area density with BMI: The SPOTLIGHT study.
Compernolle, Sofie;
Oppert, Jean-Michel;
Mackenbach, Joreintje D;
Lakerveld, Jeroen;
Charreire, Helene;
Glonti, Ketevan;
Bardos, Helga;
Rutter, Harry;
De Cocker, Katrien;
Cardon, Greet;
+2 more...De Bourdeaudhuij, Ilse;
WP3 SPOTLIGHT group;
(2016)
Mediating role of energy-balance related behaviors in the association of neighborhood socio-economic status and residential area density with BMI: The SPOTLIGHT study.
Preventive medicine, 86.
pp. 84-91.
ISSN 0091-7435
DOI: https://doi.org/10.1016/j.ypmed.2016.01.005
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OBJECTIVES: This study aimed to examine the mediating effects of energy-balance related behaviors on the association of neighborhood socio-economic status (SES) and neighborhood residential area density (RAD) with body mass index (BMI). METHODS: In total, 6037 adults from four neighborhood types (high SES/high RAD, high SES/low RAD, low SES/high RAD, and low SES/low RAD) in five Mid-European urban regions completed an online survey asking about their energy-balance related behaviors (physical activity [PA], sedentary behavior, and dietary behavior), determinants of these behaviors and their body weight and height. MacKinnon's product-of-coefficients test was used to assess mediating effects. RESULTS: Transport-related PA, leisure-time PA and vegetable intake seemed to mediate the association between neighborhood type and BMI. Residents from low SES/low RAD neighborhoods reported less transport-related PA, less leisure-time PA and less vegetable intake than high SES/high RAD residents, and these behaviors (i.e. transport-related PA, leisure-time PA and vegetable intake) were related to having a higher BMI. CONCLUSION: The association between neighborhood type and BMI can be explained, at least in part, by energy-balance related behaviors.
