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, S; Oppert, JM; MacKenbach, JD; Lakerveld, J; Charreire, H; Glonti, K; Bardos, H; Rutter, H; de Cocker, K; Cardon, G; de Bourdeaudhuij, I; Grp, WPS; (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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Abstract

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. (C) 2016 Elsevier Inc. All rights reserved.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
PubMed ID: 26794046
Web of Science ID: 375050200012
URI: http://researchonline.lshtm.ac.uk/id/eprint/2550608

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