Dataset Information

Association of the built environment and neighborhood resources with obesity-related health behaviors in older veterans with hypertension.

ABSTRACT:

Objective

To evaluate the association of the built environment and neighborhood resources with exercise, diet, and body mass index (BMI).

Method

Person-level data were collected from 533 veterans with uncontrolled hypertension. Neighborhood measures were: (a) census-tract level walkability; and (b) healthy food proximity (HFP). Robust or logistic regression (adjusting for age, race, education, comorbidity, and clustered by provider) was used to evaluate associations between neighborhood and exercise duration (hours/week), exercise adherence (% adherent), saturated fat index (0-10), Healthy Eating Index (HEI; 0-100), HEI adherence (≥ 74 score), stage of change (SOC) for exercise and diet (% in action/maintenance), BMI (kg/m²), and obesity (BMI ≥ 30 kg/m²).

Results

The adjusted difference in HEI score (standard error [SE]) between the highest and lowest walkability tertiles was 3.67 (1.35), p = .006; the corresponding comparison for the saturated fat index was 1.03 (.50), p = .041 and BMI was -1.12 (.45), p = .013. The adjusted odds ratio (OR; 95% confidence intervals [CI]) between the highest and lowest walkability tertiles for HEI adherence was 2.16 [1.22, 3.82], p = .009 and for action/maintenance for exercise SOC was 1.78 [1.15, 2.76], p = .011. The adjusted difference (SE) between the highest and lowest HFP tertiles for exercise duration was .65 (.31), p = .03. The adjusted OR [95% CI] between the highest and lowest HFP tertiles for exercise adherence was 1.74 [1.08, 2.79], p = .023 and for action/maintenance for exercise SOC was 1.75 [1.10, 2.79], p = .034.

Conclusions

Geographical location is associated with exercise and diet. Environment-tailored health recommendations could promote healthier lifestyles and decrease obesity-related cardiovascular disease. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

SUBMITTER: Albanese NNY

PROVIDER: S-EPMC10110294 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Association of the built environment and neighborhood resources with obesity-related health behaviors in older veterans with hypertension.

Albanese Natalie N Y NNY Lin Iris I Friedberg Jennifer P JP Lipsitz Stuart R SR Rundle Andrew A Quinn James W JW Neckerman Kathryn M KM Nicholson Andrew A Allegrante John P JP Wylie-Rosett Judith J Natarajan Sundar S

Health psychology : official journal of the Division of Health Psychology, American Psychological Association 20220407 10

<h4>Objective</h4>To evaluate the association of the built environment and neighborhood resources with exercise, diet, and body mass index (BMI).<h4>Method</h4>Person-level data were collected from 533 veterans with uncontrolled hypertension. Neighborhood measures were: (a) census-tract level walkability; and (b) healthy food proximity (HFP). Robust or logistic regression (adjusting for age, race, education, comorbidity, and clustered by provider) was used to evaluate associations between neighb ...[more]

PMID: 35389690

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Dataset Information

Association of the built environment and neighborhood resources with obesity-related health behaviors in older veterans with hypertension.

Objective

Method

Results

Conclusions

Publications

Association of the built environment and neighborhood resources with obesity-related health behaviors in older veterans with hypertension.

Similar Datasets

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