Differential associations of the built environment on weight gain by sex and race/ethnicity but not age.

ABSTRACT:

Objective

To explore the built environment (BE) and weight change relationship by age, sex, and racial/ethnic subgroups in adults.

Methods

Weight trajectories were estimated using electronic health records for 115,260 insured Kaiser Permanente Washington members age 18-64 years. Member home addresses were geocoded using ArcGIS. Population, residential, and road intersection densities and counts of area supermarkets and fast food restaurants were measured with SmartMaps (800 and 5000-meter buffers) and categorized into tertiles. Linear mixed-effect models tested whether associations between BE features and weight gain at 1, 3, and 5 years differed by age, sex, and race/ethnicity, adjusting for demographics, baseline weight, and residential property values.

Results

Dens

SUBMITTER: Buszkiewicz JH 

PROVIDER: S-EPMC8608695 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature