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ABSTRACT: Background
Neighborhoods may play an important role in shaping long-term weight trajectory and obesity risk. Studying the impact of moving to another neighborhood may be the most efficient way to determine the impact of the built environment on health. We explored whether residential moves were associated with changes in body weight.Methods
Kaiser Permanente Washington electronic health records were used to identify 21,502 members aged 18-64 who moved within King County, WA between 2005 and 2017. We linked body weight measures to environment measures, including population, residential, and street intersection densities (800 m and 1,600 m Euclidian buffers) and access to supermarkets and fast foods (1,600 m and 5,000 m network distances). We used linear mixed models to estimate associations between postmove changes in environment and changes in body weight.Results
In general, moving from high-density to moderate- or low-density neighborhoods was associated with greater weight gain postmove. For example, those moving from high to low residential density neighborhoods (within 1,600 m) gained an average of 4.5 (95% confidence interval [CI] = 3.0, 5.9) lbs 3 years after moving, whereas those moving from low to high-density neighborhoods gained an average of 1.3 (95% CI = -0.2, 2.9) lbs. Also, those moving from neighborhoods without fast-food access (within 1600m) to other neighborhoods without fast-food access gained less weight (average 1.6 lbs [95% CI = 0.9, 2.4]) than those moving from and to neighborhoods with fast-food access (average 2.8 lbs [95% CI = 2.5, 3.2]).Conclusions
Moving to higher-density neighborhoods may be associated with reductions in adult weight gain.
SUBMITTER: Cruz M
PROVIDER: S-EPMC9378543 | biostudies-literature | 2022 Sep
REPOSITORIES: biostudies-literature
Cruz Maricela M Drewnowski Adam A Bobb Jennifer F JF Hurvitz Philip M PM Vernez Moudon Anne A Cook Andrea A Mooney Stephen J SJ Buszkiewicz James H JH Lozano Paula P Rosenberg Dori E DE Kapos Flavia F Theis Mary Kay MK Anau Jane J Arterburn David D
Epidemiology (Cambridge, Mass.) 20220520 5
<h4>Background</h4>Neighborhoods may play an important role in shaping long-term weight trajectory and obesity risk. Studying the impact of moving to another neighborhood may be the most efficient way to determine the impact of the built environment on health. We explored whether residential moves were associated with changes in body weight.<h4>Methods</h4>Kaiser Permanente Washington electronic health records were used to identify 21,502 members aged 18-64 who moved within King County, WA betwe ...[more]