Trial reportHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2014
Physical activity as a mediator linking neighborhood environmental supports and obesity in African Americans in the path trial.
Trial report in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed.
- Neighborhood Social Predictors of Weight-related Measures in Underserved African Americans in the PATH Trial.Ethnicity & disease · 2015Trial
- The Results of the "Positive Action for Today's Health" (PATH) Trial for Increasing Walking and Physical Activity in Underserved African-American Communities.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2015Trial
- Design of the Lifestyle Improvement through Food and Exercise (LIFE) study: a randomized controlled trial of self-management of type 2 diabetes among African American patients from safety net health centers.Contemporary clinical trials · 2014Trial
- Interaction of Neighborhood and Genetic Risk on Waist Circumference in African-American Adults: A Longitudinal Study.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2021Article
- Optimism and telomere length among African American adults in the Jackson Heart Study.Psychoneuroendocrinology · 2021Article
- The Importance of the Social Environment in Achieving High Levels of Physical Activity and Fruit and Vegetable Intake in African American Church Members.American journal of health promotion : AJHP · 2020Article
- Associations between the Neighborhood Social Environment and Obesity Among Adolescents: Do Physical Activity, Screen Time, and Sleep Play a Role?Health & place · 2020Article
- Inequities and inequalities in outdoor walking groups: a scoping review.Public health reviews · 2020Article
- Walkable Urban Design Attributes and Japanese Older Adults' Body Mass Index: Mediation Effects of Physical Activity and Sedentary Behavior.American journal of health promotion : AJHP · 2019Article
- Diabetes Prevention for African-Americans: a Scoping Review.Journal of racial and ethnic health disparities · 2018Article
- Neighborhood Disorder and Obesity-Related Outcomes among Women in Chicago.International journal of environmental research and public health · 2018Article
- The power of social networks and social support in promotion of physical activity and body mass index among African American adults.SSM - population health · 2018Article
- Physical Activity Environment and Japanese Adults' Body Mass Index.International journal of environmental research and public health · 2018Article
- The impact of neighborhood on physical activity in the Jackson Heart Study.Preventive medicine · 2016Article
- Perception of Obesity in African-American and Arab-American Minority Groups.Journal of racial and ethnic health disparities · 2016Article
- Walking mediates associations between neighborhood activity supportiveness and BMI in the Women's Health Initiative San Diego cohort.Health & place · 2016Article
- Neighbourhood built environment associations with body size in adults: mediating effects of activity and sedentariness in a cross-sectional study of New Zealand adults.BMC public health · 2015Article
- Assessing environmental support for better health: active living opportunity audits in rural communities in the southern United States.Preventive medicine · 2014Article
- Correlates of Moderate-to-Vigorous Physical Activity and Exercise Motivation in Underserved African American Men.American journal of men's healthArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveAfrican Americans have the highest rates of obesity in the United States. Engaging in recommended levels of physical activity (PA) reduces risk for obesity. Social and environmental supports for PA may be important to increase PA. This study hypothesized that PA would mediate the effects of neighborhood and social supports for PA on body mass index (BMI).
methodBaseline data were collected from 434 underserved African American adults in the Positive Action for Today's Health (PATH) trial. Features of the neighborhood environment (i.e., infrastructure for walking, access to services, and crime) and peer social support were measured with validated surveys. Moderate-to-vigorous PA (MVPA) was assessed based on 7-day accelerometry estimates (in minutes per day), and self-reported walking and exercise were obtained using the Four-Week Physical Activity History questionnaire.
resultsThe sample was predominantly female (63%) and obese (MBMI = 30.88 kg/m², SD = 8.43). Neither crime nor social support was significantly associated with either PA or BMI; thus, they were excluded from the final models. Infrastructure for walking predicted MVPA (B = 4.06, p = .01) and self-reported walking (B = 7.39, p = .03). A positive association between access to services and MVPA approached significance (B = 2.27, p = .06). MVPA (B = -0.07, p < .001) and self-reported walking (B = -0.02, p = .01) predicted BMI, but only MVPA mediated the effect of infrastructure for walking on BMI (B = -0.03, p = .04). No significant direct or indirect effects of predictors were found for self-reported exercise.
conclusionFindings suggest that MVPA is a mediator linking infrastructure for walking and BMI in underserved communities.
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