ArticleThe journal of nutrition, health & aging2014
The association of neighborhood characteristics with obesity and metabolic conditions in older women.
Article in The journal of nutrition, health & aging, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Neighborhood walkability and sex steroid hormone levels in women.Environmental research · 2022Pooled it
- Neighborhood-level deprivation measures in the United States: a scoping review and reference guide for investigators.BMC public health · 2026Article
- From repellent to risk: DEET's adverse effects on hormones and bone health in kids.Journal of advanced research · 2026Article
- The Impact of Neighborhoods on Diabetes Risk and Outcomes: Centering Health Equity.Diabetes care · 2023Review
- Impact of land use and food environment on risk of type 2 diabetes: A national study of veterans, 2008-2018.Environmental research · 2022Article
- Neighbourhood Socioeconomic Processes and Dynamics and Healthy Ageing: A Scoping Review.International journal of environmental research and public health · 2022Article
- The association between neighborhood social and economic environment and prevalent diabetes in urban and rural communities: The Reasons for Geographic and Racial Differences in Stroke (REGARDS) study.SSM - population health · 2022Article
- The health potential of neighborhoods: A population-wide study in the Netherlands.SSM - population health · 2021Article
- Diabetes control is associated with environmental quality in the USA.Endocrine connections · 2021Article
- Neighborhood Characteristics and Cardiovascular Biomarkers in Middle-Aged and Older Adults: the Baltimore Memory Study.Journal of urban health : bulletin of the New York Academy of Medicine · 2021Article
- Twitter-Derived Social Neighborhood Characteristics and Individual-Level Cardiometabolic Outcomes: Cross-Sectional Study in a Nationally Representative Sample.JMIR public health and surveillance · 2020Article
- Sleep and Environmental Factors Affecting Glycemic Control in People with Type 2 Diabetes Mellitus.Current diabetes reports · 2019Review
- Article
- Neighborhood Environments and Diabetes Risk and Control.Current diabetes reports · 2018Review
- Characterizing the neighborhood obesogenic environment in the Multiethnic Cohort: a multi-level infrastructure for cancer health disparities research.Cancer causes & control : CCC · 2018Article
- Associations of Continuity and Change in Early Neighborhood Poverty With Adult Cardiometabolic Biomarkers in the United States: Results From the National Longitudinal Study of Adolescent to Adult Health, 1995-2008.American journal of epidemiology · 2017Article
- The Association of Vitamin D Deficiency and Incident Frailty in Older Women: The Role of Cardiometabolic Diseases.Journal of the American Geriatrics Society · 2017Observational
- Trend of Body Compositions with Aging among Chinese Adolescents, Adults and Elders.The journal of nutrition, health & aging · 2015Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectivePrevious studies exploring the relationship of neighborhood characteristics with metabolic conditions have focused on middle-aged adults but none have comprehensively investigated associations in older adults, a potentially vulnerable population. The aim was to explore the relationship of neighborhood characteristics with metabolic conditions in older women.
designCross-sectional analysis. SETTING/
participantsWe studied 384 women aged 70-79 years, representing the two-thirds least disabled women in the community, enrolled in the Women's Health and Aging Study II at baseline. Neighborhood scores were calculated from census-derived data on median household income, median house value, percent earning interest income, percent completing high school, percent completing college, and percent with managerial or executive occupation. Participants were categorized by quartile of neighborhood score with a higher quartile representing relative neighborhood advantage. Logistic regression models were created to assess the association of neighborhood quartiles to outcomes, adjusting for key covariates. MEASUREMENTS: Primary outcomes included metabolic conditions: obesity, diabetes, hypertension, and hyperlipidemia. Secondary outcomes included BMI, HbA1c, blood pressure and lipids.
resultsHigher neighborhood quartile score was associated with a lower prevalence of obesity (highest quartile=13.5% versus lowest quartile=36.5%; p<0.001 for trend). A lower prevalence of diabetes was also observed in highest (6.3%) versus lowest (14.4%) neighborhood quartiles, but was not significantly different (p= 0.24 for trend). Highest versus lowest neighborhood quartile was associated with lower HbA1c (-0.31%, p=0.02) in unadjusted models. Women in the highest versus lowest neighborhood quartile had lower BMI (-2.01 kg/m2, p=0.001) and higher HDL-cholesterol (+6.09 mg/dL, p=0.01) after accounting for age, race, inflammation, and smoking.
conclusionWorse neighborhood characteristics are associated with adiposity, hyperglycemia, and low HDL. Further longitudinal studies are needed and can inform future interventions to improve metabolic status in older adults.
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