ArticleHealth & place2016
Walking mediates associations between neighborhood activity supportiveness and BMI in the Women's Health Initiative San Diego cohort.
Article in Health & place, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Associations Between the Built Environment and Adult Obesity and the Mediating Role of Physical Activity: A Systematic Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Pooled it
- Higher walkability associated with increased physical activity and reduced obesity among United States adults.Obesity (Silver Spring, Md.) · 2023Article
- Observational
- Evaluation of depression and obesity indices based on applications of ANOVA, regression, structural equation modeling and Taguchi algorithm process.Frontiers in psychology · 2023Article
- Associations between cardiometabolic risks and physical activity in early adulthood: a cross-sectional study.BMJ open · 2021Article
- Associations between the traditional and novel neighbourhood built environment metrics and weight status among Canadian men and women.Canadian journal of public health = Revue canadienne de sante publique · 2021Article
- Neighborhood Walkability and BMI Change: A National Study of Veterans in Large Urban Areas.Obesity (Silver Spring, Md.) · 2020Article
- Influence of Neighborhood Environment on Korean Adult Obesity Using a Bayesian Spatial Multilevel Model.International journal of environmental research and public health · 2019Article
- Determinants of physical activity: A path model based on an ecological model of active living.PloS one · 2019Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesTo investigate whether walking mediates neighborhood built environment associations with weight status in middle- and older-aged women.
methodsParticipants (N=5085; mean age=64 ± 7.7; 75.4% White non-Hispanic) were from the Women's Health Initiative San Diego cohort baseline visits. Body mass index (BMI) and waist circumference were measured objectively. Walking was assessed via survey. The geographic information system (GIS)-based home neighborhood activity supportiveness index included residential density, street connectivity, land use mix, and number of parks.
resultsBMI was 0.22 units higher and the odds ratio for being obese (vs. normal or overweight) was 8% higher for every standard deviation decrease in neighborhood activity supportiveness. Walking partially mediated these associations (22-23% attenuation). Findings were less robust for waist circumference.
conclusionsFindings suggest women who lived in activity-supportive neighborhoods had a lower BMI than their counterparts, in part because they walked more. Improving neighborhood activity supportiveness has population-level implications for improving weight status and health.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.