Evidence map›Paper›PMID 27832766›Full record

ArticleBMC public health2016

Obesity, diet quality, physical activity, and the built environment: the need for behavioral pathways.

Adam Drewnowski, Anju Aggarwal, Wesley Tang, Philip M Hurvitz, Jason Scully, Orion Stewart, Anne Vernez Moudon

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Environmental Risk Factors for Developing Type 2 Diabetes Mellitus: A Systematic Review.International journal of environmental research and public health · 2018
    Pooled it
  2. Article
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  12. Obesity and the Built Environment: A Reappraisal.Obesity (Silver Spring, Md.) · 2020
    Review
  13. Article
  14. Article
  15. Article
  16. Neighborhood Social Environment and Cardiovascular Disease Risk.Current cardiovascular risk reports · 2019
    Article
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  18. Article
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Adam DrewnowskiCenter for Public Health Nutrition, 1107 NE 45th St, University of Washington, Seattle, WA, 98105, USA. adamdrew@uw.edu.
Anju AggarwalCenter for Public Health Nutrition, 1107 NE 45th St, University of Washington, Seattle, WA, 98105, USA.
Wesley TangCenter for Public Health Nutrition, 1107 NE 45th St, University of Washington, Seattle, WA, 98105, USA.
Philip M HurvitzUrban Form Lab, 1107 NE 45th St, University of Washington, Seattle, WA, 98105, USA.
Jason ScullyUrban Form Lab, 1107 NE 45th St, University of Washington, Seattle, WA, 98105, USA.
Orion StewartUrban Form Lab, 1107 NE 45th St, University of Washington, Seattle, WA, 98105, USA.
Anne Vernez MoudonUrban Form Lab, 1107 NE 45th St, University of Washington, Seattle, WA, 98105, USA.
University of Washington · US

Funding

Food Environment, Diet Quality and Disparities in ObesityR01DK076608 · NIDDK · UNIVERSITY OF WASHINGTON · PI DREWNOWSKI, ADAM · 2008 to 2019
$6.3M
NIDDK NIH HHS R01 DK076608
6 · The paper itself

Abstract

backgroundThe built environment (BE) is said to influence local obesity rates. Few studies have explored causal pathways between home-neighborhood BE variables and health outcomes such as obesity. Such pathways are likely to involve both physical activity and diet.

methodsThe Seattle Obesity Study (SOS II) was a longitudinal cohort of 440 adult residents of King Co, WA. Home addresses were geocoded. Home-neighborhood BE measures were framed as counts and densities of food sources and physical activity locations. Tax parcel property values were obtained from County tax assessor. Healthy Eating Index (HEI 2010) scores were constructed using data from food frequency questionnaires. Physical activity (PA) was obtained by self-report. Weights and heights were measured at baseline and following 12 months' exposure. Multivariable regressions examined the associations among BE measures at baseline, health behaviors (HEI-2010 and physical activity) at baseline, and health outcome both cross-sectionally and longitudinally.

resultsNone of the conventional neighborhood BE metrics were associated either with diet quality, or with meeting PA guidelines. Only higher property values did predict better diets and more physical activity. Better diets and more physical activity were associated with lower obesity prevalence at baseline and 12 mo, but did not predict weight change.

conclusionAny links between the BE and health outcomes critically depend on establishing appropriate behavioral pathways. In this study, home-centric BE measures, were not related to physical activity or to diet. Further studies will need to consider a broader range of BE attributes that may be related to diets and health.

Indexed as

ExerciseHealth BehaviorAdultCohort StudiesCross-Sectional StudiesDietEnvironment DesignFemaleHumansLongitudinal StudiesMaleMiddle AgedObesityResidence CharacteristicsSocioeconomic FactorsWashingtonBuilt environmentDiet qualityObesityPhysical activity

Identifiers

PMID27832766
PMCPMC5105275
OpenAlexW2553166540

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.