Evidence map›Paper›PMID 30105287›Full record

ArticleSSM - population health2018

Walkable neighborhoods and obesity: Evaluating effects with a propensity score approach.

Lori Kowaleski-Jones, Cathleen Zick, Ken R Smith, Barbara Brown, Heidi Hanson, Jessie Fan

Abstract read
In one paragraph

Article in SSM - population health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Neighborhood Walkability, Historical Redlining, and Childhood Obesity in Denver, Colorado.Journal of urban health : bulletin of the New York Academy of Medicine · 2023
    Article
  6. Article
  7. Review
  8. Association of the built environment and neighborhood resources with obesity-related health behaviors in older veterans with hypertension.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022
    Article
  9. Article
  10. Breast Cancer Disparities and the Impact of Geography.Surgical oncology clinics of North America · 2022
    Review
  11. Article
  12. The Moderating Effect of Distance on Features of the Built Environment and Active School Transport.International journal of environmental research and public health · 2020
    Article
  13. Article
  14. Article
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

6 authors.

Lori Kowaleski-JonesUniversity of Utah, USA.
Cathleen ZickUniversity of Utah, USA.
Ken R SmithUniversity of Utah, USA.
Barbara BrownUniversity of Utah, USA.
Heidi HansonUniversity of Utah, USA.
Jessie FanUniversity of Utah, USA.

Funding

Neighborhood Characteristics and Body Mass Index: Selection or Causation?R21DK080406 · NIDDK · UNIVERSITY OF UTAH · PI KOWALESKI-JONES, LORI, SMITH, KEN R · 2008 to 2009
$505k
NIDDK NIH HHS R21 DK080406
6 · The paper itself

Abstract

backgroundResearch investigating the connection between neighborhood walkability and obesity often overlooks the issue of nonrandom residential selection.

methodsWe use propensity score methods to adjust for the nonrandom selection into residential neighborhoods in this cross-sectional, observational study. The sample includes 103,912 women residing in Salt Lake County, Utah age 20 or older. We measured percentage living in neighborhoods with more walkability, area level measures of neighborhood characteristics, and obesity (body mass index (BMI) > 30).

resultsOur findings confirm previous work that observes an association between living in more walkable neighborhoods and lower obesity. After adjusting for nonrandom selection, the odds of being obese when living in a less walkable neighborhood increase. Specifically, the odds ratio for being obese without the propensity score correction is 1.12. After adjusting for nonrandom selection, the odds ratio for being obese is 1.19, an increase of six percent.

conclusionResults demonstrate that residential selection bias inherent in cross-sectional analysis slightly attenuates the true association between neighborhood walkability and obesity. Results lend support to the growing body of research suggesting that more walkable neighborhoods have residents with a lower prevalence of obesity. Absent propensity score controls, the causal relationship between environment and obesity would be underestimated by 6%. Our analysis suggests there is an association between neighborhood walkability and obesity.

Indexed as

Built environmentNeighborhood walkabilityNon-random selection biasObesityPropensity score matching

Identifiers

PMID30105287
PMCPMC6086390

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LicenceCC BY-NC-ND
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Registered trials

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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.