Evidence map›Paper›PMID 30656207›Full record

ArticleSSM - population health2019

The Moving to Health (M2H) approach to natural experiment research: A paradigm shift for studies on built environment and health.

A Drewnowski, D Arterburn, J Zane, A Aggarwal, S Gupta, P M Hurvitz, A V Moudon, J Bobb, A Cook, P Lozano and 1 more

Erratum issuedAbstract read
In one paragraph

Article in SSM - population health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. 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 · 2025
    Pooled it
  2. The neighbourhood built environment and health-related fitness: a narrative systematic review.The international journal of behavioral nutrition and physical activity · 2022
    Pooled it
  3. Article
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  7. Tailoring Exercise Prescription for Effective Diabetes Glucose Management.The Journal of clinical endocrinology and metabolism · 2025
    Review
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  19. Article
  20. Obesity and the Built Environment: A Reappraisal.Obesity (Silver Spring, Md.) · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

A DrewnowskiCenter for Public Health Nutrition, 305 Raitt Hall, #353410, University of Washington, Seattle, WA 98195-03410, USA.
D ArterburnKaiser Permanente Washington Health Research Institute, 1730 Minor Ave. Suite 1600, Seattle, WA 98101, USA.
J ZaneCenter for Public Health Nutrition, 305 Raitt Hall, #353410, University of Washington, Seattle, WA 98195-03410, USA.
A AggarwalCenter for Public Health Nutrition, 305 Raitt Hall, #353410, University of Washington, Seattle, WA 98195-03410, USA.
S GuptaCenter for Public Health Nutrition, 305 Raitt Hall, #353410, University of Washington, Seattle, WA 98195-03410, USA.
P M HurvitzUrban Form Lab, Department of Urban Design and Planning, College of Built Environments, University of Washington, 1107 NE 45th Street, Suite 535, Seattle, WA 98195-4802, USA.
A V MoudonUrban Form Lab, Department of Urban Design and Planning, College of Built Environments, University of Washington, 1107 NE 45th Street, Suite 535, Seattle, WA 98195-4802, USA.
J BobbKaiser Permanente Washington Health Research Institute, 1730 Minor Ave. Suite 1600, Seattle, WA 98101, USA.
A CookKaiser Permanente Washington Health Research Institute, 1730 Minor Ave. Suite 1600, Seattle, WA 98101, USA.
P LozanoKaiser Permanente Washington Health Research Institute, 1730 Minor Ave. Suite 1600, Seattle, WA 98101, USA.
D RosenbergKaiser Permanente Washington Health Research Institute, 1730 Minor Ave. Suite 1600, Seattle, WA 98101, USA.

Funding

Food Environment, Diet Quality and Disparities in ObesityR01DK076608 · NIDDK · UNIVERSITY OF WASHINGTON · PI DREWNOWSKI, ADAM · 2008 to 2019
$6.3M
Moving to Health: How changing built environments impact weight and glycemic controlR01DK114196 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI ARTERBURN, DAVID ERIC, DREWNOWSKI, ADAM · 2017 to 2021
$2.7M
NIDDK NIH HHS R01 DK076608NIDDK NIH HHS R01 DK114196
6 · The paper itself

Abstract

Improving the built environment (BE) is viewed as one strategy to improve community diets and health. The present goal is to review the literature on the effects of BE on health, highlight its limitations, and explore the growing use of natural experiments in BE research, such as the advent of new supermarkets, revitalized parks, or new transportation systems. Based on recent studies on movers, a paradigm shift in built-environment health research may be imminent. Following the classic Moving to Opportunity study in the US, the present Moving to Health (M2H) strategy takes advantage of the fact that changing residential location can entail overnight changes in multiple BE variables. The necessary conditions for applying the M2H strategy to Geographic Information Systems (GIS) databases and to large longitudinal cohorts are outlined below. Also outlined are significant limitations of this approach, including the use of electronic medical records in lieu of survey data. The key research question is whether documented changes in BE exposure can be linked to changes in health outcomes in a causal manner. The use of geo-localized clinical information from regional health care systems should permit new insights into the social and environmental determinants of health.

Indexed as

Built environment (BE)DiabetesElectronic medical recordsGeographic information systems (GIS)Natural experimentsObesityResidential mobility

Identifiers

PMID30656207
PMCPMC6329830

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.