Evidence map›Paper›PMID 34859950›Full record

SynthesisObesity reviews : an official journal of the International Association for the Study of Obesity2022

The built environment as determinant of childhood obesity: A systematic literature review.

Diego Malacarne, Evangelos Handakas, Oliver Robinson, Elisa Pineda, Marc Saez, Leda Chatzi, Daniela Fecht

Abstract readSystematic Review
In one paragraph

Synthesis in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 6 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

47 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Identifying Key Predictors of Mid-Childhood Obesity in a Population-Based Cohort Study: An Evidence Synthesis and Predictive Modeling Study.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
  2. Pooled it
  3. Association between 24-hour movement behaviors and adiposity in children and adolescents: A compositional data meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
  4. Pooled it
  5. Pooled it
  6. The built environment as determinant of childhood obesity: A systematic literature review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
    Pooled it
  7. Observational
  8. Article
  9. Disparities of children's obesogenic environments in Louisiana.International journal of health geographics · 2026
    Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
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  20. Review
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.

Diego MalacarneMRC Centre for Environment and Health, School of Public Health, Imperial College London, London, UK.
Evangelos HandakasMRC Centre for Environment and Health, School of Public Health, Imperial College London, London, UK.ORCID 0000-0002-9291-9641
Oliver RobinsonMRC Centre for Environment and Health, School of Public Health, Imperial College London, London, UK.ORCID 0000-0002-4735-0468
Elisa PinedaCentre for Health Economics & Policy Innovation (CHEPI), Imperial College Business School, and School of Public Health, Imperial College London, London, UK.ORCID 0000-0002-5210-1538
Marc SaezResearch Group on Statistics, Econometrics and Health (GRECS), University of Girona, Girona, Spain.
Leda ChatziKeck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Daniela FechtMRC Centre for Environment and Health, School of Public Health, Imperial College London, London, UK.

Funding

Translational Research Support CoreP30ES007048 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ROB S MCCONNELL · 1996 to 2026
$46.4M
Effects of DDE exposure on adipose tissue function, weight loss and metabolic improvement after bariatric surgery: A new paradigm for study of lipophilic chemicalsR01ES030364 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHATZI, VAIA LIDA · 2020 to 2024
$3.2M
Environmental Chemical Exposures and Longitudinal Changes of Glucose Metabolism, Insulin Sensitivity and B Cell Function in YouthR01ES029944 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHATZI, VAIA LIDA · 2019 to 2023
$3.1M
Hepatotoxic effects of perfluoroalkyl substances: a new epidemiological approach for studying environmental fatty liver diseaseR01ES030691 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHATZI, VAIA LIDA · 2020 to 2022
$1.9M
Developmental origins of child liver injury: Effects of prenatal environmental exposuresR21ES029681 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHATZI, VAIA LIDA · 2019 to 2020
$453k
Medical Research Council MR/S019669/1NIEHS NIH HHS P30 ES007048NIEHS NIH HHS P30ES007048NIEHS NIH HHS R01 ES029944NIEHS NIH HHS R01ES029944NIEHS NIH HHS R01 ES030364NIEHS NIH HHS R01ES030364NIEHS NIH HHS R01 ES030691NIEHS NIH HHS R01ES030691NIEHS NIH HHS R21 ES029681NIEHS NIH HHS R21ES029681
6 · The paper itself

Abstract

We evaluated the epidemiological evidence on the built environment and its link to childhood obesity, focusing on environmental factors such as traffic noise and air pollution, as well as physical factors potentially driving obesity-related behaviors, such as neighborhood walkability and availability and accessibility of parks and playgrounds. Eligible studies were (i) conducted on human children below the age of 18 years, (ii) focused on body size measurements in childhood, (iii) examined at least one built environment characteristic, (iv) reported effect sizes and associated confidence intervals, and (v) were published in English language. A z test, as alternative to the meta-analysis, was used to quantify associations due to heterogeneity in exposure and outcome definition. We found strong evidence for an association of traffic-related air pollution (nitrogen dioxide and nitrogen oxides exposure, p < 0.001) and built environment characteristics supportive of walking (street intersection density, p < 0.01 and access to parks, p < 0.001) with childhood obesity. We identified a lack of studies that account for interactions between different built environment exposures or verify the role and mechanism of important effect modifiers such as age.

Indexed as

Air PollutionPediatric ObesityAdolescentBuilt EnvironmentChildEnvironment DesignHumansResidence CharacteristicsWalkingair pollutionchildrenSTOP projectwalkability

Identifiers

PMID34859950
PMCPMC11475329

What OpenQuestion holds

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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.