Observational studyBMC public health2022
Obesogenic environments and cardiovascular disease: a path analysis using US nationally representative data.
Observational study in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Using participatory methods to develop context-specific local government actions to create healthy food and physical activity environments for school-aged children: a case study in Flanders.Health research policy and systems · 2026Article
- Understanding the role, barriers, and motivators of takeaway food purchasing and consumption in English families across socioeconomic positions: a secondary qualitative analysis.BMC public health · 2026Article
- Poly-epigenetic scores for cardiometabolic risk factors interact with demographic factors and health behaviors in older US Adults.Epigenetics · 2025Article
- Association between the Dutch Obesogenic Built-environmental CharacterisTics (OBCT) index and 14-year cardiovascular disease incidence: a population-based cohort study of 4.4 million adults.The Lancet regional health. Europe · 2025Article
- Social disparities in exposures to neighbourhood obesogenic built environments in Czechia.Journal of public health (Oxford, England) · 2025Article
- Food Environments and Cardiovascular Disease: Evidence From the Health and Retirement Study.American journal of preventive medicine · 2024Article
- Changes in energy expenditure and physical activity over 15 years of environmental changes: The Maycoba project.Obesity (Silver Spring, Md.) · 2024Article
- Identifying obesogenic environment through spatial clustering of body mass index among adults.International journal of health geographics · 2024Article
- Social support and ideal cardiovascular health in urban Jamaica: A cross-sectional study.PLOS global public health · 2024Article
- New frontiers in the measurement of energy metabolism.American journal of physiology. Endocrinology and metabolism · 2023Article
- An Analysis of Antinuclear Thought in William Golding's Literary Works from the Perspective of Ecoenvironmental Psychology: Taking "Lord of the Flies" as an Example.Journal of environmental and public health · 2022Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
introductionPeople living in obesogenic environments, with limited access to healthful food outlets and exercise facilities, generally have poor health. Previous research suggests that behavioral risk factors and indicators of physiological functioning may mediate this link; however, no studies to date have had the requisite data to investigate multi-level behavioral and physiological risk factors simultaneously. The present study conducted serial and parallel mediation analyses to examine behavioral and physiological pathways explaining the association between environmental obesogenicity and cardiovascular disease (CVD).
methodsThis cross-sectional observational study used data from the 2012-2016 Health and Retirement Study, a representative survey of US older adults (n = 12,482, mean age 65.9). Environmental obesogenicity was operationalized as a combined score consisting of nine environmental measures of food and physical activity. CVD and health-compromising behaviors (diet, alcohol consumption, smoking, and exercise) were self-reported. Physiological dysregulation was assessed with measured blood pressure, heart rate, HbA1c, cholesterol levels, BMI, and C-reactive protein. The Hayes Process Macro was used to examine serial and parallel paths through health-compromising behaviors and physiological dysregulation in the environmental obesogenicity-CVD link.
resultsPeople living in more obesogenic environments had greater odds of self-reported CVD (odds ratio = 1.074, 95% confidence interval (CI): 1.028, 1.122), engaged in more health-compromising behaviors (β = 0.026, 95% CI: 0.008, 0.044), and had greater physiological dysregulation (β = 0.035, 95% CI: 0.017, 0.054). Combined, health-compromising behaviors and physiological dysregulation accounted for 7% of the total effects of environmental obesogenicity on CVD.
conclusionBehavioral and physiological pathways partially explain the environmental obesogenicity-CVD association. Obesogenic environments may stymie the success of cardiovascular health-promotion programs by reducing access to resources supporting healthy lifestyles.
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