Cited by 255Urban Green Space and HealthUrban Transport and AccessibilityObesity, Physical Activity, Diet

Green Neighborhoods, Food Retail and Childhood Overweight: Differences by Population Density

Liu, Gilbert C., Wilson, Jeffrey S., Qi, Rong, Ying, Jun·2007·American Journal of Health Promotion

Abstract

Purpose.: This study examines relationships between overweight in children and two environmental factors—amount of vegetation surrounding a child's place of residence and proximity of the child's residence to various types of food retail locations. We hypothesize that living in greener neighborhoods, farther from fast food restaurants, and closer to supermarkets would be associated with lower risk of overweight. Design.: Cross-sectional study. Setting.: Network of primary care pediatric clinics in Marion County, Indiana. Subjects.: We acquired data for 7334 subjects, ages 3 to 18 years, presenting for routine well-child care. Measures.: Neighborhood vegetation and proximity to food retail were calculated using geographic information systems for each subject using circular and network buffers. Child weight status was defined using body mass index percentiles. Analysis.: We used cumulative logit models to examine associations between an index of overweight, neighborhood vegetation, and food retail environment. Results.: After controlling for individual socio-demographics and neighborhood socioeconomic status, measures of vegetation and food retail significantly predicted overweight in children. Increased neighborhood vegetation was associated with decreased risk for overweight, but only for subjects residing in higher population density regions. Increased distance between a subject's residence and the nearest large brand name supermarkets was associated with increased risk of overweight, but only for subjects residing in lower population density regions. Conclusions.: This research suggests that aspects of the built environment are determinants of child weight status, ostensibly by influencing physical activity and dietary behaviors.

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Registry

Crossref · 10.4278/0890-1171-21.4s.317

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Authors
Liu, G. C., Wilson, J. S., Qi, R., & Ying, J.
Affiliations
Indiana University School of Medicine (US)
Corresponding author
Liu, Gilbert C.
Venue
American Journal of Health Promotion
Published
2007-03
Volume
21
Issue
4_suppl
Pages
317-325
ISSN
  • 0890-1171 (ISSN-L)
  • 2168-6602
OpenAlex
W2120313818
Cited by
255
References
53
Citations by year
2026: 2 · 2025: 7 · 2024: 5 · 2023: 5 · 2022: 5 · 2021: 11 · 2020: 12 · 2019: 12 · 2018: 15 · 2017: 13 · 2016: 14 · 2015: 20 · 2014: 20 · 2013: 19 · 2012: 18
FWCI
11.51
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Health Promotion (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Urban Green Space and Health
  • Social Sciences › Transportation › Urban Transport and Accessibility
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
childhood overweight, neighborhood greenness, built environment, fast food restaurants, supermarkets, population density, child weight status, physical activity, dietary behavior
MeSH terms
Adolescent, Adolescent Behavior, Child, Child Behavior, Child, Preschool, Commerce, Cross-Sectional Studies, Demography, Environment Design, Feeding Behavior, Female, Food Supply, Geography, Health Promotion, Humans, Indiana, Male, Plants, Population Density, Residence Characteristics, Risk Factors, Socioeconomic Factors, Overweight

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