title: Neighborhood Environment is Associated with Overweight and Obesity, Particularly in Older Residents: Results from Cross-Sectional Study in Dutch Municipality.
abstract: We explored whether overweight and obesity were associated with the physical and social environment at neighborhood level. Data from Maastricht municipality survey (The Netherlands) were used (n = 9771 adults). Multinomial regression models were computed (outcome being normal weight, overweight, or obese). We found inconsistent associations between neighborhood social and physical environment characteristics and overweight and obesity in the total sample. The effects were more consistent and stronger for older residents (>65) and obesity as an outcome. Better scores on traffic nuisance, green space, social cohesion, nuisance, and safety were associated with lower odds of obesity among elderly (OR ranged between 0.71 [95% CI 0.44 to 0.93] to 0.85 [95% CI 0.74 to 0.96] for each point of improvement in neighborhood social and physical environment (scale 0-10)). We showed that there are neighborhood-level factors that are associated with obesity, particularly in elderly residents. These could be targeted in preventive strategies outside health care settings.
authors.affiliation: Department of Health Promotion, School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, The Netherlands. polina.putrik@maastrichtuniversity.nl.|Academic Collaborative Centre for Public Health Limburg, Public Health Service Southern Limburg, Geleen, Netherlands. polina.putrik@maastrichtuniversity.nl.
authors.forename: Polina
authors.initials: P
authors.lastname: Putrik
authors.affiliation: Department of Epidemiology, School for Public Health and Primary Care (CAPHRI) Maastricht University, Maastricht, The Netherlands.
authors.forename: Ludovic
authors.initials: L
authors.lastname: van Amelsvoort
authors.affiliation: Department of Health Promotion, School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, The Netherlands.
authors.forename: Nanne K
authors.initials: NK
authors.lastname: De Vries
authors.affiliation: Academic Collaborative Centre for Public Health Limburg, Public Health Service Southern Limburg, Geleen, Netherlands.
authors.forename: Suhreta
authors.initials: S
authors.lastname: Mujakovic
authors.affiliation: Department of Public Health, Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Anton E
authors.initials: AE
authors.lastname: Kunst
authors.affiliation: National Institute of Public Health and the Environment (RIVM), Bilthoven, The Netherlands.|Tranzo Scientific Centre for Care and Welfare, Tilburg University, Tilburg, The Netherlands.
authors.forename: Hans
authors.initials: H
authors.lastname: van Oers
authors.affiliation: Academic Collaborative Centre for Public Health Limburg, Public Health Service Southern Limburg, Geleen, Netherlands.|Department of Health Services Research, School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, The Netherlands.
authors.forename: Maria
authors.initials: M
authors.lastname: Jansen
authors.affiliation: Department of Epidemiology, School for Public Health and Primary Care (CAPHRI) Maastricht University, Maastricht, The Netherlands.
authors.forename: Ijmert
authors.initials: I
authors.lastname: Kant
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D009765:Obesity / Q000453:epidemiology*; D050177:Overweight / Q000453:epidemiology*; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012737:Sex Factors; D012931:Social Environment; D012959:Socioeconomic Factors
keywords: Neighborhood; Obesity; Overweight; Social and physical environment; Socioeconomic inequalities