title: Interactions of individual perceived barriers and neighbourhood destinations with obesity-related behaviours in Europe.
abstract: Perceived barriers towards physical activity and healthy eating as well as local availability of opportunities (destinations in the neighbourhood) are important determinants of obesity-related behaviours in adults. Little is known, however, about how these factors interact with the behaviours. Data were analysed from 5,205 participants of the SPOTLIGHT survey, conducted in 60 neighbourhoods in urban regions of five different countries across Europe. A virtual audit was conducted to collect data on the presence of destinations in each neighbourhood. Direct associations of, and interactions between, the number of individual perceived barriers and presence of destinations with obesity-related behaviours (physical activity and dietary behaviours) were analysed using multilevel regression analyses, adjusted for key covariates. Perceiving more individual barriers towards physical activity and healthy eating was associated with lower odds of physical activity and healthy eating. The presence of destinations such as bicycle lanes, parks and supermarkets was associated with higher levels of physical activity and healthier dietary behaviours. Analyses of additive interaction terms suggested that the interaction of destinations and barriers was competitive, such that the presence of destinations influenced obesity-related behaviours most among those perceiving more barriers. These explorative findings emphasize the interest and importance of combining objective (e.g. virtual neighbourhood audit) methods and subjective (e.g. individual perceived barriers collected in a survey) to better understand how the characteristics of the residential built environment can shape obesity-related behaviours depending on individual characteristics.
authors.affiliation: Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: J D
authors.initials: JD
authors.lastname: Mackenbach
authors.affiliation: Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: J
authors.initials: J
authors.lastname: Lakerveld
authors.affiliation: Department of Public Health, Erasmus Medical Centre Rotterdam, Rotterdam, The Netherlands.
authors.forename: F J
authors.initials: FJ
authors.lastname: Van Lenthe
authors.affiliation: Centre for Interdisciplinary Study of Human Performance (CIPER), Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal.
authors.forename: P J
authors.initials: PJ
authors.lastname: Teixeira
authors.affiliation: Department of Movement and Sport Sciences, Ghent University, Ghent, Belgium.
authors.forename: S
authors.initials: S
authors.lastname: Compernolle
authors.affiliation: Department of Movement and Sport Sciences, Ghent University, Ghent, Belgium.
authors.forename: I
authors.initials: I
authors.lastname: De Bourdeaudhuij
authors.affiliation: Equipe de Recherche en Epidámiologie Nutritionnelle (EREN), Centre de Recherche en Epidámiologie et Statistiques, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, Université Paris 13, Bobigny, France.|Paris Est University, Lab-Urba, UPEC, Urban School of Paris, Créteil, France.
authors.forename: H
authors.initials: H
authors.lastname: Charreire
authors.affiliation: Equipe de Recherche en Epidámiologie Nutritionnelle (EREN), Centre de Recherche en Epidámiologie et Statistiques, Inserm (U1153), Inra (U1125), Cnam, COMUE Sorbonne Paris Cité, Université Paris 13, Bobigny, France.|Sorbonne Universités, Université Pierre et Marie Curie, Université Paris 06; Institute of Cardiometabolism and Nutrition, Department of Nutrition, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Oppert
authors.affiliation: Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
authors.forename: H
authors.initials: H
authors.lastname: Bárdos
authors.affiliation: ECOHOST - The Centre for Health and Social Change, London School of Hygiene and Tropical Medicine, London, UK.
authors.forename: K
authors.initials: K
authors.lastname: Glonti
authors.affiliation: ECOHOST - The Centre for Health and Social Change, London School of Hygiene and Tropical Medicine, London, UK.
authors.forename: H
authors.initials: H
authors.lastname: Rutter
authors.affiliation: ECOHOST - The Centre for Health and Social Change, London School of Hygiene and Tropical Medicine, London, UK.
authors.forename: M
authors.initials: M
authors.lastname: McKee
authors.affiliation: Department of General Practice and Elderly Care, EMGO Institute for Health and Care Research, VU Medical Center Amsterdam, Amsterdam, The Netherlands.
authors.forename: G
authors.initials: G
authors.lastname: Nijpels
authors.affiliation: Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: J
authors.initials: J
authors.lastname: Brug
mesh_terms: D000328:Adult; D000368:Aged; D001530:Belgium; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D004032:Diet; D004779:Environment Design; D005247:Feeding Behavior; D005260:Female; D005602:France; D015438:Health Behavior; D006801:Humans; D006814:Hungary; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D009426:Netherlands; D009765:Obesity; D012111:Residence Characteristics; D012959:Socioeconomic Factors; D006113:United Kingdom
keywords: Built environment; SPOTLIGHT; dietary behaviours; physical activity