Residential proximity to urban play spaces and childhood overweight and obesity in Barcelona, Spain: A population-based longitudinal study
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- dc.contributor.author Sánchez-Valdivia, Nacho
- dc.contributor.author Pérez-del-Pulgar, Carmen
- dc.contributor.author Bont, Jeroen de
- dc.contributor.author Anguelovski, Isabelle
- dc.contributor.author López-Gay, Antonio
- dc.contributor.author Pistillo, Andrea
- dc.contributor.author Triguero Mas, Margarita, 1985-
- dc.contributor.author Duarte Salles, Talita, 1985-
- dc.date.accessioned 2023-04-11T06:37:54Z
- dc.date.available 2023-04-11T06:37:54Z
- dc.date.issued 2022
- dc.description.abstract Findings on the relationship between play spaces and childhood overweight and obesity are mixed and scarce. This study aimed to investigate the associations between residential proximity to play spaces and the risk of childhood overweight or obesity and potential effect modifiers. This longitudinal study included children living in the city of Barcelona identified in an electronic primary healthcare record database between 2011 and 2018 (N = 75,608). Overweight and obesity were defined according to the WHO standards and we used 300 m network buffers to assess residential proximity to play spaces. We calculated the risk of developing overweight or obesity using Cox proportional hazard models. A share of 29.4% of the study population developed overweight or obesity, but we did not find consistent associations between play space indicators and overweight or obesity. We did not find any consistent sign of effect modification by sex, and only some indications of the modifying role of area socioeconomic status and level of exposure. Although it is not possible to draw clear conclusions from our study, we call for cities to continue increasing and improving urban play spaces with an equitable, healthy, and child-friendly perspective.
- dc.description.sponsorship This study used the play spaces exposure data from the Horizon 2020 and European Research Council (ERC) funded Green Locally Unwanted Land Uses (GREENLULUS) project (grant agreement number 678034) and the Spanish Ministry of Science and Innovation (Maria de Maeztu, CEX2019-000940-M). Access to the SIDIAP database and linkage to play space exposure was funded by La Marató de TV3 Foundation (grant number 201621–30) as part of the Urban environment and childhood obesity in Catalonia (ECHOCAT) project. T.D.-S. acknowledges receiving financial support from the Instituto de Salud Carlos III (ISCIII; Miguel Servet 2021: CP21/00023) which is co-funded by the European Union.
- dc.format.mimetype application/pdf
- dc.identifier.citation Sánchez-Valdivia N, Pérez-Del-Pulgar C, de Bont J, Anguelovski I, López-Gay A, Pistillo A, Triguero-Mas M, Duarte-Salles T. Residential proximity to urban play spaces and childhood overweight and obesity in Barcelona, Spain: A population-based longitudinal study. Int J Environ Res Public Health. 2022 Oct 21;19(20):13676. DOI: 10.3390/ijerph192013676
- dc.identifier.doi http://dx.doi.org/10.3390/ijerph192013676
- dc.identifier.issn 1661-7827
- dc.identifier.uri http://hdl.handle.net/10230/56437
- dc.language.iso eng
- dc.publisher MDPI
- dc.relation.ispartof Int J Environ Res Public Health. 2022 Oct 21;19(20):13676
- dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/678034
- dc.rights © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Body mass index
- dc.subject.keyword Built environment
- dc.subject.keyword Childhood
- dc.subject.keyword Obesity
- dc.subject.keyword Overweight
- dc.subject.keyword Park
- dc.subject.keyword Play space
- dc.subject.keyword Playground
- dc.subject.keyword Urban health
- dc.title Residential proximity to urban play spaces and childhood overweight and obesity in Barcelona, Spain: A population-based longitudinal study
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion