Urban environment and obesity and weight-related behaviours in primary school children

De Bont, Jeroen, 1989-; Márquez, Sandra; Fernández-Barrés, Sílvia; Warembourg, Charline; Koch, Sarah; Persavento, Cecilia; Fochs, Silvia; Pey, Núria; de Castro, Montserrat; Fossati, Serena; Nieuwenhuijsen, Mark J.; Basagaña Flores, Xavier; Casas Sanahuja, Maribel; Duarte Salles, Talita, 1985-; Vrijheid, Martine

Urban environment and obesity and weight-related behaviours in primary school children

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dc.contributor.author De Bont, Jeroen, 1989-
dc.contributor.author Márquez, Sandra
dc.contributor.author Fernández-Barrés, Sílvia
dc.contributor.author Warembourg, Charline
dc.contributor.author Koch, Sarah
dc.contributor.author Persavento, Cecilia
dc.contributor.author Fochs, Silvia
dc.contributor.author Pey, Núria
dc.contributor.author de Castro, Montserrat
dc.contributor.author Fossati, Serena
dc.contributor.author Nieuwenhuijsen, Mark J.
dc.contributor.author Basagaña Flores, Xavier
dc.contributor.author Casas Sanahuja, Maribel
dc.contributor.author Duarte Salles, Talita, 1985-
dc.contributor.author Vrijheid, Martine
dc.date.accessioned 2022-05-12T06:02:33Z
dc.date.available 2022-05-12T06:02:33Z
dc.date.issued 2021
dc.description.abstract Background: Urban environments are characterised by many factors that may influence children's lifestyle and increase the risk of childhood obesity, but multiple urban exposures have scarcely been studied. Objective: We evaluated the association between multiple urban exposures and childhood obesity outcomes and weight-related behaviours. Methods: We conducted a cross-sectional study including 2213 children aged 9-12 years in Sabadell, Spain. We estimated ambient air pollution, green spaces, built and food environment, road traffic and road traffic noise at residential addresses through a total of 28 exposure variables in various buffers. Childhood obesity outcomes included body mass index (BMI), waist circumference and body fat. Weight-related behaviours included diet (fast food and sugar-sweetened beverage consumption), physical activity, sedentary behaviour, sleep duration and well-being. Associations between exposures (urban environment) and outcomes (obesity and behaviours) were estimated in single and multiple-exposure regression models and in a hierarchical clustering on principal components (HCPC) analysis. Results: Forty percent of children were overweight or obese. In single exposure models, very few associations were observed between the urban exposures and obesity outcomes or weight-related behaviours after correction for multiple testing. In multiple exposure models, PMcoarse, denser unhealthy food environment and land use mix were statistically significant associated with childhood obesity outcomes (e.g 17.7 facilities/km2 increase of unhealthy food environment (OR overweight/obesity status) = 1.20 [95% CI: 1.01; 1.44]). Cluster analysis identified 5 clusters of urban exposures. Compared to the most neutral cluster, the cluster with high air pollution, road traffic, and road noise levels was associated with a higher BMI and higher odds of overweight and obesity (β (zBMI) = 0.17, [95% CI: 0.01, 0.17]; OR (overweight/obesity) = 1.36, [95% CI: 0.99, 1.85]); the clusters were not associated with the weight-related behaviours. Conclusions: This systematic study of many exposures in the urban environment suggests that an exposure pattern characterised by higher levels of ambient air pollution, road traffic and road traffic noise is associated with increased childhood obesity risk and that PMcoarse, land use mix and food environment are separately associated with obesity risk. These findings require follow-up in longitudinal studies and different settings.
dc.description.sponsorship Project funded by La Marató de TV3 Foundation (Grant Number: 201621-30). This study was funded by grants from Instituto de Salud Carlos III (Red INMA G03/176; CB06/02/0041; PI041436; PI081151 incl. FEDER funds; PI12/01890 incl. FEDER funds; CP13/00054 incl. FEDER funds; PI15/00118 incl. FEDER funds; CP16/00128 incl. FEDER funds; PI16/00118 incl. FEDER funds; PI16/00261 incl. FEDER funds; PI18/00547 incl. FEDER funds), CIBERESP, Generalitat de Catalunya-CIRIT 1999SGR 00241, Generalitat de Catalunya-AGAUR (2009 SGR 501, 2014 SGR 822), Fundació La Marató de TV3 (090430), Spanish Ministry of Economy and Competitiveness (SAF2012-32991 incl. FEDER funds), Agence Nationale de Securite Sanitaire de l’Alimentation de l’Environnement et du Travail (1262C0010; EST-2016 RF-21), EU Commission (261357, 308333, 603794 and 634453). Charline Warembourg holds a Sara Borrell fellowship from the Instituto de Salud Carlos III [CD18/00132]. Maribel Casas holds a Miguel Servet fellowship (CP16/00128) funded by Instituto de Salud Carlos III and cofounded by European Social Fund ‘Investing in your future’. Talita Duarte-Salles is funded by the Department of Health of the Generalitat de Catalunya, awarded on the 2016 call under the Strategic Plan for Research and Innovation in Health (PERIS) 2016–2020, modality incorporation of scientists and technologists, with reference SLT002/16/00308.
dc.format.mimetype application/pdf
dc.identifier.citation de Bont J, Márquez S, Fernández-Barrés S, Warembourg C, Koch S, Persavento C, Fochs S, Pey N, de Castro M, Fossati S, Nieuwenhuijsen M, Basagaña X, Casas M, Duarte-Salles T, Vrijheid M. Urban environment and obesity and weight-related behaviours in primary school children. Environ Int. 2021 Oct;155:106700. DOI: 10.1016/j.envint.2021.106700
dc.identifier.doi http://dx.doi.org/10.1016/j.envint.2021.106700
dc.identifier.issn 0160-4120
dc.identifier.uri http://hdl.handle.net/10230/53057
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartof Environ Int. 2021 Oct;155:106700
dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/261357
dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/308333
dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/603794
dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/634453
dc.relation.projectID info:eu-repo/grantAgreement/ES/3PN/SAF2012-32991
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.keyword Body mass index
dc.subject.keyword Childhood obesity
dc.subject.keyword Cluster analyses
dc.subject.keyword Urban environment
dc.subject.keyword Weight-related behaviours
dc.title Urban environment and obesity and weight-related behaviours in primary school children
dc.type info:eu-repo/semantics/article
dc.type.version info:eu-repo/semantics/publishedVersion

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