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The association between neighborhood quality, youth physical fitness, and modifiable cardiovascular disease risk factors.

Publication ,  Journal Article
Zewdie, H; Zhao, AY; Patel, HH; Hansen, E; Messiah, SE; Armstrong, SC; Skinner, AC; Neshteruk, CD; Hipp, JA; D'Agostino, EM
Published in: Ann Epidemiol
May 2021

PURPOSE: Striking disparities persist in cardiovascular disease risk factors among minority youth. We examined the association between multiple indicators of neighborhood quality and minority youth fitness. METHODS: The primary exposure was the Child Opportunity Index (COI), a measure comprised of indicators that facilitate healthy child development. Outcome data were drawn from the 2018-2019 Fit2Play Study (Miami-Dade County, FL). Hotspot analysis evaluated COI spatial clustering. Generalized linear mixed models examined cross-sectional COI-fitness associations. RESULTS: The sample included 725 youth (53% Black, 43% Hispanic; 5-17 years). Significant neighborhood quality spatial clusters were identified (Gi*z-score = -4.85 to 5.36). Adjusting for sociodemographics, walkability was associated with lower percentiles in body mass index (BMI) and diastolic blood pressure percentiles (DBP) (β = -5.25, 95% CI: -8.88, -1.62 and β = -3.95, 95% CI: -7.02, -0.89, respectively) for all, lower skinfold thickness (β = -4.83, 95% CI: -9.97, 0.31 and higher sit-ups (β = 1.67, 95% CI: -0.17, 3.50) among girls, and lower systolic blood pressure percentiles (SBP) (β = -4.75, 95% CI: -8.99, -0.52) among boys. Greenspace was associated with higher BMI (β = 6.17, 95% CI: 2.47, 9.87), SBP (β = 3.47, 95% CI: -0.05, 6.99), and DBP (β = 4.11, 95% CI: 1.08, 7.13). CONCLUSIONS: COI indicators were positively associated with youth fitness. Disparities in youth cardiovascular disease risk may be modifiable through community interventions and built environment initiatives targeting select neighborhood factors.

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Published In

Ann Epidemiol

DOI

EISSN

1873-2585

Publication Date

May 2021

Volume

57

Start / End Page

30 / 39

Location

United States

Related Subject Headings

  • Risk Factors
  • Physical Fitness
  • Male
  • Humans
  • Florida
  • Female
  • Epidemiology
  • Cross-Sectional Studies
  • Child
  • Cardiovascular Diseases
 

Citation

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Zewdie, H., Zhao, A. Y., Patel, H. H., Hansen, E., Messiah, S. E., Armstrong, S. C., … D’Agostino, E. M. (2021). The association between neighborhood quality, youth physical fitness, and modifiable cardiovascular disease risk factors. Ann Epidemiol, 57, 30–39. https://doi.org/10.1016/j.annepidem.2021.02.004
Zewdie, Hiwot, Amy Y. Zhao, Hersila H. Patel, Eric Hansen, Sarah E. Messiah, Sarah C. Armstrong, Asheley C. Skinner, Cody D. Neshteruk, J Aaron Hipp, and Emily M. D’Agostino. “The association between neighborhood quality, youth physical fitness, and modifiable cardiovascular disease risk factors.Ann Epidemiol 57 (May 2021): 30–39. https://doi.org/10.1016/j.annepidem.2021.02.004.
Zewdie H, Zhao AY, Patel HH, Hansen E, Messiah SE, Armstrong SC, et al. The association between neighborhood quality, youth physical fitness, and modifiable cardiovascular disease risk factors. Ann Epidemiol. 2021 May;57:30–9.
Zewdie, Hiwot, et al. “The association between neighborhood quality, youth physical fitness, and modifiable cardiovascular disease risk factors.Ann Epidemiol, vol. 57, May 2021, pp. 30–39. Pubmed, doi:10.1016/j.annepidem.2021.02.004.
Zewdie H, Zhao AY, Patel HH, Hansen E, Messiah SE, Armstrong SC, Skinner AC, Neshteruk CD, Hipp JA, D’Agostino EM. The association between neighborhood quality, youth physical fitness, and modifiable cardiovascular disease risk factors. Ann Epidemiol. 2021 May;57:30–39.
Journal cover image

Published In

Ann Epidemiol

DOI

EISSN

1873-2585

Publication Date

May 2021

Volume

57

Start / End Page

30 / 39

Location

United States

Related Subject Headings

  • Risk Factors
  • Physical Fitness
  • Male
  • Humans
  • Florida
  • Female
  • Epidemiology
  • Cross-Sectional Studies
  • Child
  • Cardiovascular Diseases