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The longitudinal association between neighbourhood quality and cardiovascular risk factors among youth receiving obesity treatment.

Publication ,  Journal Article
Neshteruk, CD; Chandrashekaran, S; Armstrong, SC; Skinner, AC; Delarosa, J; D'Agostino, EM
Published in: Pediatr Obes
December 2023

BACKGROUND: Neighbourhood factors are associated with cardiovascular health in adults, but these relationships are under-explored in youth. OBJECTIVES: To characterize the associations between neighbourhood factors and child and adolescent health among youth with obesity. METHODS: Data were drawn from patient health records at a pediatric weight management clinic (n = 2838) and the Child Opportunity Index (COI). Exposures were area-level neighbourhood factors (commute duration, walkability, greenspace and industrial pollutants). Outcomes included BMI relative to the 95th percentile (BMIp95) and blood pressure (continuous variables). Longitudinal models examined associations between COI indicators and outcomes. RESULTS: Shorter commute duration (β = -4.31, 95% CI: -5.92, -2.71) and greater walkability (β = -4.40, 95% CI: -5.98, -2.82) were negatively associated with BMIp95. Increased greenspace availability was positively associated with BMIp95 (β = 1.93, 95% CI: 0.19, 3.67). None of the COI indicators were associated with cardiovascular outcomes in the full sample. Analyses stratified by sex and race/ethnicity showed similar patterns for BMIp95. For commute duration, there was a negative association with blood pressure for female, non-Hispanic White and other race/ethnicity youth. CONCLUSIONS: Neighbourhood factors should be considered as contextual factors when treating youth with obesity. Additional research is needed to understand the relationship between neighbourhood factors and cardiovascular outcomes.

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Published In

Pediatr Obes

DOI

EISSN

2047-6310

Publication Date

December 2023

Volume

18

Issue

12

Start / End Page

e13080

Location

England

Related Subject Headings

  • Risk Factors
  • Residence Characteristics
  • Obesity
  • Humans
  • Heart Disease Risk Factors
  • Female
  • Child
  • Cardiovascular Diseases
  • Blood Pressure
  • Adult
 

Citation

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Neshteruk, C. D., Chandrashekaran, S., Armstrong, S. C., Skinner, A. C., Delarosa, J., & D’Agostino, E. M. (2023). The longitudinal association between neighbourhood quality and cardiovascular risk factors among youth receiving obesity treatment. Pediatr Obes, 18(12), e13080. https://doi.org/10.1111/ijpo.13080
Neshteruk, Cody D., Shivani Chandrashekaran, Sarah C. Armstrong, Asheley C. Skinner, Jesse Delarosa, and Emily M. D’Agostino. “The longitudinal association between neighbourhood quality and cardiovascular risk factors among youth receiving obesity treatment.Pediatr Obes 18, no. 12 (December 2023): e13080. https://doi.org/10.1111/ijpo.13080.
Neshteruk CD, Chandrashekaran S, Armstrong SC, Skinner AC, Delarosa J, D’Agostino EM. The longitudinal association between neighbourhood quality and cardiovascular risk factors among youth receiving obesity treatment. Pediatr Obes. 2023 Dec;18(12):e13080.
Neshteruk, Cody D., et al. “The longitudinal association between neighbourhood quality and cardiovascular risk factors among youth receiving obesity treatment.Pediatr Obes, vol. 18, no. 12, Dec. 2023, p. e13080. Pubmed, doi:10.1111/ijpo.13080.
Neshteruk CD, Chandrashekaran S, Armstrong SC, Skinner AC, Delarosa J, D’Agostino EM. The longitudinal association between neighbourhood quality and cardiovascular risk factors among youth receiving obesity treatment. Pediatr Obes. 2023 Dec;18(12):e13080.
Journal cover image

Published In

Pediatr Obes

DOI

EISSN

2047-6310

Publication Date

December 2023

Volume

18

Issue

12

Start / End Page

e13080

Location

England

Related Subject Headings

  • Risk Factors
  • Residence Characteristics
  • Obesity
  • Humans
  • Heart Disease Risk Factors
  • Female
  • Child
  • Cardiovascular Diseases
  • Blood Pressure
  • Adult