Abstract
Objectives: This study aimed to examine the mediating effects of energy-balance related behaviors on the association of neighborhood socio-economic status (SES) and neighborhood residential area density (RAD) with body mass index (BMI). Methods: In total, 6037 adults from four neighborhood types (high SES/high RAD, high SES/low RAD, low SES/high RAD, and low SES/low RAD) in five Mid-European urban regions completed an online survey asking about their energy-balance related behaviors (physical activity [PA], sedentary behavior, and dietary behavior), determinants of these behaviors and their body weight and height. MacKinnon's product-of-coefficients test was used to assess mediating effects. Results: Transport-related PA, leisure-time PA and vegetable intake seemed to mediate the association between neighborhood type and BMI. Residents from low SES/low RAD neighborhoods reported less transport-related PA, less leisure-time PA and less vegetable intake than high SES/high RAD residents, and these behaviors (i.e. transport-related PA, leisure-time PA and vegetable intake) were related to having a higher BMI. Conclusion: The association between neighborhood type and BMI can be explained, at least in part, by energy-balance related behaviors.
Original language | English |
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Pages (from-to) | 84-91 |
Number of pages | 8 |
Journal | Preventive Medicine |
Volume | 86 |
Early online date | 12 Jan 2016 |
DOIs | |
Publication status | Published - 1 May 2016 |
Funding
This work is part of the SPOTLIGHT project funded by the Seventh Framework Programme (CORDIS FP7) of the European Commission , HEALTH (FP7-HEALTH-2011-two-stage), grant agreement no. 278186 . The content of this article reflects only the authors' views and the European Commission is not liable for any use that may be made of the information contained therein.
Keywords
- Obesity-related behaviors
- Overweight
- Residential density
- Socio-economic status
ASJC Scopus subject areas
- Epidemiology
- Public Health, Environmental and Occupational Health