Residential Neighbourhood Environments and Health Behaviours Among Children and Adolescents Initiating Obesity Management Care: Secondary Analyses of Data From the CANadian Paediatric Weight Management Registry ( CANPWR )
Authors' conclusion
This study adds to the evidence linking neighbourhood environments to health behaviours in children and adolescents living with obesity and who are initiating obesity management care. Specifically, less social deprivation and greater walkability and greenness were associated with higher PA among boys, while less material deprivation was linked to higher PA among girls.
Study context
- Population
- Children and adolescents aged 5–17 years with overweight or obesity initiating obesity management care across Canada (CANPWR 2013–2017); 50% boys; mean age 11.9 ± 3.1 years; BMI z-score 3.28 ± 1.06
- Participants
- 803 children
- Comparison
- Neighbourhood characteristics and health behaviours
- Primary endpoint
- Health behaviours: total physical activity (PA), organised PA outside of school, screen time, sleep duration
Methodological detailsgeneralised estimating equations stratified by sex, covariate-adjusted
- Generalised estimating equations stratified by sex
- Covariate-adjusted
Primary result
As reported in the abstract
Associations of neighbourhood characteristics with health behaviours
Prevalence ratio (95% CI)
Low social deprivationvs High social deprivationHigh total PA, boys
1.32(1.01–1.73)
High walkabilityvs Low walkabilityHigh organised PA, boys
3.56(1.97–6.44)
Higher greennessHigh organised PA, boys
1.72(1.17–2.64)
Very low material deprivationvs High material deprivationHigh organised PA, girls
4.17(1.52–11.45)
Original publication
Residential Neighbourhood Environments and Health Behaviours Among Children and Adolescents Initiating Obesity Management Care: Secondary Analyses of Data From the CANadian Paediatric Weight Management Registry ( CANPWR ). Pediatr Obes. Published 4 February 2026. doi:10.
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