Obesity

Satellite-Based and Street-View Green Space and Adiposity in US Children

JAMA Netw OpenPublished Prospective cohort study

Authors' conclusion

This cohort study of US children suggests that higher levels of satellite-based NDVI greenness and percentages of street-level green space components (flowers, plants, and fields) were associated with lower adiposity. The findings support the exploration of increasing residential green space levels and adding specific green space components as an urban planning and public health intervention strategy to combat the prevalence of childhood obesity in the US.

Study context

Population
US children in the Project Viva cohort followed from mid-childhood (mean 8.0 years) and early adolescence (mean 13.3 years) through late adolescence (mean 17.8 years), 2007–2021children at baseline
Participants
843 children
Exposure
Higher vs lower satellite-based normalized difference vegetation index (NDVI) and street-view green space
Outcome
BMI and waist circumference z scores; total FMI and trunk FMI by DXA
Follow-up
Early or late adolescence
Methodological detailsProject Viva cohort, Data analyzed January 1 to June 30, 2024
  • Project Viva cohort
  • Data analyzed January 1 to June 30, 2024

Main finding

As reported in the abstract

Adiposity in late adolescence per 1-SD higher NDVI within 270 m in early adolescence (adjusted)

Body mass index (BMI) z score, β

−0.16 (−0.27 to −0.04) (95% CI)

Waist circumference z score, β

−0.13 (−0.23 to −0.03) (95% CI)

Total fat mass index (FMI), β

−0.62 (−1.02 to −0.23) (95% CI)

Trunk FMI, β

−0.33 (−0.55 to −0.12) (95% CI)

Observational data: associations, not effects.

Further findings

BMI z score in late adolescence per higher % street-view other green space (flowers, plants, fields) within 500 m in early adolescence

BMI z score, β
−0.09 (−0.18 to −0.01) (95% CI)
Street-view trees and grass not associated with BMI z score

NDVI and street-view green space at mid-childhood and adiposity in early adolescence

Not associated with adiposity measures

Original publication

Satellite-Based and Street-View Green Space and Adiposity in US Children. JAMA Netw Open. Published 2 December 2024. doi:10.1001/jamanetworkopen.2024.49113

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