The longitudinal association between neighbourhood quality and cardiovascular risk factors among youth receiving obesity treatment
Authors' conclusion
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.
Study context
- Population
- Youth with obesity at a pediatric weight management clinic
- Participants
- 2,838 participants
- Exposure
- Area-level neighbourhood factors and BMIp95 and blood pressure
- Outcome
- BMIp95
Methodological detailslongitudinal, single-clinic patient health records
- Longitudinal
- Single-clinic patient health records
Main finding
As reported in the abstract
Shorter commute duration, β
−4.31 (−5.92, −2.71) (95% CI)
Greater walkability, β
−4.40 (−5.98, −2.82) (95% CI)
Increased greenspace availability, β
1.93 (0.19, 3.67) (95% CI)
Observational data: associations, not effects.
Further findings
Cardiovascular outcomes (blood pressure)
- None of the Child Opportunity Index (COI) indicators were associated with cardiovascular outcomes in the full sample
BMIp95 by sex and race/ethnicity
- Similar patterns for BMIp95 in analyses stratified by sex and race/ethnicity
Blood pressure by sex and race/ethnicity
- Commute duration negatively associated with blood pressure in female, non-Hispanic White and other race/ethnicity youth
Original publication
The longitudinal association between neighbourhood quality and cardiovascular risk factors among youth receiving obesity treatment. Pediatr Obes. Published 31 October 2023. doi:10.
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