能量平衡相关行为在邻里社会经济地位和居住区密度与体重指数关联中的中介作用：SPOTLIGHT研究

Mediating role of energy-balance related behaviors in the association of neighborhood socio-economic status and residential area density with BMI: The SPOTLIGHT study.

作者信息

Compernolle Sofie, Oppert Jean-Michel, Mackenbach Joreintje D, Lakerveld Jeroen, Charreire Helene, Glonti Ketevan, Bardos Helga, Rutter Harry, De Cocker Katrien, Cardon Greet, De Bourdeaudhuij Ilse

机构信息

Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.

Université Paris 13, Sorbonne Paris Cité - EREN (Equipe de Recherche en Epidémiologie, Nutritionnelle), U1153 INSERM, INRA, CNAM, Centre de Recherche en Epidémiologie et, Biostatistiques, CRNH IdF, Bobigny, France; Université Pierre et Marie Curie, Institut cardiométabolisme et nutrition, service de nutrition, hôpital Piitie-Salpêtrière (AP-HP), France.

出版信息

Prev Med. 2016 May;86:84-91. doi: 10.1016/j.ypmed.2016.01.005. Epub 2016 Jan 12.

DOI:10.1016/j.ypmed.2016.01.005

PMID:26794046

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.

摘要

目的

本研究旨在探讨能量平衡相关行为在邻里社会经济地位（SES）和邻里居住区域密度（RAD）与体重指数（BMI）之间的关联中所起的中介作用。

方法

来自中欧五个城市地区四种邻里类型（高SES/高RAD、高SES/低RAD、低SES/高RAD和低SES/低RAD）的6037名成年人完成了一项在线调查，询问他们与能量平衡相关的行为（身体活动[PA]、久坐行为和饮食行为）、这些行为的决定因素以及他们的体重和身高。采用麦金农系数乘积检验来评估中介作用。