Barcelona Lab for Urban Environmental Justice and Sustainability, Institute of Environmental Science and Technology (ICTA), Universitat Autònoma de Barcelona (UAB), 08003 Barcelona, Spain.
Hospital del Mar Medical Research Institute (IMIM), Carrer Doctor Aiguader, 88, 08003 Barcelona, Spain.
Int J Environ Res Public Health. 2022 Oct 21;19(20):13676. doi: 10.3390/ijerph192013676.
Findings on the relationship between play spaces and childhood overweight and obesity are mixed and scarce. This study aimed to investigate the associations between residential proximity to play spaces and the risk of childhood overweight or obesity and potential effect modifiers. This longitudinal study included children living in the city of Barcelona identified in an electronic primary healthcare record database between 2011 and 2018 (N = 75,608). Overweight and obesity were defined according to the WHO standards and we used 300 m network buffers to assess residential proximity to play spaces. We calculated the risk of developing overweight or obesity using Cox proportional hazard models. A share of 29.4% of the study population developed overweight or obesity, but we did not find consistent associations between play space indicators and overweight or obesity. We did not find any consistent sign of effect modification by sex, and only some indications of the modifying role of area socioeconomic status and level of exposure. Although it is not possible to draw clear conclusions from our study, we call for cities to continue increasing and improving urban play spaces with an equitable, healthy, and child-friendly perspective.
有关游戏空间与儿童超重和肥胖之间关系的研究结果存在差异且较为缺乏。本研究旨在调查居住环境与游戏空间的临近程度与儿童超重或肥胖风险之间的关联，以及潜在的调节因素。本纵向研究纳入了 2011 年至 2018 年间在巴塞罗那市电子初级医疗记录数据库中登记的儿童（N=75608）。超重和肥胖的定义依据世卫组织标准，我们使用 300 米网络缓冲区来评估居住环境与游戏空间的临近程度。我们使用 Cox 比例风险模型计算超重或肥胖的发病风险。研究人群中有 29.4%的人出现超重或肥胖，但我们并未发现游戏空间指标与超重或肥胖之间存在一致的关联。我们没有发现性别存在一致的调节作用迹象，仅发现一些区域社会经济地位和暴露程度的调节作用迹象。尽管我们的研究无法得出明确的结论，但我们呼吁城市继续从公平、健康和儿童友好的角度增加和改善城市游戏空间。
