Built and socioeconomic neighbourhood environments and overweight in preschool aged children. A multilevel study to disentangle individual and contextual relationships

Schüle, Steffen Andreas; Fromme, Hermann; Bolte, Gabriele

doi:10.1016/j.envres.2016.06.024

Cited by 29 publications

(45 citation statements)

References 54 publications

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“…In support of this assumption, an association between increased greenness of the play environment and increased playtime outdoors amongst pre-school children has been identified by Grigsby-Toussaint, Chi, and Fiese (2011). Indeed, perceived lack of green space and low playground space have been independently associated with being overweight in pre-school children (Schule, Fromme, & Bolte, 2016).…”

Section: Childhoodmentioning

confidence: 99%

Green space benefits for health and well-being: A life-course approach for urban planning, design and management

Douglas

Lennon

Scott

2017

Cities

280

113

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In recognition that the coming century will see a substantial majority of the world's population living in urban areas, the World Health Organisation and the United Nations have developed policy frameworks and guidance which promote the increased provision of urban green space for population health. However, these undertakings do not provide specific guidance for urban policy in terms of the particular design attributes required to tackle lifestyle illnesses and to promote well-being in urban populations. Furthermore, green spaces have generally been treated as a homogenous environment type. In order to address these weaknesses, this paper collates and reviews the evidence linking health, well-being and green space using a lifecourse approach. The literature generally endorses the view that urban green spaces, as part of the wider environmental context, promote health and well-being across the life course. Based on the evidence, cohort-specific and cross-cutting design interventions are identified and a general integrated green space framework for health and well-being is proposed. This analytical lens facilitates distillation of a vast quantum of research and the formulation of specific planning and design guidance for the provision of more inclusive green spaces that respond to the varying needs of people across all life-course stages.

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Section: Childhoodmentioning

confidence: 99%

Green space benefits for health and well-being: A life-course approach for urban planning, design and management

Douglas

Lennon

Scott

2017

Cities

280

113

View full text Add to dashboard Cite

show abstract

“…A detailed knowledge of the spatial patterns and influencing factors on area-level is required to explore association between the built environment and childhood overweight. Whereas most studies concerning built environmental factors have been mainly located in the United states (21), there is still a gap in European and German research about the built environment impact (23,24). However, findings from different cultural and environmental backgrounds can add to the existing knowledge.…”

Section: Resultsmentioning

confidence: 99%

“…We applied entropy measures developed by Lawrence Frank and colleagues with a five-category mix: residential, retail, entertainment, office and institutional (10) The original walkability index further includes a floor ratio to estimate the retail area (10, 30) which thought to facilitate pedestrian access. Yet, similar to several European walkability studies (23,31), the retail floor ratio was left out in this study because in a European context, it may overestimate the actual retail areas, in contrast to land use patterns in the US. European land use is shaped by mixed uses within one building, which are either classified as retail or non-retail, and thereby might lead to biased data (23).…”

Section: Area-level Built Environmental Variablesmentioning

confidence: 94%

“…Yet, similar to several European walkability studies (23,31), the retail floor ratio was left out in this study because in a European context, it may overestimate the actual retail areas, in contrast to land use patterns in the US. European land use is shaped by mixed uses within one building, which are either classified as retail or non-retail, and thereby might lead to biased data (23).…”

Section: Area-level Built Environmental Variablesmentioning

confidence: 94%

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A multi-level analysis of the association between built environmental factors and childhood overweight in the city of Hannover, Germany

Zhou¹,

Buck²,

Maier³

et al. 2020

Preprint

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Introduction In recent years, built environmental characteristics have been linked to childhood overweight, but the results remain inconsistent across studies. The present study examines associations between several built environmental features and body weight status (BMI) among a large sample of preschool children in the city of Hannover, Germany.Methods Walkability (index), green space availability and playground availability related to preschool children’s home environments was measured using the Geographic Information Systems (GIS) and data from OpenstreetMap (OSM). These built environment characteristics were linked to the data from the 2010-2014 school entry examinations in the Hannover city (n = 22,678), and analysed using multi-level linear regression models to examine associations between the built environment features and the BMI percentiles of these children (4-8 years old). Several socio-demographic factors were included in the analysis, including migration background, family structure and parental educational level. Results No significant associations of built environmental factors on children’s BMI were detected, but the effect between green space availability and BMI was modified by the parental educational level. In children with lower compared to higher educated parents, a higher spatial availability of greenspace was significantly associated with reduced body weight. Conclusion The finding of no overall association between the built environment and body weight could be due to misclassification in the presence of suboptimal variable reliability. However, the environmental effects may also be restricted to the less privileged children, which may indicate that built environmental features might have the potential to reduce health inequalities. Future research should continue to monitor the disparities in diverse built environment features and how these are related to children’s health.

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“…A detailed knowledge of the spatial patterns and influencing factors on area level is required to explore association between the built environment and childhood overweight. Although most studies concerning built environmental factors have been mainly located in the United States [21], there is still a gap in European and German research about the built environment impact [23,24]. For that reason, this study contributes to the existing literature and analyses associations between built environment and preschool children in a major German city.…”

Section: Introductionmentioning

confidence: 96%

Built Environment and Childhood Weight Status: A Multi-Level Study Using Population-Based Data in the City of Hannover, Germany

Zhou

Buck

Maier

et al. 2020

IJERPH

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In recent years, built environmental characteristics have been linked to childhood overweight, but the results remain inconsistent across studies. The present study examines associations between several built environmental features and body weight status (BMI) z-score among a large sample of preschool children in the city of Hannover, Germany. Walkability (Index), green space availability, and playground availability related to preschool children’s home environments were measured using data from OpenStreetMap (OSM). These built environment characteristics were linked to the data from the 2010–2014 school entry examinations in the Hannover city (n = 22,678), and analysed using multilevel linear regression models to examine associations between the built environment features and the BMI z-score of these children (4–8 years old). No significant associations of built environmental factors on children’s BMI were detected, but the effect between green space availability and BMI was modified by the parental educational level. In children with lower compared to higher educated parents, a higher spatial availability of greenspace was significantly associated with reduced body weight. Future research should continue to monitor the disparities in diverse built environment features and how these are related to children’s health.

show abstract

Built and socioeconomic neighbourhood environments and overweight in preschool aged children. A multilevel study to disentangle individual and contextual relationships

Cited by 29 publications

References 54 publications

Green space benefits for health and well-being: A life-course approach for urban planning, design and management

Green space benefits for health and well-being: A life-course approach for urban planning, design and management

A multi-level analysis of the association between built environmental factors and childhood overweight in the city of Hannover, Germany

Built Environment and Childhood Weight Status: A Multi-Level Study Using Population-Based Data in the City of Hannover, Germany

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