Dissecting Obesogenic Environments: The Development and Application of a Framework for Identifying and Prioritizing Environmental Interventions for Obesity

Swinburn, Boyd; Egger, Garry; Raza, Fezeela

doi:10.1006/pmed.1999.0585

Cited by 1,833 publications

(1,723 citation statements)

References 30 publications

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“…Healthy behaviour, such as planned physical activity (e.g. walking, running or sports) and healthy eating (fruit and vegetable intake) are related to residential environment, categorized into four types: physical (availability), economic (costs), political (rules) and sociocultural (the attitudes and beliefs held by the community or society) (Swinburn et al, 1999).…”

Section: Excess Weight and Residential Area Deprivationmentioning

confidence: 99%

The link between local environment and obesity: A multilevel analysis in the Lisbon Metropolitan Area, Portugal

Santana

Santos

Nogueira

2009

Social Science & Medicine

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a b s t r a c tAlthough individual factors have been shown to predict weight gain, contextual determinants have also attracted attention, with some authors stressing the role played by deprivation, urban sprawl, social capital and safety. Recent evidence has implicated environmental factors that facilitate the consumption of excess calories and/or make it more difficult to expend them in routine physical activity. The interrelationships found in some places between physical and social environments (key mediators) and body mass index (BMI), as well as the potential that exists for the development of healthier places, mean that more research is required into the contextual determinants of health. In Portugal, particularly in the Lisbon Metropolitan Area (LMA), the effects of physical and social environments on physical activity and BMI have not previously been explored in any detail. This study aims to highlight the associations between residential (physical and social) environment and the risk of weight gain and obesity, over and above individual attributes, assessing which indicators are the best predictors of excess weight in the LMA. The study involved data from 7669 individuals aged 18 and over from 143 neighbourhoods. Self-reported body height and weight were used to define overweight body mass index (BMI ! 25). BMI and individual (socio-demographic and behavioural) characteristics were linked to contextual data and analysed in a multilevel framework. Our findings show that different environmental factors are significantly associated with excess weight and obesity, either directly or indirectly (e.g. health-related behaviours such as eating patterns and physical activity, which are key mediators), after adjustment for individual characteristics. The results suggest that a deeper understanding of these mechanisms is critical if we want to tackle the obesity epidemic, and that policies aimed at weight control and obesity reduction must address people and places in order to bear fruit.

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Section: Excess Weight and Residential Area Deprivationmentioning

confidence: 99%

The link between local environment and obesity: A multilevel analysis in the Lisbon Metropolitan Area, Portugal

Santana

Santos

Nogueira

2009

Social Science & Medicine

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“…To date, obesity prevention attempts have been mainly educational, behavioural or pharmacological, focused on either diet or physical activity, and have had limited success (Kayman et al, 1990;Garner & Wooley, 1997;Swinburn et al, 1999). The challenge is to develop innovative multidisciplinary initiatives to improve the rather modest impact of current programmes.…”

Section: Discussionmentioning

confidence: 99%

“…There is a wide variety of ways to classify the environment and to identify potential risk groups (eg, Green & Kreuter, 1999). The ANGELO framework (ANalysis Grid for Environments Linked to Obesity; Swinburn et al, 1999) was specifically applied to the conceptualisation of obesogenic environments. The ANGELO framework is a grid which comprises four types of environment on one axis and two sizes of environment on the other.…”

Section: Methodsmentioning

confidence: 99%

“…The importance of the environment on diet and physical activity has only been highlighted in the past decade (Hill & Peters, 1998;Flegal, 1999;Booth et al, 2001;Pikora et al, 2003). Accumulating evidence shows that the environment is an important causal factor in the current obesity epidemic (Bar-Or et al, 1998;Jeffery, 1998;Swinburn et al, 1999;Schmitz & Jeffery, 2000;Golan & Crow, 2004;Kemper et al, 2004). However, at present, relatively broad conceptual models of putative environment-behaviour relationships are being used to guide research (Owen et al, 2004).…”

Section: Determinants Of Energy Balance-related Behaviours (Study 2)mentioning

confidence: 99%

“…Many people think that they eat healthy or have enough physical exercise, although they do not (Brug et al, 1997;Lechner et al, 1998;Povey et al, 1999;Ronda et al, 2002). Furthermore, social and environmental circumstances that promote obesity-inducing behaviours, the so-called 'obesogenic environment', could have more influence on people's overall behaviour than cognitive determinants, such as attitudes and self-efficacy expectations, that have been targeted mostly in the interventions that have been evaluated to date (Jeffery et al, 1995;Swinburn et al, 1999;. Finally, most programmes do not take into account individual preferences and lack the possibility of choice.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Netherlands Research programme weight Gain prevention (NHF-NRG): rationale, objectives and strategies

et al. 2005

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Objective: To outline the rationale, objectives and strategies used in a systematically designed research programmme to study specific weight gain-inducing behaviours, their social-psychological as well as environmental determinants, and the effects of interventions aimed at the prevention of weight gain. Design: The evidence for potential behavioural determinants and strategies to prevent weight gain was reviewed, and the methods applied within the Netherlands Research programme weight gain prevention (NHF-NRG) project were described. The project is designed according to the Intervention Mapping protocol. Conclusions: Based on the few interventions that were evaluated to date, no robust conclusions can be drawn regarding the effectiveness of obesity prevention. The systematic and multidisciplinary design of the NHF-NRG programme enables the identification of potentially effective methods and strategies for the prevention of weight gain.

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Short-term Effects of School-Based Weight Gain Prevention Among Adolescents

Singh¹,

Paw²,

Brug³

et al. 2007

Arch Pediatr Adolesc Med

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Dissecting Obesogenic Environments: The Development and Application of a Framework for Identifying and Prioritizing Environmental Interventions for Obesity

Cited by 1,833 publications

References 30 publications

The link between local environment and obesity: A multilevel analysis in the Lisbon Metropolitan Area, Portugal

The link between local environment and obesity: A multilevel analysis in the Lisbon Metropolitan Area, Portugal

Netherlands Research programme weight Gain prevention (NHF-NRG): rationale, objectives and strategies

Short-term Effects of School-Based Weight Gain Prevention Among Adolescents

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