Perceived Urban Environment Attributes and Device-Measured Physical Activity in Latin America: An 8-Nation Study

Ferrari, Gérson; Werneck, André O.; Silva, Danilo; Kovalskys, Irina; Gómez, Georgina; Rigotti, Attilio; García, Martha Cecilia Yépez; Liria-Domínguez, María Reyna; Herrera-Cuenca, Marianella; Pratt, Michael; Marques, Adilson; Dyck, Delfien Van; Leme, Ana Carolina Barco; Fisberg, Mauro

doi:10.1016/j.amepre.2021.09.006

Cited by 9 publications

(11 citation statements)

References 68 publications

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“…Active transportation is an essential compnent not only for increasing physical activity in adolescents, but also for promoting community connectedness and environment safety [ 53 ]. In order to encourange active transportation in Latin American countries major coordinative efforts are reqiored, as this behavior is habitually limited by other variables such as perceived traffic, stranger danger or crime safety [ 26 , 54 ]. Therefore, policy makers, organizations, governments and other key actors should develop multilevel interventions and interdisciplinary strategies for implementing successful programmes, due to the associated and convergent impacts in terms of individual health, traffic, pollution, safety, speed regulations, speed enforcement cameras and opening streets for pedestrians, while highlighting the potential benefits for local the economy and safety for streets users [ 55 , 56 ].…”

Section: Discussionmentioning

confidence: 99%

Walking and cycling, as active transportation, and obesity factors in adolescents from eight countries

et al. 2022

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Background Evidence has shown that active transportation decreases obesity rates, but considering walking or cycling as separate modes could provide additional information on the health benefits in adolescents. This study aimed to examine the associations between walking and cycling as form active transportation and obesity indicators in Latin American adolescents. Methods Population-based study with 671 adolescents (mean age: 15.9 [standard deviation: 0.8] years) from eight countries participating in the Latin American Study of Nutrition and Health/Estudio Latino Americano Nutrition y Salud (ELANS). Walking and cycling for active transportation were measured using the International Physical Activity Questionnaire long version. Body mass index, waist circumference, neck circumference, and relative fat mass were used as obesity indicators. Associations were estimated using logistic regression models for the pooled data adjusted for country, sex, age, socio-economic levels, race/ethnicity, leisure-time physical activity and energy intake. Results Mean time spent walking and cycling was 22.6 (SD: 33.1) and 5.1 (SD: 24.1) min/day, respectively. The median values were 12.8 (IQR: 4.2; 25.7) and 0 (IQR: 0; 6.2) for walking and cycling. Participants reporting ≥ 10 min/week of walking or cycling for active transportation were 84.2% and 15.5%, respectively. Costa Rica (94.3% and 28.6%) showed the highest prevalence for walking and cycling, respectively, while Venezuela (68.3% and 2.4%) showed the lowest prevalence. There was no significant association between walking for active transportation and any obesity indicator. In the overall sample, cycling for ≥ 10 min/week was significantly associated with a lower likelihood of overweight/obesity based on BMI (OR: 0.86; 95%CI: 0.88; 0.94) and waist circumference (OR: 0.90; 95%CI: 0.83; 0.97) adjusted for country, sex, age, socio-economic level, race/ethnicity, leisure-time physical activity and energy intake compared to cycling for < 10 min/week. There were no significant associations between cycling for active transportation and neck circumference as well as relative fat mass. Conclusions Cycling for active transportation was negatively associated with obesity indicators, especially body mass index and waist circumference. Programs for promoting cycling for active transportation could be a feasible strategy to tackle the high obesity rates in adolescents in Latin America. Trial registration ClinicalTrials.Gov NCT02226627. Retrospectively registered on August 27, 2014.

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Section: Discussionmentioning

confidence: 99%

Walking and cycling, as active transportation, and obesity factors in adolescents from eight countries

et al. 2022

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“…A stratified recruitment participants was carried out in each country according to gender, age, and socioeconomic status (SES). The ELANS design and sample size have been described elsewhere 18 .…”

Section: Methodsmentioning

confidence: 99%

“…However, 9218 (4809 women) were included in the participants. In this study, participants who used accelerometers were considered according to gender, age, and SES ranges, thus ensuring a representative subsample 18 . A total of 2737 people (29.6% of the total sample) was considered in the current study, corresponding to all participants who had complete information from accelerometers regarding PA and daily steps and also had all the data on obesity indicators 19 .…”

Section: Methodsmentioning

confidence: 99%

Physical activity and daily steps cut offs points for overweight/obesity prevention among eight Latin American countries

Ferrero-Hernández

Farías‐Valenzuela

Jofré-Saldía

et al. 2022

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This study aims to establish cut-off points for the number of minutes of physical activity intensity and the number of daily steps that identify overweight/obesity in adolescents, adults, and older adults. This study examined data from 2737 participants. Physical activity intensity and the number of daily steps were assessed using GT3X+ ActiGraph model accelerometers. Body mass index, waist-to-height ratio, and waist-to-hip ratio were used as indicators of overweight/obesity. The cut-off points for moderate-to-vigorous physical activity for the prevention of overweight/obesity according to body mass index in women ranged from 15.1 to 30.2 min/day; in men, the values were from 15.4 to 33.8 min/day. The lowest cut-off point for daily steps was established in the adolescent group for women and men (7304 and 5162). The highest value in women was 11,412 (51–65 years) and 13,234 in men (18–30 years). Results from measurements different from BMI, show average cut-off points for moderate-to-vigorous physical activity and daily steps of 29.1/8348 and 43.5/10,456 according to waist-to-height ratio; and results of 29.3/11,900 and 44.3/11,056 according to the waist-to-hip ratio; in women and men respectively. A more specific recommendation of physical activity and daily steps adjusted by sex and age range is suggested to prevent overweight/obesity.

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“…The overall sample consisted of 9218 (4809 women) participants aged 15–65 years from the urban population of eight Latin America countries. Details on study design, recruitment methods and response rates by country, region and city have been published previously 16 , 34 , 35 . For this analysis, those aged 15–17 years were excluded as the perception of adolescents is different from that of adults, due to responsibilities and legal abilities in these Latin American countries.…”

Section: Methodsmentioning

confidence: 99%

Perceived urban environment attributes and obesity indices in adults: an 8-Nation study from Latin America

Ferrari

Alberico

Marques

et al. 2022

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This study examines the associations between perceived urban environment attributes and obesity indices by country using data from an eight-nation study from Latin America. The data were collected from 8185 adults. The Neighbourhood Environment Walkability-abbreviated scale was used to assess perceived urban environment attributes. Obesity indices considered were body mass index, waist circumference, neck circumference, a body shape index and waist-to-height ratio. The perception of a more and better land use mix-diversity (β − 0.44; 95% CI − 0.59, − 0.28), traffic safety (− 0.39; − 0.66, − 0.12), and safety from crime (− 0.36; − 0.57, − 0.15) was associated with lower body mass index across the entire sample. Land use mix-diversity (− 1.21; − 1.60, − 0.82), street connectivity (− 0.26; − 0.37, − 0.15), and traffic safety (− 0.79; − 1.47, − 0.12) were negatively associated with waist circumference. Land use mix-diversity (− 0.11; − 0.20, − 0.03), land use mix-access (− 0.23; − 0.34, 0.12), walking/cycling facilities (− 0.22; − 0.37, − 0.08), and safety from crime (− 0.27; − 0.42, − 0.12) were negatively associated with neck circumference. No associations between perceived urban environment attributes and a body shape index were found. Land use mix-diversity (− 0.01; − 0.02, − 0.01), aesthetics (− 0.02; − 0.03, − 0.01), and safety from crime (− 0.02; − 0.04, − 0.01) were associated with waist-to-height ratio. Environmental interventions involving urban environment attributes are associated with obesity indices and, therefore, may help decrease the prevalence of overweight and obesity.

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Perceived Urban Environment Attributes and Device-Measured Physical Activity in Latin America: An 8-Nation Study

Cited by 9 publications

References 68 publications

Walking and cycling, as active transportation, and obesity factors in adolescents from eight countries

Walking and cycling, as active transportation, and obesity factors in adolescents from eight countries

Physical activity and daily steps cut offs points for overweight/obesity prevention among eight Latin American countries

Perceived urban environment attributes and obesity indices in adults: an 8-Nation study from Latin America

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