Investigating the Relationship Between Accessibility of Green Space and Adult Obesity Rates: A Secondary Data Analysis in the United States

다국어 초록 (Multilingual Abstract)

Objectives: In spite of the importance of green space for reducing obesity-related problems, there has been little exploration of whether access to green space (e.g., parks and recreational facilities) influences the obesity rate of adults in the United States. The purpose of the study was to investigate the relationships among accessibility of green space, obesity rates, and socioeconomic and demographic variables among adults living in the State of Indiana, United States.
Methods: We conducted a secondary data analysis to investigate the relationships among accessibility to green space, obesity rates, and socio-demographic variables with employing Geographic Information System in order to measure the accessibility of green space.
Results: This study found that accessibility of green space served as a strong predictor of reduced obesity rates among adults (β=-2.478; p<0.10). In addition, adults with higher education levels, as well as better access to green space, were found to have even lower obesity rates (β=-0.188; p<0.05). Other control variables such as unemployment rates, food security, and physical inactivity are additional factors that influence obesity rates among adults.
Conclusions: Accessibility of green space may play an important role in facilitating physical activity participation and reducing obesity rates.

참고문헌 (Reference)

1 Browning M, "Within what distance does"greenness"best predict physical health? A systematic review of articles with GIS buffer analyses across the lifespan" 14 (14): 675-, 2017

2 Coombes E, "The relationship of physical activity and overweight to objectively measured green space accessibility and use" 70 (70): 816-822, 2010

3 Hu G, "The effects of physical activity and body mass index on cardiovascular, cancer and all-cause mortality among 47 212 middle-aged Finnish men and women" 29 (29): 894-902, 2005

4 Papas MA, "The built environment and obesity" 29 : 129-143, 2007

5 Hajizadeh M, "Socioeconomic inequalities in adult obesity risk in Canada : trends and decomposition analyses" 15 (15): 203-221, 2014

6 Yu S, "Research on the application of GIS in the problem of aging" Atlantis Press 28-, 2019

7 Potwarka LR, "Places to play : association of park space and facilities with healthy weight status among children" 33 (33): 344-350, 2008

8 Maas J, "Physical activity as a possible mechanism behind the relationship between green space and health : a multilevel analysis" 8 : 206-, 2008

9 Kerr J, "Neighborhood environment and physical activity among older women : findings from the San Diego Cohort of the Women’s Health Initiative" 11 (11): 1070-1077, 2014

10 Aiken LS, "Multiple regression: testing and interpreting interactions" SAGE Publications 1996

11 Lei TL, "Mapping transit‐based access: integrating GIS, routes and schedules" 24 (24): 283-304, 2010

12 Potestio ML, "Is there an association between spatial access to parks/green space and childhood overweight/obesity in Calgary, Canada?" 6 : 77-, 2009

13 Gordon-Larsen P, "Inequality in the built environment underlies key health disparities in physical activity and obesity" 117 (117): 417-424, 2006

14 Lee H, "Impact of obesity on employment and wages among young adults : observational study with panel data" 16 (16): 139-, 2019

15 Hanson KL, "Gender and marital status clarify associations between food insecurity and body weight" 137 (137): 1460-1465, 2007

16 Gupta K, "GIS based analysis for assessing the accessibility at hierarchical levels of urban green spaces" 18 : 198-211, 2016

17 Martin-Fernandez J, "Food insecurity, a determinant of obesity? - an analysis from a population-based survey in the Paris metropolitan area, 2010" 7 (7): 120-129, 2014

18 Webb AL, "Food Stamp Program participation but not food insecurity is associated with higher adult BMI in Massachusetts residents living in low-income neighbourhoods" 11 (11): 1248-1255, 2008

19 Sen J, "Factors affecting overweight and obesity among urban adults : a cross-sectional study" 10 (10): 1-11, 2013

20 Brownson RC, "Environmental and policy determinants of physical activity in the United States" 91 (91): 1995-2003, 2001

21 Akil L, "Effects of socioeconomic factors on obesity rates in four southern states and Colorado" 21 (21): 58-62, 2011

22 Cohen AK, "Educational attainment and obesity : a systematic review" 14 (14): 989-1005, 2013

23 Davison KK, "Do attributes in the physical environment influence children’s physical activity? A review of the literature" 3 : 19-, 2006

24 Holben DH, "Diabetes risk and obesity in food-in secure households in rural Appalachian Ohio" 3 (3): A82-, 2006

25 Taylor L, "Defining greenspace : multiple uses across multiple disciplines" 158 : 25-38, 2017

26 Coutts C, "County-level effects of green space access on physical activity" 10 (10): 232-240, 2013

27 Edwards MB, "County-level disparities in access to recreational resources and associations with adult obesity" 29 (29): 39-54, 2011

28 Wolch J, "Childhood obesity and proximity to urban parks and recreational resources : a longitudinal cohort study" 17 (17): 207-214, 2011

29 Whitaker RC, "Change in food security status and change in weight are not associated in urban women with preschool children" 137 (137): 2134-2139, 2007

30 Diez Roux AV, "Availability of recreational resources and physical activity in adults" 97 (97): 493-499, 2007

31 Troped PJ, "Associations between self-reported and objective physical environmental factors and use of a community rail-trail" 32 (32): 191-200, 2001

32 Sugiyama T, "Associations between recreational walking and attractiveness, size, and proximity of neighborhood open spaces" 100 (100): 1752-1757, 2010

33 Flegal KM, "Association of all-cause mortality with overweight and obesity using standard body mass index categories : a systematic review and meta-analysis" 309 (309): 71-82, 2013

34 Chan DV, "Accessibility patterns and community integration among previously homeless adults : a Geographic Information Systems(GIS)approach" 120 : 142-152, 2014

35 Hobbs M, "Access and quality of parks and associations with obesity : a cross-sectional study" 3 : 722-729, 2017