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. 2018 Jan 29;15(2):224.
doi: 10.3390/ijerph15020224.

Are Perceived and Objective Distances to Fresh Food and Physical Activity Resources Associated with Cardiometabolic Risk?

Katherine L Baldock  1 , Catherine Paquet  2 , Natasha J Howard  3 , Neil T Coffee  4 , Anne W Taylor  5 , Mark Daniel  6   7   8
Affiliations

Are Perceived and Objective Distances to Fresh Food and Physical Activity Resources Associated with Cardiometabolic Risk?

Katherine L Baldock et al. Int J Environ Res Public Health. .

Abstract

Perceived and objective measures of neighbourhood features have shown limited correspondence. Few studies have examined whether discordance between objective measures and individual perceptions of neighbourhood environments relates to individual health. Individuals with mismatched perceptions may benefit from initiatives to improve understandings of resource availability. This study utilised data from n = 1491 adult participants in a biomedical cohort to evaluate cross-sectional associations between measures of access (perceived, objective, and perceived-objective mismatch) to fruit and vegetable retailers (FVR) and public open space (POS), and clinically-measured metabolic syndrome and its component risk factors: central obesity, dyslipidaemia, hypertension and pre-diabetes/diabetes. Access measures included perceived distances from home to the nearest FVR and POS, corresponding objectively-assessed road network distances, and the discordance between perceived and objective distances (overestimated (i.e., mismatched) distances versus matched perceived-objective distances). Individual and neighbourhood measures were spatially joined using a geographic information system. Associations were evaluated using multilevel logistic regression, accounting for individual and area-level covariates. Hypertension was positively associated with perceived distances to FVR (odds ratio (OR) = 1.14, 95% confidence interval (CI) = 1.02, 1.28) and POS (OR = 1.19, 95% CI = 1.05, 1.34), after accounting for covariates and objective distances. Hypertension was positively associated with overestimating distances to FVR (OR = 1.36, 95% CI = 1.02, 1.80). Overestimating distances to POS was positively associated with both hypertension (OR = 1.42, 95% CI = 1.11, 1.83) and dyslipidaemia (OR = 1.25, 95% CI = 1.00, 1.57). Results provide new evidence for specific associations between perceived and overestimated distances from home to nearby resources and cardiometabolic risk factors.

Keywords: Australia; cardiometabolic risk factors; food environment; geographic information system; neighbourhood; perceptions; physical activity environment.

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Conflict of interest statement

The authors declare no conflict of interest. The funding sponsors had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, and in the decision to publish the results.

Figures

Figure 1
Figure 1
Study area (North-West Adelaide) within metropolitan Adelaide (Adelaide Statistical Division), South Australia, Australia.
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References

    1. Alberti K.G.M.M., Zimmet P., Shaw J. The metabolic syndrome—A new worldwide definition. Lancet. 2005;366:1059–1062. doi: 10.1016/S0140-6736(05)67402-8. - DOI - PubMed
    1. Eckel R.H., Grundy S.M., Zimmet P.Z. The metabolic syndrome. Lancet. 2005;365:1415–1428. doi: 10.1016/S0140-6736(05)66378-7. - DOI - PubMed
    1. Daniel M., Moore S., Kestens Y. Framing the biosocial pathways underlying associations between place and cardiometabolic disease. Health Place. 2008;14:117–132. doi: 10.1016/j.healthplace.2007.05.003. - DOI - PubMed
    1. Diez Roux A.V., Evenson K.R., McGinn A.P., Brown D.G., Moore L., Brines S., Jacobs D.R., Jr. Availability of recreational resources and physical activity in adults. Am. J. Public Health. 2007;97:493–499. doi: 10.2105/AJPH.2006.087734. - DOI - PMC - PubMed
    1. Giles-Corti B., Donovan R.J. Socioeconomic status differences in recreational physical activity levels and real and perceived access to a supportive physical environment. Prev. Med. 2002;35:601–611. doi: 10.1006/pmed.2002.1115. - DOI - PubMed

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