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Observing the neighborhood multidimensionality and overweight in children of different developmental stages—the emergence of an unusual association

2024-02Artigo científico Acesso aberto
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dc.contributor.authorLourenço, Ana C.
dc.contributor.authorNogueira, Helena G.
dc.contributor.authorRodrigues, Daniela
dc.contributor.authorGama, Augusta
dc.contributor.authorMachado-Rodrigues, Aristides M.
dc.contributor.authorSilva, Maria Raquel G.
dc.contributor.authorPadez, Cristina
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - pólo NMS
dc.contributor.pblSpringer Verlag
dc.date.accessioned2023-11-16T22:10:31Z
dc.date.available2023-11-16T22:10:31Z
dc.date.issued2024-02
dc.descriptionFunding Information: This work was supported by a grant (reference: PTDC/DTP-SAP/1520/2014) from Fundação para a Ciência e Tecnologia, Portugal. Publisher Copyright: © 2023, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
dc.description.abstractThe present study examines whether the association of the neighborhood environment and overweight in children is moderated by age. This was a cross-sectional study of 832 children aged 3 to 10 years living in the city of Oporto (Portugal). Children were recruited under the scope of the project “Inequalities in Childhood Obesity: The impact of the socioeconomic crisis in Portugal from 2009 to 2015.” Overweight was defined according to the International Obesity Task Force criteria. Parents completed a self-administered questionnaire capturing sociodemographic characteristics and their perceptions of their neighborhood environment. Logistic regressions were used to examine the influence of parental perceived neighborhood characteristics (latent variables: attractiveness, traffic safety, crime safety, and walkability) on overweight in children. A stratified analysis by age category was conducted. Overall, 27.8% of the children were overweight, 17.4% were aged 3 to 5 years, and 31.8% were aged 6 to 10 years. Children aged 3 to 5 years were more sensitive to the neighborhood environment than children aged 6 to 10 years. For children aged 3 to 5 years, the risk of overweight was inversely associated with neighborhood crime safety (OR = 1.84; 95% CI 1.07–3.15; p = 0.030). Conclusion: Our study suggests the existence of a sensitive age period in childhood at which exposure to a hostile neighborhood environment is most determining for weight gain. Until today, it was thought that the impact of the neighborhood environment on younger children would be less important as they are less autonomous. But it may not be true. What is Known: • The neighborhood environment may adversely affect children’s weight status. However, the moderating role of child age in the association between neighborhood environment and overweight is uncertain. What is New: • The study highlights that the association between the neighborhood environment and child overweight is attenuated by age. It is stronger for preschoolers than for early school-age children.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent841172
dc.identifier.doi10.1007/s00431-023-05326-0
dc.identifier.issn0340-6199
dc.identifier.otherPURE: 76248663
dc.identifier.otherPURE UUID: 7168336a-14cf-41ac-927a-fba28ba359ed
dc.identifier.otherScopus: 85176086841
dc.identifier.urihttp://hdl.handle.net/10362/160058
dc.identifier.urlhttps://www.scopus.com/pages/publications/85176086841
dc.language.isoeng
dc.peerreviewedyes
dc.subjectChildhood overweight
dc.subjectLatent variables
dc.subjectNeighborhood environment
dc.subjectParental perceptions
dc.subjectPortugal
dc.subjectPediatrics, Perinatology, and Child Health
dc.subjectSDG 3 - Good Health and Well-being
dc.subjectSDG 16 - Peace, Justice and Strong Institutions
dc.titleObserving the neighborhood multidimensionality and overweight in children of different developmental stages—the emergence of an unusual associationen
dc.typejournal article
degois.publication.firstPage611
degois.publication.issue2
degois.publication.lastPage618
degois.publication.titleEuropean Journal Of Pediatrics
degois.publication.volume183
dspace.entity.typePublication
rcaap.rightsopenAccess

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