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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 2/2012

01-10-2012 | Original Article

The Built Environment Moderates Effects of Family-Based Childhood Obesity Treatment over 2 Years

Authors: Leonard H. Epstein, Ph.D., Samina Raja, Ph.D., Tinuke Oluyomi Daniel, B.Sc., Rocco A. Paluch, M.S., Denise E. Wilfley, Ph.D., Brian E. Saelens, Ph.D., James N. Roemmich, Ph.D.

Published in: Annals of Behavioral Medicine | Issue 2/2012

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Abstract

Background

Research suggests the neighborhood built environment is related to child physical activity and eating.

Purpose

The purpose of this study was to determine if characteristics of the neighborhood environment moderate the relationship between obesity treatment and weight loss, and if outcomes of particular treatments are moderated by built environment characteristics.

Method

The relationship between the built environment and standardized BMI (zBMI) changes for 191 8–12-year-old children who participated in one of four randomized, controlled trials of pediatric weight management was assessed using mixed models analysis of covariance.

Results

At 2-year follow-up, greater parkland, fewer convenience stores, and fewer supermarkets were associated with greater zBMI reduction across all interventions. No treatments interacted with characteristics of the built environment.

Conclusions

Activity- and eating-related built neighborhood characteristics are associated with child success in behavioral obesity treatments. Efficacy may be improved by individualizing treatments based on built environment characteristics.
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Metadata
Title
The Built Environment Moderates Effects of Family-Based Childhood Obesity Treatment over 2 Years
Authors
Leonard H. Epstein, Ph.D.
Samina Raja, Ph.D.
Tinuke Oluyomi Daniel, B.Sc.
Rocco A. Paluch, M.S.
Denise E. Wilfley, Ph.D.
Brian E. Saelens, Ph.D.
James N. Roemmich, Ph.D.
Publication date
01-10-2012
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 2/2012
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-012-9383-4

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