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BMC Public Health
Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

Neighborhood and weight-related health behaviors in the Look AHEAD (Action for Health in Diabetes) Study

Authors: Tiffany L Gary-Webb, Kesha Baptiste-Roberts, Luu Pham, Jacqueline Wesche-Thobaben, Jennifer Patricio, F Xavier Pi-Sunyer, Arleen F Brown, LaShanda Jones, Frederick L Brancati, the Look AHEAD Research Group

Published in: BMC Public Health | Issue 1/2010

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Abstract

Background

Previous studies have shown that neighborhood factors are associated with obesity, but few studies have evaluated the association with weight control behaviors. This study aims to conduct a multi-level analysis to examine the relationship between neighborhood SES and weight-related health behaviors.

Methods

In this ancillary study to Look AHEAD (Action for Health in Diabetes) a trial of long-term weight loss among individuals with type 2 diabetes, individual-level data on 1219 participants from 4 clinic sites at baseline were linked to neighborhood-level data at the tract level from the 2000 US Census and other databases. Neighborhood variables included SES (% living below the federal poverty level) and the availability of food stores, convenience stores, and restaurants. Dependent variables included BMI, eating patterns, weight control behaviors and resource use related to food and physical activity. Multi-level models were used to account for individual-level SES and potential confounders.

Results

The availability of restaurants was related to several eating and weight control behaviors. Compared to their counterparts in neighborhoods with fewer restaurants, participants in neighborhoods with more restaurants were more likely to eat breakfast (prevalence Ratio [PR] 1.29 95% CI: 1.01-1.62) and lunch (PR = 1.19, 1.04-1.36) at non-fast food restaurants. They were less likely to be attempting weight loss (OR = 0.93, 0.89-0.97) but more likely to engage in weight control behaviors for food and physical activity, respectively, than those who lived in neighborhoods with fewer restaurants. In contrast, neighborhood SES had little association with weight control behaviors.

Conclusion

In this selected group of weight loss trial participants, restaurant availability was associated with some weight control practices, but neighborhood SES was not. Future studies should give attention to other populations and to evaluating various aspects of the physical and social environment with weight control practices.
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Metadata
Title
Neighborhood and weight-related health behaviors in the Look AHEAD (Action for Health in Diabetes) Study
Authors
Tiffany L Gary-Webb
Kesha Baptiste-Roberts
Luu Pham
Jacqueline Wesche-Thobaben
Jennifer Patricio
F Xavier Pi-Sunyer
Arleen F Brown
LaShanda Jones
Frederick L Brancati
the Look AHEAD Research Group
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-312

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