obesity- the built environment
TRANSCRIPT
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8/13/2019 Obesity- The Built Environment
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Victoria Coglianese
Obesity
March 13, 2103
Obesity and the Built Environment (2005, Booth et al.)
Non-environmental factors- psychological, behavioral, biological and social factors- have
previously received the bulk of the attention in attempting to define and stop obesity, but emphasis on
these in interventions have not led to sustainable progress, according to the authors. Therefore, this
article focuses on factors part of environmental factors that are correlated with obesity, namely area of
residence, resources, television, walkability, land use, sprawl, and level of deprivation. The built
environment includes urban design factors, land use, and available public transportation for a region,
as well as the available activity options for people within that space.
Residents of neighborhoods of low socio-economic status (SES) tend to walk more as a
necessity, and yet low-SES neighborhoods are associated more with overweight. However, personally
believe that visual appeal of a neighborhood significantly affects recreational physical activity of its
residents. I like to run recreationally, and one of the biggest pleasures of running for me is the sights I
see in my neighborhood, which is of medium-high SES. Experiencing appealing landscape and seeing
natural landscape in general, as opposed to mostly concrete in low SES neighborhoods, are huge
motivators in my continual choices to run. I think the difference in landscape between higher SES urban
neighborhoods and lower SES urban neighborhoods is a striking comparison. For example, the stoop
houses of the West Village of Greenwich Village and the rows of houses in New Brunswick are both
make up urban communities with and therefore have limited lawn property and ability to showcaselandscaping. However, the streets of the Village are beautifully lined with trees whereas residential New
Brunswick streets lack this appealing landscape, both in structured design and in trees in general. Going
for a run under a grove of trees in the Village would be aesthetically pleasing. Also adding to the
aesthetical appeal, the stoops of Village houses are often well kept with the small space utilized
efficiently to create pleasing pockets of nature. I am uncertain as to whether these characteristics are
due to higher SES or have raised the SES (or a combination of both), but I do believe that steps should be
made to break the barrier to residents in New Brunswick to be willing to create this same appeal with
their own property. An appealing environment can do wonders to encourage its residents to be active in
it.
Studies have shown that neighborhoods with higher walkability and land-use mix (mixture of
houses, commercial, and recreation destinations) have higher levels of physical activity and loweroverweight statuses. If assuming the neighborhood is safe, a fully functional community with many
destinations available within distances accessible by physically active transportation promotes more
active lifestyle and healthier feeding when these destinations encourage selection of less energy-dense
food high in nutrients. It is when connectedness and healthy options are coupled that make community
less prone to obesity.
Progress at a neighborhood level should include public planning and community design to
promote the characteristics of a healthy community. Interestingly, it is stated in the article that at the
level of the individual, health care practioners should assess their clients community living situations
like local barriers to physical activity and healthy food choices. This is a new addition to the traditional
assessment of factors affecting healthy lifestyle, and I think it would greatly help fight the obesity
epidemic by attacking another one of its many facets. With this assessment there should follow
intervention. Therefore, practitioners should be educated in what methods their clients can adopt to
overcome obesigenic burdens presented in their community.
Where Are Youth Active? Roles of Proximity, Active Transport, and Built Environment (2008, Grow et
al.)
Purpose: This study examined factors related to two sources of physical activity for youth: active
use of recreation sites and active transport to recreation sites.
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8/13/2019 Obesity- The Built Environment
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Victoria Coglianese
Obesity
March 13, 2103
Proximity of a recreation site was positively related to more active use of that site by youth as
well as the amount of which youth walked/biked to that site. An unprecedented finding of this study
was that those who mostly chose to walk/bike to recreation sites showed increased use of most
recreation sites, even without the parameters of proximity. Street connectivity, pedestrian
infrastructure, and traffic safety are other built environment factors that positively related to the
amount of walking/biking of youth to recreation sites.
Compared to children, adolescents showed less use of active transport to recreation sites as well
as less use of recreation sites for active purposes. This result mirrors the previously found patterns of
decreasing physical activity from childhood to adolescence. Drivers license of adolescents showed a
negative correlation with active transport, while perceived traffic safety positively correlated with their
active transport. In light of this, I think that early adolescents should be encouraged to continue and
increase active recreation as well as active transport, even after they earn their drivers license. There
should also be initiatives, especially taught by parents, on how to ride and walk safely along roads and
while crossing streets. Parents should mentor their children in real-time practice.
Previous research has shown lower rates of physical activity and higher rates of obesity among
adolescents who have less access to recreation sites. Also, since youth are shown to actively use
recreation sites more when they arrive by active transport, barriers to their use of active transport, like
improper infrastructure, may block youth from participating in two opportunities for physical activity.Therefore, it is crucial for public policies and planning to improve pedestrian infrastructure and traffic
safety.
The amount of physical activity performed at specific types of sites and what they offer has not
been researched. Interestingly, however, this study has shown that smaller parks as well as sites offering
less structured activities are associated with more active transport to these sites among adolescents.
Perhaps less structured activities promote more activity in general and can be repeated by adolescents
more often in other scenarios than structured activities that may require certain facilities, like a
swimming pool. Therefore, public planning should emphasize more active accessibility to smaller parks
and recreational grounds.