Association of Neighborhood Food Environment and Physical Activity Environment With Obesity: A Large-Scale Cross-Sectional Study of Fifth- to Ninth-Grade Children in Japan
Objective: This study examined the relationship between neighborhood food and physical activity environment, and obesity among elementary and junior high school students in Japan. Methods: The participants were fifth- to ninth-grade children (n=7277), who were attending municipal schools in Japan. P...
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2021
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oai:doaj.org-article:b801ecf39bda451cbf093381544fd5052021-11-13T22:33:30ZAssociation of Neighborhood Food Environment and Physical Activity Environment With Obesity: A Large-Scale Cross-Sectional Study of Fifth- to Ninth-Grade Children in Japan0046-95801945-724310.1177/00469580211055626https://doaj.org/article/b801ecf39bda451cbf093381544fd5052021-11-01T00:00:00Zhttps://doi.org/10.1177/00469580211055626https://doaj.org/toc/0046-9580https://doaj.org/toc/1945-7243Objective: This study examined the relationship between neighborhood food and physical activity environment, and obesity among elementary and junior high school students in Japan. Methods: The participants were fifth- to ninth-grade children (n=7277), who were attending municipal schools in Japan. Percent overweight (POW) was calculated using their age, gender, height, and weight, which were collected through a questionnaire. A POW of < 20% was considered non-obese, while ≥ 20% was considered obese. Furthermore, using a geographic information system, we investigated the density of convenience stores, fast-food stores, casual restaurants, supermarkets and department stores, parks, sports facilities, stations, and intersections in the school district. Additionally, from the census, we obtained information regarding the population density of the municipality where the participants’ schools were located. Multiple logistic regression analysis was used to examine the relationship between obesity and food environment (the food environment model), between obesity and physical activity environment (the physical activity environment model), and among obesity, food, and physical activity environment (the food and physical activity environment model). Results: In the food environment model and the food and physical activity environment model, the density of convenience stores showed a significant positive association. In the physical activity environment model, the density of stations showed a significant negative association. Conclusion: This study’s findings can contribute to the development of appropriate community interventions for improving children’s health in Japan and similar areas.Kan Oishi MSTakumi Aoki PhDTetsuo Harada PhDChiaki Tanaka PhDShigeho Tanaka PhDHideki Tanaka PhDKazuhiko Fukuda PhDYasuko Kamikawa PhDNobuhiro Tsuji MSKeisuke Komura PhDShohei Kokudo PhDNoriteru Morita PhDKazuhiro Suzuki MSMasashi Watanabe PhDRyoji Kasanami MDTaketaka Hara PhDRyo Miyazaki PhDTakafumi Abe PhDKoji Yamatsu PhDDaisuke Kume PhDHidenori Asai PhDNaofumi Yamamoto PhDTaishi Tsuji PhDKojiro Ishii PhDSAGE PublishingarticlePublic aspects of medicineRA1-1270ENInquiry: The Journal of Health Care Organization, Provision, and Financing, Vol 58 (2021) |
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Public aspects of medicine RA1-1270 |
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Public aspects of medicine RA1-1270 Kan Oishi MS Takumi Aoki PhD Tetsuo Harada PhD Chiaki Tanaka PhD Shigeho Tanaka PhD Hideki Tanaka PhD Kazuhiko Fukuda PhD Yasuko Kamikawa PhD Nobuhiro Tsuji MS Keisuke Komura PhD Shohei Kokudo PhD Noriteru Morita PhD Kazuhiro Suzuki MS Masashi Watanabe PhD Ryoji Kasanami MD Taketaka Hara PhD Ryo Miyazaki PhD Takafumi Abe PhD Koji Yamatsu PhD Daisuke Kume PhD Hidenori Asai PhD Naofumi Yamamoto PhD Taishi Tsuji PhD Kojiro Ishii PhD Association of Neighborhood Food Environment and Physical Activity Environment With Obesity: A Large-Scale Cross-Sectional Study of Fifth- to Ninth-Grade Children in Japan |
description |
Objective: This study examined the relationship between neighborhood food and physical activity environment, and obesity among elementary and junior high school students in Japan. Methods: The participants were fifth- to ninth-grade children (n=7277), who were attending municipal schools in Japan. Percent overweight (POW) was calculated using their age, gender, height, and weight, which were collected through a questionnaire. A POW of < 20% was considered non-obese, while ≥ 20% was considered obese. Furthermore, using a geographic information system, we investigated the density of convenience stores, fast-food stores, casual restaurants, supermarkets and department stores, parks, sports facilities, stations, and intersections in the school district. Additionally, from the census, we obtained information regarding the population density of the municipality where the participants’ schools were located. Multiple logistic regression analysis was used to examine the relationship between obesity and food environment (the food environment model), between obesity and physical activity environment (the physical activity environment model), and among obesity, food, and physical activity environment (the food and physical activity environment model). Results: In the food environment model and the food and physical activity environment model, the density of convenience stores showed a significant positive association. In the physical activity environment model, the density of stations showed a significant negative association. Conclusion: This study’s findings can contribute to the development of appropriate community interventions for improving children’s health in Japan and similar areas. |
format |
article |
author |
Kan Oishi MS Takumi Aoki PhD Tetsuo Harada PhD Chiaki Tanaka PhD Shigeho Tanaka PhD Hideki Tanaka PhD Kazuhiko Fukuda PhD Yasuko Kamikawa PhD Nobuhiro Tsuji MS Keisuke Komura PhD Shohei Kokudo PhD Noriteru Morita PhD Kazuhiro Suzuki MS Masashi Watanabe PhD Ryoji Kasanami MD Taketaka Hara PhD Ryo Miyazaki PhD Takafumi Abe PhD Koji Yamatsu PhD Daisuke Kume PhD Hidenori Asai PhD Naofumi Yamamoto PhD Taishi Tsuji PhD Kojiro Ishii PhD |
author_facet |
Kan Oishi MS Takumi Aoki PhD Tetsuo Harada PhD Chiaki Tanaka PhD Shigeho Tanaka PhD Hideki Tanaka PhD Kazuhiko Fukuda PhD Yasuko Kamikawa PhD Nobuhiro Tsuji MS Keisuke Komura PhD Shohei Kokudo PhD Noriteru Morita PhD Kazuhiro Suzuki MS Masashi Watanabe PhD Ryoji Kasanami MD Taketaka Hara PhD Ryo Miyazaki PhD Takafumi Abe PhD Koji Yamatsu PhD Daisuke Kume PhD Hidenori Asai PhD Naofumi Yamamoto PhD Taishi Tsuji PhD Kojiro Ishii PhD |
author_sort |
Kan Oishi MS |
title |
Association of Neighborhood Food Environment and Physical Activity Environment With Obesity: A Large-Scale Cross-Sectional Study of Fifth- to Ninth-Grade Children in Japan |
title_short |
Association of Neighborhood Food Environment and Physical Activity Environment With Obesity: A Large-Scale Cross-Sectional Study of Fifth- to Ninth-Grade Children in Japan |
title_full |
Association of Neighborhood Food Environment and Physical Activity Environment With Obesity: A Large-Scale Cross-Sectional Study of Fifth- to Ninth-Grade Children in Japan |
title_fullStr |
Association of Neighborhood Food Environment and Physical Activity Environment With Obesity: A Large-Scale Cross-Sectional Study of Fifth- to Ninth-Grade Children in Japan |
title_full_unstemmed |
Association of Neighborhood Food Environment and Physical Activity Environment With Obesity: A Large-Scale Cross-Sectional Study of Fifth- to Ninth-Grade Children in Japan |
title_sort |
association of neighborhood food environment and physical activity environment with obesity: a large-scale cross-sectional study of fifth- to ninth-grade children in japan |
publisher |
SAGE Publishing |
publishDate |
2021 |
url |
https://doaj.org/article/b801ecf39bda451cbf093381544fd505 |
work_keys_str_mv |
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