Change in waist circumference with longer time in the United States among Hispanic and Chinese immigrants: the modifying role of the neighborhood built environment

详细信息    查看全文

• 作者：Sandra S. Albrecht ; PhD ; MPH^a ; ^{ssalb@unc.edu" class="auth_mail" title="E-mail the corresponding author} ; Theresa L. Osypuk ; SD ; SM^b ; Namratha R. Kandula ; MD ; MPH^c ; Linda C. Gallo ; PhD^d ; Fé ; lice Lê ; - Scherban ; PhD ; MPH^e ; Sandi Shrager ; MS^f ; Ana V. Diez Roux ; MD ; PhD^g
• 关键词：Immigrants ; Longitudinal ; Waist circumference ; Acculturation ; Neighborhood
• 刊名：Annals of Epidemiology
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：25
• 期：10
• 页码：767-772.e2
• 全文大小：311 K

文摘

We examined whether living in neighborhoods supportive of healthier diets and more active lifestyles may buffer immigrants against the unhealthy weight gain that is purported to occur with longer length of US residence.

Methods

Neighborhood data referring to a 1-mile buffer around participants' baseline home addresses were linked to longitudinal data from 877 Hispanic and 684 Chinese immigrants aged 45 to 84 years in the Multi-Ethnic Study of Atherosclerosis. We used ethnicity-stratified linear mixed models to examine whether food and activity-based neighborhood measures (healthy food stores, walkability, and recreational facilities) were associated with change in waist circumference (WC) over a 9-year follow-up.

Results

Among Hispanics, living in neighborhoods with more resources for healthy food and recreational activity was related to lower baseline WC. However, there was no association with change in WC over time. Among Chinese, living in more walkable neighborhoods was associated with lower baseline WC and with slower increases in WC over time, especially among the most recent immigrant arrivals.

Conclusions

Where immigrants reside may have implications for health patterns that emerge with longer time in the United States.