Neighborhood Characteristics Related to Changes in Anthropometrics During a Lifestyle Intervention for Persons with Obesity

IF 2 3区 心理学 Q3 PSYCHOLOGY, CLINICAL International Journal of Behavioral Medicine Pub Date : 2024-09-11 DOI:10.1007/s12529-024-10317-y
Boëlle J. Brouwer, Susanne Kuckuck, Renate E. H. Meeusen, Mostafa Mohseni, Robin Lengton, Frank J. van Lenthe, Elisabeth F. C. van Rossum
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Abstract

Background

Since obesity has emerged as a major public health concern, there is an urgent need to better understand factors related to weight gain and treatment success.

Methods

This study included 118 persons with obesity who participated in a multidisciplinary combined lifestyle intervention with cognitive-behavioral therapy at the outpatient clinic of the Obesity Center CGG at Erasmus University Medical Center, Rotterdam, The Netherlands. Neighborhood characteristics were assessed using a 13-item questionnaire. Multiple regression analyses were performed to examine the association between perceived safety, social cohesion, and the availability of facilities on relative changes in body mass index and waist circumference changes, adjusted for corresponding neighborhood socioeconomic status scores.

Results

Higher total scores, indicating more unfavorable neighborhood perceptions, were associated with less relative improvements in BMI and waist circumference after 1.5 years (β = 3.2, 95%CI 0.3–6.0; β = 3.4, 95%CI 0.3–6.6, respectively). Also, more neighborhood unsafety was associated with less relative improvements in BMI and waist circumference on the long term (β = 3.1, 95%CI 1.1–5.1; β = 2.8, 95%CI 0.6–5.1, respectively).

Conclusion

The results indicate that living in a neighborhood perceived as less favorable may lower the chances of successful weight loss in response to combined lifestyle interventions in persons with obesity.

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肥胖症患者生活方式干预期间与人体测量变化相关的邻里特征
背景由于肥胖症已成为一个主要的公共健康问题,因此迫切需要更好地了解与体重增加和治疗成功相关的因素。本研究纳入了 118 名肥胖症患者,他们在荷兰鹿特丹伊拉斯姆斯大学医学中心肥胖症中心 CGG 的门诊参加了多学科联合生活方式干预和认知行为疗法。研究人员使用一份包含 13 个项目的调查问卷评估了周围居民的特征。结果总分越高,表明邻里关系越不和谐,则1.5年后BMI和腰围的相对改善幅度越小(β=3.2,95%CI为0.3-6.0;β=3.4,95%CI为0.3-6.6)。结论:研究结果表明,居住在被认为不安全的社区可能会降低肥胖症患者在接受综合生活方式干预后成功减轻体重的几率。
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来源期刊
CiteScore
5.20
自引率
3.70%
发文量
97
期刊介绍: The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.
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