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An observational study identifying obese subgroups among older adults at increased risk of mobility disability: Do perceptions of the neighborhood environment matter?

King, AC and Salvo, D and Banda, JA and Ahn, DK and Gill, TM and Miller, M and Newman, AB and Fielding, RA and Siordia, C and Moore, S and Folta, S and Spring, B and Manini, T and Pahor, M (2015) An observational study identifying obese subgroups among older adults at increased risk of mobility disability: Do perceptions of the neighborhood environment matter? International Journal of Behavioral Nutrition and Physical Activity, 12 (1).

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Abstract

© 2015 King et al. Background: Obesity is an increasingly prevalent condition among older adults, yet relatively little is known about how built environment variables may be associated with obesity in older age groups. This is particularly the case for more vulnerable older adults already showing functional limitations associated with subsequent disability. Methods: The Lifestyle Interventions and Independence for Elders (LIFE) trial dataset (n = 1600) was used to explore the associations between perceived built environment variables and baseline obesity levels. Age-stratified recursive partitioning methods were applied to identify distinct subgroups with varying obesity prevalence. Results: Among participants aged 70-78 years, four distinct subgroups, defined by combinations of perceived environment and race-ethnicity variables, were identified. The subgroups with the lowest obesity prevalence (45.5-59.4 %) consisted of participants who reported living in neighborhoods with higher residential density. Among participants aged 79-89 years, the subgroup (of three distinct subgroups identified) with the lowest obesity prevalence (19.4 %) consisted of non-African American/Black participants who reported living in neighborhoods with friends or acquaintances similar in demographic characteristics to themselves. Overall support for the partitioned subgroupings was obtained using mixed model regression analysis. Conclusions: The results suggest that, in combination with race/ethnicity, features of the perceived neighborhood built and social environments differentiated distinct groups of vulnerable older adults from different age strata that differed in obesity prevalence. Pending further verification, the results may help to inform subsequent targeting of such subgroups for further investigation. Trial registration: Clinicaltrials.gov Identifier = NCT01072500


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
King, AC
Salvo, D
Banda, JA
Ahn, DK
Gill, TM
Miller, M
Newman, ABANEWMAN@pitt.eduANEWMAN
Fielding, RA
Siordia, C
Moore, S
Folta, S
Spring, B
Manini, T
Pahor, M
Date: 18 December 2015
Date Type: Publication
Journal or Publication Title: International Journal of Behavioral Nutrition and Physical Activity
Volume: 12
Number: 1
DOI or Unique Handle: 10.1186/s12966-015-0322-1
Schools and Programs: Graduate School of Public Health > Epidemiology
Refereed: Yes
Date Deposited: 22 Aug 2016 14:56
Last Modified: 22 May 2019 12:55
URI: http://d-scholarship.pitt.edu/id/eprint/28934

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