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Oishi K, Aoki T, Harada T, Tanaka C, Tanaka S, Tanaka H, Fukuda K, Kamikawa Y, Tsuji N, Komura K, Kokudo S, Morita N, Suzuki K, Watanabe M, Kasanami R, Hara T, Miyazaki R, Abe T, Yamatsu K, Kume D, Asai H, Yamamoto N, Tsuji T, Ishii K. 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. INQUIRY: The Journal of Health Care Organization, Provision, and Financing 2021; 58:469580211055626. [PMID: 34763543 DOI: 10.1177/00469580211055626] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
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.
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Affiliation(s)
- Kan Oishi
- Graduate School of Health and Sports Science, 12757Doshisha University, Kyotanabe, Japan
| | - Takumi Aoki
- Faculty of Education, 12945Miyagi Gakuin Women's University, Sendai, Japan
| | - Tetsuo Harada
- Graduate School of Integrated Arts and Sciences, 12888Kochi University, Kochi, Japan
| | - Chiaki Tanaka
- Department of Human Nutrition, 12863Tokyo Kasei Gakuin University, Tokyo, Japan
| | - Shigeho Tanaka
- Faculty of Nutrition, 12761Kagawa Nutrition University, Sakato, Japan
| | - Hideki Tanaka
- Department of Clinical Psychology, Faculty of Psychological Science, 12799Hiroshima International University, Higashihiroshima, Japan
| | - Kazuhiko Fukuda
- Department of Psychology and Humanities, Faculty of Sociology, 12759Edogawa University, Nagareyama, Japan
| | - Yasuko Kamikawa
- Emeritus Professor, 34823University of Toyama, Toyama, Japan
| | - Nobuhiro Tsuji
- Graduate School of Education, 13051Shiga University, Otsu, Japan
| | - Keisuke Komura
- Department of Liberal Arts, Faculty of Agriculture, 12942Meijo University, Nagoya, Japan
| | - Shohei Kokudo
- Graduate School of Human Development and Environment, 12885Kobe University, Kobe, Japan
| | - Noriteru Morita
- Department of Sports Cultural Studies, 13033Hokkaido University of Education, Iwamizawa, Japan
| | - Kazuhiro Suzuki
- Faculty of Education, 12945Miyagi Gakuin Women's University, Sendai, Japan
| | | | - Ryoji Kasanami
- Health and Sports Science Education, Faculty of Education, 13312Nara University of Education, Nara, Japan
| | - Taketaka Hara
- Faculty of Education, 12938Shimane University, Matsue, Japan
| | - Ryo Miyazaki
- Faculty of Human Science, 12938Shimane University, Matsue, Japan
| | - Takafumi Abe
- Center for Community-Based Healthcare Research and Education (CoHRE), 12938Shimane University, Izumo, Japan
| | - Koji Yamatsu
- Faculty of Education, 13030Saga University, Saga, Japan
| | - Daisuke Kume
- Department of Health, Sports and Welfare, 13001Okinawa University, Naha, Japan
| | - Hidenori Asai
- Faculty of Collaborative Regional Innovation Secretariat, 12760Ehime University, Matsuyama, Japan
| | - Naofumi Yamamoto
- Faculty of Collaborative Regional Innovation Secretariat, 12760Ehime University, Matsuyama, Japan
| | - Taishi Tsuji
- Faculty of Health and Sport Sciences, 13121University of Tsukuba, Tokyo, Japan
| | - Kojiro Ishii
- Faculty of Health and Sports Science, 12757Doshisha University, Kyotanabe, Japan
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Hageman PA, Eisenhauer C, Mroz JE, Johnson Beller R. A web-based intervention is feasible for supporting weight loss and increased activity in rural women with arthritis. J Public Health Res 2021; 11. [PMID: 34558881 PMCID: PMC8847956 DOI: 10.4081/jphr.2021.2164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Accepted: 08/13/2021] [Indexed: 11/23/2022] Open
Abstract
Rural women have well documented health disparities, with higher prevalence of obesity and chronic conditions, including arthritis. Change in weight and actigraph-recorded data were examined in a subset of 63 of 82 women with physician-diagnosed arthritis who completed a 30-month web-based clinical trial. Repeated measures analyses showed women lost weight from baseline to six months, slowly regained at 18 and 30 months, ending with a lower weight than baseline F(1,62)=40.89, p<0.001, η2p =0.40. Of 53 women with complete data, activity increased at six months, decreased at 18 months, and increased at 30 months F(1,52)=4.14, p =0.04, η2p=0.07. Women showed improved change in weight and activity from baseline at six, 18 and 30 months. This study adds support that web-based programs may promote weight loss and activity in a hard-to-reach, underserved population of midlife and older rural women with arthritis. Significance for public health Addressing increasing prevalence of obesity and sedentary lifestyle among rural women with arthritis is a public health issue. This study demonstrates the feasibility of using web-based interventions to reach and promote sustained engagement in rural women to achieve weight loss and increase activity. Web-based weight loss interventions may have potential to reduce rural health disparities by improving access to and acceptability of preventive public health interventions to achieve sustained, effective program engagement.
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Affiliation(s)
- Patricia A Hageman
- Department of Health and Rehabilitation Science, College of Allied Health Professions, University of Nebraska Medical Center, Omaha, NE .
| | - Christine Eisenhauer
- College of Nursing-Northern Division, University of Nebraska Medical Center, Norfolk, NE .
| | | | - Rebecca Johnson Beller
- College of Nursing-Northern Division, University of Nebraska Medical Center, Norfolk, NE.
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