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The Importance of Pedestrian Network Connectivity for Adolescent Health: A Cross-sectional Examination of Associations between Neighbourhood Built Environments and Metabolic Health in the Pacific Islands Families Birth Cohort Study

1
School of Nursing, the University of Auckland, Auckland 1142, New Zealand
2
School of Sport and Recreation, Auckland University of Technology, Auckland 1142, New Zealand
3
Department of Surgery, the University of Auckland, Auckland 1142, New Zealand
4
School of Public Health and Psychosocial Studies, Auckland University of Technology, Auckland 1142, New Zealand
5
School of Environment, the University of Auckland, Auckland 1142, New Zealand
6
School of Population Health, the University of Auckland, Auckland 1142, New Zealand
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(18), 3375; https://doi.org/10.3390/ijerph16183375
Received: 8 August 2019 / Revised: 5 September 2019 / Accepted: 9 September 2019 / Published: 12 September 2019
(This article belongs to the Section Environmental Health)
The research aim was to investigate associations between objectively-assessed built environment attributes and metabolic risk in adolescents of Pacific Islands ethnicity, and to consider the possible mediating effect of physical activity and sedentary time. Youth (n = 204) undertook a suite of physical assessments including body composition, blood sampling, and blood pressure measurements, and seven day accelerometry. Objective measures of the neighbourhood built environment were generated around individual addresses. Logistic regression and linear modelling were used to assess associations between environment measures and metabolic health, accounting for physical activity behaviours. Higher pedestrian connectivity was associated with an increase in the chance of having any International Diabetes Federation metabolic risk factors for males only. Pedestrian connectivity was related to fat free mass in males in unadjusted analyses only. This study provides evidence for the importance of pedestrian network connectivity for health in adolescent males. Future research is required to expand the limited evidence in neighbourhood environments and adolescent metabolic health. View Full-Text
Keywords: moderate-to-vigorous physical activity; diabetes; body composition; fat free mass moderate-to-vigorous physical activity; diabetes; body composition; fat free mass
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Smith, M.; Obolonkin, V.; Plank, L.; Iusitini, L.; Forsyth, E.; Stewart, T.; Paterson, J.; Tautolo, E.-S.; Savila, F.; Rush, E. The Importance of Pedestrian Network Connectivity for Adolescent Health: A Cross-sectional Examination of Associations between Neighbourhood Built Environments and Metabolic Health in the Pacific Islands Families Birth Cohort Study. Int. J. Environ. Res. Public Health 2019, 16, 3375.

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