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Article

Built Environment and Childhood Weight Status: A Multi-Level Study Using Population-Based Data in the City of Hannover, Germany

1
Institute of Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, 30625 Hannover, Germany
2
Leibniz Institute for Prevention Research and Epidemiology - BIPS, 28359 Bremen, Germany
3
Institute of Health Economics and Health Care Management, Helmholtz Zentrum München—German Research Center for Environmental Health (GmbH), D-85764 Neuherberg, Germany
4
Department of Medical Psychology, Hannover Medical School, 30625 Hannover, Germany
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(8), 2694; https://doi.org/10.3390/ijerph17082694
Received: 12 March 2020 / Revised: 10 April 2020 / Accepted: 13 April 2020 / Published: 14 April 2020
(This article belongs to the Special Issue Environmental Supports and Physical Activity among Youth)
In recent years, built environmental characteristics have been linked to childhood overweight, but the results remain inconsistent across studies. The present study examines associations between several built environmental features and body weight status (BMI) z-score among a large sample of preschool children in the city of Hannover, Germany. Walkability (Index), green space availability, and playground availability related to preschool children’s home environments were measured using data from OpenStreetMap (OSM). These built environment characteristics were linked to the data from the 2010–2014 school entry examinations in the Hannover city (n = 22,678), and analysed using multilevel linear regression models to examine associations between the built environment features and the BMI z-score of these children (4–8 years old). No significant associations of built environmental factors on children’s BMI were detected, but the effect between green space availability and BMI was modified by the parental educational level. In children with lower compared to higher educated parents, a higher spatial availability of greenspace was significantly associated with reduced body weight. Future research should continue to monitor the disparities in diverse built environment features and how these are related to children’s health. View Full-Text
Keywords: obesity; overweight; childhood; built environment; walkability obesity; overweight; childhood; built environment; walkability
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MDPI and ACS Style

Zhou, Y.; Buck, C.; Maier, W.; von Lengerke, T.; Walter, U.; Dreier, M. Built Environment and Childhood Weight Status: A Multi-Level Study Using Population-Based Data in the City of Hannover, Germany. Int. J. Environ. Res. Public Health 2020, 17, 2694. https://doi.org/10.3390/ijerph17082694

AMA Style

Zhou Y, Buck C, Maier W, von Lengerke T, Walter U, Dreier M. Built Environment and Childhood Weight Status: A Multi-Level Study Using Population-Based Data in the City of Hannover, Germany. International Journal of Environmental Research and Public Health. 2020; 17(8):2694. https://doi.org/10.3390/ijerph17082694

Chicago/Turabian Style

Zhou, Yusheng, Christoph Buck, Werner Maier, Thomas von Lengerke, Ulla Walter, and Maren Dreier. 2020. "Built Environment and Childhood Weight Status: A Multi-Level Study Using Population-Based Data in the City of Hannover, Germany" International Journal of Environmental Research and Public Health 17, no. 8: 2694. https://doi.org/10.3390/ijerph17082694

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