MEDLINE Journals

    Maternal perception of neighborhood safety as a predictor of child weight status: The moderating effect of gender and assessment of potential mediators.

    Authors

    Bacha JM, Appugliese D, Coleman S, et al. 

    Source

    Int J Pediatr Obes 2010; 5(1) :72-9.

    Abstract

    OBJECTIVE
    To determine if there is a relationship between maternal perception of neighborhood safety in 3(rd) grade and weight status in 5(th) grade children, to test if gender moderates this relationship, and to identify potential mediators.
    METHOD
    Data from 868 children and their mothers involved in the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (NICHD-SECCYD) were used to examine the relationship between maternal perception of neighborhood safety in the 3(rd) grade and child body mass index (BMI) z-score in the 5(th) grade. Multiple regression models tested this relationship, the effect of gender, and potential mediating variables (time outdoors in neighborhood, television viewing, child behavior problems and puberty status).
    RESULTS
    Neighborhood safety ratings in the least safe tertile, compared with the safest tertile, were associated with an increased risk of obesity independent of gender, race and income-to-needs ratio (OR=1.59; 95% confidence interval [CI]: 1.03, 2.46), and higher child BMI z-scores among girls, but not boys, compared with the safest tertile (beta=0.33; 95% CI: 0.09, 0.57). Neither amount of time spent outdoors in the neighborhood, television viewing, child behavior problems (internalizing or externalizing), nor puberty status altered the relationship.
    CONCLUSIONS
    Maternal perception of the neighborhood as unsafe in 3(rd) grade independently predicted a higher risk of obesity, and a higher BMI z-score among girls, but not boys, in the 5(th) grade. The relationship was not explained by several potential mediators. Further investigation is needed to explore these gender differences and potential mediators.

    Mesh

    Body Mass Index
    Body Weight
    Chi-Square Distribution
    Child
    Child Behavior
    Exercise
    Female
    Humans
    Life Style
    Longitudinal Studies
    Male
    Maternal Behavior
    Mothers
    Obesity
    Odds Ratio
    Perception
    Puberty
    Questionnaires
    Residence Characteristics
    Risk Assessment
    Risk Factors
    Safety
    Sedentary Lifestyle
    Sex Factors
    Television
    United States

    Language

    eng

    Pub Type(s)

    Journal Article Multicenter Study

    PubMed ID

    19606373

    Content Manager
    Related Content

    A national study of neighborhood safety, outdoor play, television viewing, and obesity in preschool children.

    Neighborhood safety and overweight status in children.

    Time spent in sedentary behavior and changes in childhood BMI: a longitudinal study from ages 9 to 15 years.

    Parent perceptions of neighborhood safety and children's physical activity, sedentary behavior, and obesity: evidence from a national longitudinal study.

    Association between clinically meaningful behavior problems and overweight in children.

    Television viewing and television in bedroom associated with overweight risk among low-income preschool children.

    Television watching and frequency of family meals are predictive of overweight onset and persistence in a national sample of school-aged children.

    Weight status in young girls and the onset of puberty.