Obesity is inversely associated with natural amenities and recreation facilities per capita.

Authors:
Michael B Edwards
Michael B Edwards
North Carolina State University
United States
Dr. Justin B Moore, PhD, MS
Dr. Justin B Moore, PhD, MS
Wake Forest School of Medicine
Associate Professor
Implementation Science, Epidemiology
Winston-Salem, NC | United States
Kindal A Shores
Kindal A Shores
East Carolina University
Greenville | United States
Katrina Drowatzky Dubose
Katrina Drowatzky Dubose
University of Kansas School of Medicine
United States

J Phys Act Health 2013 Sep 5;10(7):1032-8. Epub 2012 Nov 5.

Dept of Public Health, East Carolina University, Greenville, NC.

Background: Little is known about the associations between natural amenities, recreation facility density, and obesity, at a national level. Therefore, the purpose of this paper was to examine associations between county-level natural amenities, density of recreation facilities, and obesity prevalence among United States counties.

Methods: Data were obtained from a compilation of sources within the United States Department of Agriculture Economic Research Service Food Environment Atlas. Independent variables of interest were the natural amenities scale and recreation facilities per capita. The dependent variable was county-level obesity prevalence. Potential covariates included a measure of county-level percent Black residents, percent Hispanic residents, median age, and median household income. All models were stratified by population loss, persistent poverty, and metro status. Multilevel linear regression models were used to examine the association between obesity and natural amenities and recreation facilities, with "state" as a random effects second level variable.

Results: There were statistically significant negative associations between percent obesity and 1) natural amenities and 2) recreation facilities per capita.

Conclusions: Future research should examine environmental and policy changes to increase recreation facilities and enhance accessible natural amenities to decrease obesity rates.

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September 2013
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