Characterising urban green space density and footpath-accessibility in models of BMI

Abstract Background While exposure to urban green spaces has been associated with various physical health benefits, the evidence linking these spaces to lower BMI, particularly among older people, is mixed. We ask whether footpath availability, generally unobserved in the existing literature, may me...

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Main Authors: Philip Carthy, Sean Lyons, Anne Nolan
Format: Article
Language:English
Published: BMC 2020-05-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-020-08853-9
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author Philip Carthy
Sean Lyons
Anne Nolan
author_facet Philip Carthy
Sean Lyons
Anne Nolan
author_sort Philip Carthy
collection DOAJ
description Abstract Background While exposure to urban green spaces has been associated with various physical health benefits, the evidence linking these spaces to lower BMI, particularly among older people, is mixed. We ask whether footpath availability, generally unobserved in the existing literature, may mediate exposure to urban green space and help explain this volatility in results. The aim of this study is to add to the literature on the association between urban green space and BMI by considering alternative measures of urban green space that incorporate measures of footpath availability. Methods We conduct a cross-sectional study combining data from The Irish Longitudinal Study on Ageing and detailed land use information. We proxy respondents’ exposure to urban green spaces at their residential addresses using street-side and area buffers that take account of the presence of footpaths. Generalised linear models are used to test the association between exposure to several measures of urban green space and BMI. Results Relative to the third quintile, exposure to the lowest quintile of urban green space, as measured within a 1600 m footpath-accessible network buffer, is associated with slightly higher BMI (marginal effect: 0.80; 95% CI: 0.16–1.44). The results, however, are not robust to small changes in how green space is measured and no statistically significant association between urban green spaces and BMI is found under other variants of our regression model. Conclusion The relationship between urban green spaces and BMI among older adults is highly sensitive to the characterisation of local green space. Our results suggest that there are some unobserved factors other than footpath availability that mediate the relationship between urban green spaces and weight status.
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spelling doaj.art-8316ee8bd0c34165b010626284c602e52022-12-21T18:39:00ZengBMCBMC Public Health1471-24582020-05-0120111210.1186/s12889-020-08853-9Characterising urban green space density and footpath-accessibility in models of BMIPhilip Carthy0Sean Lyons1Anne Nolan2Economic and Social Research InstituteEconomic and Social Research InstituteEconomic and Social Research InstituteAbstract Background While exposure to urban green spaces has been associated with various physical health benefits, the evidence linking these spaces to lower BMI, particularly among older people, is mixed. We ask whether footpath availability, generally unobserved in the existing literature, may mediate exposure to urban green space and help explain this volatility in results. The aim of this study is to add to the literature on the association between urban green space and BMI by considering alternative measures of urban green space that incorporate measures of footpath availability. Methods We conduct a cross-sectional study combining data from The Irish Longitudinal Study on Ageing and detailed land use information. We proxy respondents’ exposure to urban green spaces at their residential addresses using street-side and area buffers that take account of the presence of footpaths. Generalised linear models are used to test the association between exposure to several measures of urban green space and BMI. Results Relative to the third quintile, exposure to the lowest quintile of urban green space, as measured within a 1600 m footpath-accessible network buffer, is associated with slightly higher BMI (marginal effect: 0.80; 95% CI: 0.16–1.44). The results, however, are not robust to small changes in how green space is measured and no statistically significant association between urban green spaces and BMI is found under other variants of our regression model. Conclusion The relationship between urban green spaces and BMI among older adults is highly sensitive to the characterisation of local green space. Our results suggest that there are some unobserved factors other than footpath availability that mediate the relationship between urban green spaces and weight status.http://link.springer.com/article/10.1186/s12889-020-08853-9Body mass indexUrban green spaceFootpathsOlder adultsIreland
spellingShingle Philip Carthy
Sean Lyons
Anne Nolan
Characterising urban green space density and footpath-accessibility in models of BMI
BMC Public Health
Body mass index
Urban green space
Footpaths
Older adults
Ireland
title Characterising urban green space density and footpath-accessibility in models of BMI
title_full Characterising urban green space density and footpath-accessibility in models of BMI
title_fullStr Characterising urban green space density and footpath-accessibility in models of BMI
title_full_unstemmed Characterising urban green space density and footpath-accessibility in models of BMI
title_short Characterising urban green space density and footpath-accessibility in models of BMI
title_sort characterising urban green space density and footpath accessibility in models of bmi
topic Body mass index
Urban green space
Footpaths
Older adults
Ireland
url http://link.springer.com/article/10.1186/s12889-020-08853-9
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