Title: Urban sprawl, physical activity, and body mass index: Nurses' Health Study and Nurses' Health Study II.

Authors: James, Peter; Troped, Philip J; Hart, Jaime E; Joshu, Corinne E; Colditz, Graham A; Brownson, Ross C; Ewing, Reid; Laden, Francine

Published In Am J Public Health, (2013 Feb)

Abstract: We evaluated the association between the county sprawl index, a measure of residential density and street accessibility, and physical activity and body mass index (BMI).We conducted a multilevel cross-sectional analysis in a sample of Nurses' Health Study participants living throughout the United States in 2000 to 2001 (n = 136 592).In analyses adjusted for age, smoking status, race, and husband's education, a 1-SD (25.7) increase in the county sprawl index (indicating a denser, more compact county) was associated with a 0.13 kilograms per meters squared (95% confidence interval [CI] = -0.18, -0.07) lower BMI and 0.41 (95% CI = 0.17, 0.65) more metabolic equivalent (MET) hours per week of total physical activity, 0.26 (95% CI = 0.19, 0.33) more MET hours per week of walking, and 0.47 (95% CI = 0.34, 0.59) more MET hours per week of walking, bicycling, jogging, and running. We detected potential effect modification for age, previous disease status, husband's education level (a proxy for socioeconomic status), and race.Our results suggest that living in a dense, compact county may be conducive to higher levels of physical activity and lower BMI in women.

PubMed ID: 22698015

MeSH Terms: Adult; Aged; Aged, 80 and over; Body Mass Index*; Cohort Studies; Cross-Sectional Studies; Environment Design; Exercise*; Female; Humans; Logistic Models; Middle Aged; Nurses; Population Density*; Prospective Studies; Questionnaires; United States; Urban Renewal*