Residential Proximity to Urban Play Spaces and Childhood Overweight and Obesity in Barcelona, Spain: A Population-Based Longitudinal Study

Findings on the relationship between play spaces and childhood overweight and obesity are mixed and scarce. This study aimed to investigate the associations between residential proximity to play spaces and the risk of childhood overweight or obesity and potential effect modifiers. This longitudinal...

Descripción completa

Detalles Bibliográficos
Autores: Sánchez-Valdivia, Nacho, Pérez-del-Pulgar, Carmen|||0000-0001-8331-2365, De Bont, Jeroen|||0000-0001-9924-5961, Anguelovski, Isabelle|||0000-0002-6409-5155, López Gay, Antonio|||0000-0001-8892-2816, Pistillo, Andrea|||0000-0002-4467-0220, Triguero-Mas, Margarita|||0000-0002-1580-2693, Duarte Salles, Talita|||0000-0002-8274-0357
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:269632
Acceso en línea:https://ddd.uab.cat/record/269632
https://dx.doi.org/urn:doi:10.3390/ijerph192013676
Access Level:acceso abierto
Palabra clave:Urban health
Built environment
Childhood
Overweight
Obesity
Body mass index
Play space
Playground
Park
Descripción
Sumario:Findings on the relationship between play spaces and childhood overweight and obesity are mixed and scarce. This study aimed to investigate the associations between residential proximity to play spaces and the risk of childhood overweight or obesity and potential effect modifiers. This longitudinal study included children living in the city of Barcelona identified in an electronic primary healthcare record database between 2011 and 2018 (N = 75,608). Overweight and obesity were defined according to the WHO standards and we used 300 m network buffers to assess residential proximity to play spaces. We calculated the risk of developing overweight or obesity using Cox proportional hazard models. A share of 29.4% of the study population developed overweight or obesity, but we did not find consistent associations between play space indicators and overweight or obesity. We did not find any consistent sign of effect modification by sex, and only some indications of the modifying role of area socioeconomic status and level of exposure. Although it is not possible to draw clear conclusions from our study, we call for cities to continue increasing and improving urban play spaces with an equitable, healthy, and child-friendly perspective.