Prospective associations of neighborhood healthy food access and walkability with weight status in a regional pediatric health system

Table 3 Association between neighborhood food access and walkability and non-movers’ weight status at Time 2 (N = 3441)

	BMIz				Overweight or obese vs. healthy weight
	Model 1^a		Model 2^b		Model 1^a		Model 2^b
	B (95% CI)	P	B (95% CI)	P	OR (95% CI)	P	OR (95% CI)	P
Time 1 healthy food access
Low access (ref)	-	-	-	-	-	-	-	-
Access	-0.04* (-0.08,.00)	.049	-0.04 (-0.08,0.004)	0.078	0.97 (0.789,1.20)	0.785	0.88 (0.71,1.08)	0.215
Change in healthy food access
From [ample] access to low access (ref)	-	-	-	-	-	-	-	-
No change or from low access to [ample] access	0.004 (-0.08,0.09)	0.918	0.01 (-0.08,0.09)	0.853	1.13 (0.74,1.73)	0.567	1.12 (0.75,1.69)	0.575
Time 1 walkability
Walkability index	-0.01* (-0.02,-.00)	0.027	-0.01* (-0.02,-0.0002)	0.046	0.95* (0.92,0.99)	0.017	0.95* (0.91,0.99)	0.012
Changes in walkability index (continuous)	-0.02* (-0.03,-0.005)	0.010	-0.02* (-0.04,-0.01)	0.007	0.95 (0.88,1.02)	0.158	0.93* (0.86,0.99)	0.047
Change in walkability index (categorical)
No change or decrease (ref)	-	-	-	-	-	-	-	-
Small increase	-0.05 (-0.10,0.004)	0.070	-0.05 (-0.10,0.001)	0.058	1.07 (0.83,1.39)	0.589	1.03 (0.80,1.33)	0.810
Moderate increase	-0.06* (-0.11,-0.003)	0.037	-0.06 (-0.12,-0.01)	0.024	0.92 (0.69,1.19)	0.476	0.85 (0.65,1.11)	0.238

^aBased on mixed-effects linear models adjusting for children’s race/ethnicity, age, and insurance type
^bBased on mixed-effects linear models adjusting for children’s race/ethnicity, age, and insurance type, neighborhood median household income, and neighborhood race/ethnicity
^*p < 0.05

ISSN: 1479-5868