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Table 4 Association between neighborhood food access and walkability and movers’ weight status at Time 2 (N = 1052)

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

 

BMIz

Overweight or obese vs. healthy weight

Model 1a

Model 2b

Model 1a

Model 2b

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

-0.09* (-0.18,-0.01)

0.034

-0.08 (-0.17,0.01)

0.079

0.77 (0.54,1.10)

0.780

0.85 (0.58,1.23)

0.377

Change in healthy food access

 From [ample] access to low access (ref)

-

-

-

-

-

-

-

-

 No change or from low access to [ample] access

-0.09 (-0.22,0.05)

0.192

-0.10 (-0.23,0.04)

0.164

0.75 (0.44,1.28)

0.295

0.69 (0.40,1.20)

0.192

Time 1 walkability

 Walkability index

-0.02* (-0.04, -0.01)

0.007

-0.03* (-0.04,-0.01]

0.004

0.93 (0.87,1.00)

0.054

0.91* (0.84,0.98)

0.010

Changes in walkability index (continuous)

-0.05* (-0.08,-0.02)

0.001

-0.05* (-0.08,-0.02)

0.001

0.83* (0.74,0.94)

0.004

0.80* (0.70,0.91)

0.001

Change in walkability index (categorical)

 No change or decrease (ref)

-

-

-

-

-

-

-

-

 Small increase

-0.13* (-0.24,-0.03)

0.011

-0.14* (-0.24,-0.04)

0.009

0.67 (0.35,1.26)

0.212

0.57* (0.37,0.90)

0.015

 Moderate increase

-0.17* (-0.28, -0.07)

0.001

-0.18* (-0.29,-0.08)

0.001

0.36* (0.18,0.74)

0.005

0.42* (0.26,0.567)

 < 0.001

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