Anne Vernez Moudon Archives - Page 9 of 9

Food Environment and Socioeconomic Status Influence Obesity Rates in Seattle and in Paris

Drewnowski, A.; Moudon, A. V.; Jiao, J.; Aggarwal, A.; Charreire, H.; Chaix, B. (2014). Food Environment and Socioeconomic Status Influence Obesity Rates in Seattle and in Paris. International Journal Of Obesity, 38(2), 306 – 314.

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Abstract

OBJECTIVE: To compare the associations between food environment at the individual level, socioeconomic status (SES) and obesity rates in two cities: Seattle and Paris. METHODS: Analyses of the SOS (Seattle Obesity Study) were based on a representative sample of 1340 adults in metropolitan Seattle and King County. The RECORD (Residential Environment and Coronary Heart Disease) cohort analyses were based on 7131 adults in central Paris and suburbs. Data on sociodemographics, health and weight were obtained from a telephone survey (SOS) and from in-person interviews (RECORD). Both studies collected data on and geocoded home addresses and food shopping locations. Both studies calculated GIS (Geographic Information System) network distances between home and the supermarket that study respondents listed as their primary food source. Supermarkets were further stratified into three categories by price. Modified Poisson regression models were used to test the associations among food environment variables, SES and obesity. RESULTS: Physical distance to supermarkets was unrelated to obesity risk. By contrast, lower education and incomes, lower surrounding property values and shopping at lower-cost stores were consistently associated with higher obesity risk. CONCLUSION: Lower SES was linked to higher obesity risk in both Paris and Seattle, despite differences in urban form, the food environments and in the respective systems of health care. Cross-country comparisons can provide new insights into the social determinants of weight and health.

Keywords

Obesity; Health & Social Status; Social Status; Supermarkets; Grocery Shopping; Physiology; Body-mass Index; Dietary Energy Density; Atherosclerosis Risk; Weight Status; Us Adults; Associations; Health; French; Access; Socioeconomic Status (ses); Access To Supermarket; Food Environment; Food Shopping

Geographic Disparities in Healthy Eating Index Scores (HEI-2005 and 2010) by Residential Property Values: Findings from Seattle Obesity Study (SOS)

Drewnowski, Adam; Aggarwal, Anju; Cook, Andrea; Stewart, Orion; Moudon, Anne Vernez. (2016). Geographic Disparities in Healthy Eating Index Scores (HEI-2005 and 2010) by Residential Property Values: Findings from Seattle Obesity Study (SOS). Preventive Medicine, 83, 46 – 55.

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Abstract

Background. Higher socioeconomic status (SES) has been linked with higher-quality diets. New GIS methods allow for geographic mapping of diet quality at a very granular level. Objective. To examine the geographic distribution of two measures of diet quality: Healthy Eating Index (HEI 2005 and HEI 2010) in relation to residential property values in Seattle-King County. Methods. The Seattle Obesity Study (SOS) collected data from a population-based sample of King County adults in 2008-09. Socio-demographic data were obtained by 20-min telephone survey. Dietary data were obtained from food frequency questionnaires (FFQs). Home addresses were geocoded to the tax parcel and residential property values were obtained from the King County tax assessor. Multivariable regression analyses using 1116 adults tested associations between SES variables and diet quality measured (HEI scores). Results. Residential property values, education, and incomes were associated with higher HEI scores in bivariate analyses. Property values were not collinear with either education or income. In adjusted multivariable models, education and residential property were better associated with HEI, compared to than income. Mapping of HEI-2005 and HEI-2010 at the census block level illustrated the geographic distribution of diet quality across Seattle-King County. Conclusion. The use of residential property values, an objective measure of SES, allowed for the first visual exploration of diet quality at high spatial resolution: the census block level. (C) 2015 Elsevier Inc. All rights reserved.

Keywords

Obesity Treatment; Prevention Of Obesity; Disease Mapping; Socioeconomics; Multivariate Analysis; Population Geography; Census; Diet; Housing; Nutrition Policy; Questionnaires; Research Funding; Socioeconomic Factors; Body Mass Index; Health Equity; Cross-sectional Method; Economics; Seattle (wash.); Washington (state); Diet Quality; Geographic Information Systems; Healthy Eating Index; Residential Property Values; Socio-economic Status; Local Food Environment; Vitamin-e Consumption; Socioeconomic Position; United-states; Social-class; Energy-density; Association; Indicators; Trends

The Association between Park Facilities and Duration of Physical Activity During Active Park Visits

Stewart, Orion T.; Moudon, Anne Vernez; Littman, Alyson J.; Seto, Edmund; Saelens, Brian E. (2018). The Association between Park Facilities and Duration of Physical Activity During Active Park Visits. Journal Of Urban Health, 95(6), 869 – 880.

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Abstract

Public parks provide places for urban residents to obtain physical activity (PA), which is associated with numerous health benefits. Adding facilities to existing parks could be a cost-effective approach to increase the duration of PA that occurs during park visits. Using objectively measured PA and comprehensively measured park visit data among an urban community-dwelling sample of adults, we tested the association between the variety of park facilities that directly support PA and the duration of PA during park visits where any PA occurred. Cross-classified multilevel models were used to account for the clustering of park visits (n=1553) within individuals (n=372) and parks (n=233). Each additional different PA facility at a park was independently associated with a 6.8% longer duration of PA bouts that included light-intensity activity, and an 8.7% longer duration of moderate to vigorous PA time. Findings from this study are consistent with the hypothesis that more PA facilities increase the amount of PA that visitors obtain while already active at a park.

Keywords

Park Facilities; Physical Activity; Park Use; Recreation; Built Environment; Global Positioning System; Accelerometer; Gis; Gps; Accelerometer Data; United-states; Adults; Proximity; Features; Walking; Size; Attractiveness; Improvements; Environment; Parks & Recreation Areas; Parks; Luminous Intensity; Clustering; Urban Areas

Does the Built Environment Have Independent Obesogenic Power? Urban Form and Trajectories of Weight Gain

Buszkiewicz, James H.; Bobb, Jennifer F.; Hurvitz, Philip M.; Arterburn, David; Moudon, Anne Vernez; Cook, Andrea; Mooney, Stephen J.; Cruz, Maricela; Gupta, Shilpi; Lozano, Paula; Rosenberg, Dori E.; Theis, Mary Kay; Anau, Jane; Drewnowski, Adam. (2021). Does the Built Environment Have Independent Obesogenic Power? Urban Form and Trajectories of Weight Gain. International Journal Of Obesity, 45(9), 1914 – 1924.

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Abstract

Objective To determine whether selected features of the built environment can predict weight gain in a large longitudinal cohort of adults. Methods Weight trajectories over a 5-year period were obtained from electronic health records for 115,260 insured patients aged 18-64 years in the Kaiser Permanente Washington health care system. Home addresses were geocoded using ArcGIS. Built environment variables were population, residential unit, and road intersection densities captured using Euclidean-based SmartMaps at 800-m buffers. Counts of area supermarkets and fast food restaurants were obtained using network-based SmartMaps at 1600, and 5000-m buffers. Property values were a measure of socioeconomic status. Linear mixed effects models tested whether built environment variables at baseline were associated with long-term weight gain, adjusting for sex, age, race/ethnicity, Medicaid insurance, body weight, and residential property values. Results Built environment variables at baseline were associated with differences in baseline obesity prevalence and body mass index but had limited impact on weight trajectories. Mean weight gain for the full cohort was 0.06 kg at 1 year (95% CI: 0.03, 0.10); 0.64 kg at 3 years (95% CI: 0.59, 0.68), and 0.95 kg at 5 years (95% CI: 0.90, 1.00). In adjusted regression models, the top tertile of density metrics and frequency counts were associated with lower weight gain at 5-years follow-up compared to the bottom tertiles, though the mean differences in weight change for each follow-up year (1, 3, and 5) did not exceed 0.5 kg. Conclusions Built environment variables that were associated with higher obesity prevalence at baseline had limited independent obesogenic power with respect to weight gain over time. Residential unit density had the strongest negative association with weight gain. Future work on the influence of built environment variables on health should also examine social context, including residential segregation and residential mobility.

Keywords

Body-mass Index; Physical-activity; Food Environment; Structural Racism; Obesity; Neighborhoods; Associations; Health; Walkability; Exposure; Environment Models; Minority & Ethnic Groups; Urban Environments; Regression Analysis; Regression Models; Residential Density; Body Mass Index; Property Values; Body Weight Gain; Government Programs; Body Weight; Electronic Medical Records; Electronic Health Records; Fast Food; Buffers; Real Estate; Body Mass; Body Size; Socioeconomics; Health Care

Urban Design & Planning Interdisciplinary PhD

The Urban Design & Planning Interdisciplinary Ph.D. at the University of Washington is one of 39 Ph.D. programs in urban and regional planning in North America, and one of the oldest, founded in 1967.

This program brings together faculty from disciplines ranging from Architecture to Sociology to focus on the interdisciplinary study of urban problems and interventions. Covering scales from neighborhoods to metropolitan areas, the program addresses interrelationships between the physical environment, the built environment, and the social, economic, and political institutions and processes that shape urban areas. The breadth of this program permits students to pursue doctoral studies in the various aspects of urban design and planning as well as in a number of related social science, natural resource, and engineering areas.

The Program seeks to prepare scholars who can advance the state of research, practice, and education related to the built environment and its relationship to society and nature in metropolitan regions throughout the world. The program provides a strong interdisciplinary educational experience that draws on the resources of the entire University, and on the laboratory provided by the Seattle metropolitan region and the Pacific Northwest. The program emphasizes the educational values of interdisciplinarity, intellectual leadership and integrity, and the social values of equity, democracy and sustainability. It seeks to promote deeper understanding of the ways in which public decisions shape and are shaped by the urban physical, social, economic, and natural environment. The program envisions its graduates becoming leaders in the international community of researchers, practitioners and educators who focus on improving the quality of life and environment in metropolitan regions.

Urban Form Lab

The Urban Form Lab (UFL) research aims to affect policy and to support approaches to the design and planning of more livable environments. The UFL specializes in geospatial analyses of the built environment using multiple micro-scale data in Geographic Information Systems (GIS). Current research includes the development of novel GIS routines for performing spatial inventories and analyses of the built environment, and of spatially explicit sampling techniques. Projects address such topics as land monitoring, neighborhood and street design, active transportation, non-motorized transportation safety, physical activity, and access to food environments.

Research at the UFL has been supported by the U.S. and Washington State Departments of Transportation, the Centers for Disease Control and Prevention, the Robert Wood Johnson Foundation, the National Institutes of Health, and local agencies.

The Urban Form Lab is directed by Anne Vernez Moudon, Dr es Sc, a leading researcher and educator in quantifying the properties of the built environment as related to health and transportation behaviors. Philip M. Hurvitz, PhD, a veteran of geographic information science and data processing, leads data management and GIS work.

Northwest Center for Livable Communities

The Northwest Center’s mission is to enhance the livability of communities in the Pacific Northwest through applied research and outreach in the areas of land use planning, policy, and design; healthy communities; food security; and public participation and democracy.

The Center is a research and policy center focused on issues of environmental and economic sustainability, quality of life, and responsible governance using Washington as a model. Recognizing that the term “livability” has many different definitions and interpretations, the Center’s programs are focused on how the fields of urban planning and design, landscape architecture, and architecture work within this broader context to address livability factors.

The Center operates from the belief that the university should, in cooperation with state agencies, local governments, and community leaders, seek to improve existing social and environmental conditions through research and innovative policy development. It advocates development strategies that focus on smart and efficient land use, strong communities, high-wage, low waste jobs and economic development and public participation and accountability in government.

Anne Vernez-Moudon

Anne Vernez Moudon is Professor Emerita of Architecture, Landscape Architecture, and Urban Design and Planning at the University of Washington, Seattle. She is President of the International Seminar on Urban Morphology (ISUF), an international and interdisciplinary organization of scholars and practitioners; a Faculty Associate at the Lincoln Institute of Land Policy, in Cambridge, MA; a Fellow of the Urban Land Institute in Washington, D.C.; and a National Advisor to the Robert Wood Johnson Foundation program on Active Living Policy and Environmental Studies.

Dr. Moudon holds a B.Arch. (Honors) from the University of California, Berkeley, and a Doctor ès Science from the Ecole Polytechnique Fédérale of Lausanne, Switzerland. Her work focuses on urban form analysis, land monitoring, neighborhood and street design, and non-motorized transportation. Her current research is supported by the U.S. and Washington State departments of Transportation, the Puget Sound Regional Council, the Federal Highway Administration, and the Centers for Disease Control and Prevention.

Her published works include Built for Change: Neighborhood Architecture in San Francisco (MIT Press 1986), Public Streets for Public Use (Columbia University Press 1991), and Monitoring Land Supply with Geographic Information Systems (with M. Hubner, John Wiley & Sons, 2000). She also published several monographs, such as Master-Planned Communities: Shaping Exurbs in the 1990 ( with B. Wiseman and K.J. Kim, distributed by the APA Bookstore, 1992) and Urban Design: Reshaping Our Cities (with W. Attoe, University of Washington, College of Architecture and Urban Planning, 1995).

Dr. Moudon has been an active participant in The Mayors’ Institute on City Design since 1992. She has consulted for many communities nationally and internationally to develop urban design guidelines for new construction which respect the character of the existing landscape and built environment and which support non-motorized transportation. She has worked with planning officials, design professionals, and neighborhood groups in the Puget Sound as well as in San Francisco, CA, Toronto and Montreal, Canada, Stockholm, Sweden, among others. She taught courses and conducted seminars in urban design, planning, and housing in Japan, Korea, China, Mexico, Brazil, Venezuela, Colombia, France, the United Kingdom, and Switzerland.