Housing, neighbourhood and sociodemographic associations with adult levels of physical activity and adiposity: Baseline findings from the ENABLE London study

Claire M. Nightingale*, Alicja R. Rudnicka, Bina Ram, Aparna Shankar, Elizabeth S. Limb, Duncan Procter, Ashley R. Cooper, Angie S. Page, Anne Ellaway, Billie Giles-Corti, Christelle Clary, Daniel Lewis, Steven Cummins, Peter H. Whincup, Derek G. Cook, Christopher G. Owen

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)

3 Citations (Scopus)
209 Downloads (Pure)

Abstract

Objectives: The neighbourhood environment is increasingly shown to be an important correlate of health. We assessed associations between housing tenure, neighbourhood perceptions, sociodemographic factors, and levels of physical activity (PA) and adiposity among adults seeking housing in East Village (formerly London 2012 Olympic/Paralympic Games Athletes’ Village). Setting: Cross-sectional analysis of adults seeking social, intermediate and market-rent housing in East Village.

Participants: 1278 participants took part in the study (58% female). Complete data on adiposity (body mass index [BMI] and fat mass %) were available for 1240 participants (97%); of these a sub-set of 1107 participants (89%) met the inclusion criteria for analyses of accelerometer-based measurements of PA. We examined associations between housing sector sought, neighbourhood perceptions (covariates) and PA and adiposity (dependent variables) adjusted for household clustering, sex, age group, ethnic group, and limiting longstanding illness.

Results: Participants seeking social housing had the fewest daily steps (8304, 95%CI 7959,8648) and highest BMI (26.0kg/m 2 95%CI 25.5,26.5kg/m 2 ) compared with those seeking intermediate (daily steps 9417, 95%CI 9106,9731; BMI 24.8kg/m 2 95%CI 24.4,25.2kg/m 2 ) or market-rent housing (daily steps 9313, 95%CI 8858,9768; BMI 24.6kg/m 2 95%CI 24.0,25.2kg/m 2 ). Those seeking social housing had lower levels of PA (by 19-42%) at weekends vs weekdays, compared with other housing groups. Positive perceptions of neighbourhood quality were associated with higher steps and lower BMI, with differences between social and intermediate groups reduced by ~10% following adjustment, equivalent to a reduction of 111 for steps and 0.5kg/m2 for BMI.
Original languageEnglish
Article numbere021257
Number of pages10
JournalBMJ Open
Volume8
Issue number8
Early online date17 Aug 2018
DOIs
Publication statusPublished - Aug 2018

Keywords

  • adiposity
  • ENABLE-london
  • housing
  • perceived neighbourhood environment
  • physical activity

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    Nightingale, C. M., Rudnicka, A. R., Ram, B., Shankar, A., Limb, E. S., Procter, D., Cooper, A. R., Page, A. S., Ellaway, A., Giles-Corti, B., Clary, C., Lewis, D., Cummins, S., Whincup, P. H., Cook, D. G., & Owen, C. G. (2018). Housing, neighbourhood and sociodemographic associations with adult levels of physical activity and adiposity: Baseline findings from the ENABLE London study. BMJ Open, 8(8), [e021257]. https://doi.org/10.1136/bmjopen-2017-021257