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influence of geographic life environments on cardiometabolic risk factors: a systematic review, a methodological assessment and a research agenda

Leal, C ; Chaix, B

Obesity reviews, 2011-03, Vol.12 (3), p.217-230 [Periódico revisado por pares]

Oxford, UK: Blackwell Publishing Ltd

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  • Título:
    influence of geographic life environments on cardiometabolic risk factors: a systematic review, a methodological assessment and a research agenda
  • Autor: Leal, C ; Chaix, B
  • Assuntos: Diabetes mellitus ; Environment ; Exercise - physiology ; Heart Diseases - epidemiology ; Heart Diseases - etiology ; Humans ; Hypertension ; Life Sciences ; metabolic diseases ; Metabolic Diseases - epidemiology ; Metabolic Diseases - etiology ; Metabolic disorders ; Metabolic Syndrome - epidemiology ; Metabolic Syndrome - etiology ; Noise pollution ; Obesity ; Obesity - epidemiology ; Obesity - etiology ; Prevalence ; Public health ; residence characteristics ; Reviews ; Risk Factors ; Santé publique et épidémiologie ; Social Environment ; Urbanization
  • É parte de: Obesity reviews, 2011-03, Vol.12 (3), p.217-230
  • Notas: http://dx.doi.org/10.1111/j.1467-789X.2010.00726.x
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  • Descrição: Recent environmental changes play a role in the dramatic increase in the prevalence of cardiometabolic risk factors (CMRFs) such as obesity, hypertension, type 2 diabetes, dyslipidemias and the metabolic syndrome in industrialized countries. Therefore, identifying environmental characteristics that are associated with risk factors is critical to develop more effective public health interventions. We conducted a systematic review of the literature investigating relationships between characteristics of geographic life environments and CMRFs (131 articles). Most studies were published after 2006, relied on cross-sectional designs, and examined whether sociodemographic and physical environmental characteristics, and more recently service environment characteristics, were associated with obesity or, to a lesser extent, hypertension. Only 14 longitudinal studies were retrieved; diabetes, dyslipidemias and the metabolic syndrome were rarely analysed; and aspects of social interactions in the neighbourhood were critically underinvestigated. Environmental characteristics that were consistently associated with either obesity or hypertension include low area socioeconomic position; low urbanization degree; low street intersection, service availability and residential density; high noise pollution; low accessibility to supermarkets and high density of convenience stores; and low social cohesion. Intermediate mechanisms between environmental characteristics and CMRFs have received little attention. We propose a research agenda based on the assessment of underinvestigated areas of research and methodological limitations of current literature.
  • Editor: Oxford, UK: Blackwell Publishing Ltd
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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