1. Neighbourhood socioeconomic status and cross-sectional associations with obesity and urinary biomarkers of diet among New York City adults: the heart follow-up study.
- Author
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Elfassy T, Yi SS, Llabre MM, Schneiderman N, Gellman M, Florez H, Prado G, and Zeki Al Hazzouri A
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Biomarkers urine, Cross-Sectional Studies, Female, Follow-Up Studies, Humans, Male, Middle Aged, New York City, Obesity urine, Potassium urine, Poverty, Sex Factors, Sodium, Dietary urine, Young Adult, Body Mass Index, Diet, Feeding Behavior, Obesity etiology, Residence Characteristics, Social Class, Urban Population
- Abstract
Objective: To determine whether neighbourhood socioeconomic status (SES) is associated with body mass index (BMI), waist circumference (WC) and biomarkers of diet (urinary sodium and potassium excretion)., Design: A cross-sectional study., Setting: The data reported were from the 2010 Heart Follow-up Study, a population-based representative survey of 1645 adults., Participants: Community-dwelling diverse residents of New York City nested within 128 neighbourhoods (zip codes)., Primary and Secondary Outcome Measures: BMI (kg/m
2 ) and WC (inches) were measured during in-home visits, and 24-hour urine sample was collected to measure biomarkers of diet: sodium (mg/day) and potassium (mg/day), with high sodium and low potassium indicative of worse diet quality., Results: After adjusting for individual-level characteristics using multilevel linear regressions, low versus high neighbourhood SES tertile was associated with 1.83 kg/m2 higher BMI (95% CI 0.41 to 3.98) and 251 mg/day lower potassium excretion (95% CI -409 to 93) among women only, with no associations among men (P values for neighbourhood SES by sex interactions <0.05)., Conclusion: Our results suggest that women may be particularly vulnerable to the effects of a socioeconomically disadvantaged neighbourhood. Future neighbourhood research should explore sex differences, as these can inform tailored interventions., Trial Registration Number: NCT01889589; Results., Competing Interests: Competing interests: None declared., (© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)- Published
- 2017
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