Resilience to obesity among socioeconomically disadvantaged women : the READI study
Data(s) |
01/06/2012
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Resumo |
<b>Objective:</b><br /> <br /><br />This cross-sectional study aimed to identify sociodemographic and behavioural characteristics of ‘overweight-resilient’ women, that is, women who were in a healthy body weight range, despite living in socioeconomically disadvantaged neighbourhoods that place them at increased risk of obesity. The study also aimed to test a comprehensive theoretically derived model of the associations between intrapersonal, social and environmental factors and obesity among this target group.<br /><b>Participants:</b><br /> <br /><br />A total of 3235 women aged 18–45 years from 80 urban and rural neighbourhoods throughout Victoria, Australia, participated in the Resilience for Eating and Activity Despite Inequality study.<br /><b>Measurements:</b><br /> <br /><br />Women reported height, weight, sociodemographic characteristics, leisure-time physical activity, dietary behaviours and a range of theoretically derived cognitive, social and neighbourhood environmental characteristics hypothesized to influence obesity risk. A theoretical model predicting body mass index (BMI) was tested using structural equation models.<br /><b>Results:</b><br /> <br /><br />Women classified as ‘resilient’ to obesity tended to be younger, born overseas, more highly educated, unmarried and to have higher or undisclosed household incomes. They engaged in more leisure-time physical activity and consumed less fast foods and soft drinks than overweight/obese women. Neighbourhood characteristics, social characteristics and cognitive characteristics all contributed to explaining variation in BMI in the hypothesized directions.<br /><b>Conclusions:</b><br /> <br /><br />These results demonstrate several characteristics of women appearing ‘resilient’ to obesity, despite their increased risk conferred by residing in socioeconomically disadvantaged neighbourhoods. Acknowledging the cross-sectional study design, the results advance theoretical frameworks aimed at investigating obesity risk by providing evidence in support of a comprehensive model of direct and indirect effects on obesity of neighbourhood, as well as social, cognitive and behavioural characteristics. |
Identificador | |
Idioma(s) |
eng |
Publicador |
Nature Publishing Group |
Relação |
NHMRC 374241 http://dro.deakin.edu.au/eserv/DU:30046266/ball-resilenceto-2012.pdf http://dro.deakin.edu.au/eserv/DU:30046266/ball-resilienceto-2012.pdf http://dx.doi.org/10.1038/ijo.2011.183 |
Direitos |
2012, Nature Publishing Group |
Palavras-Chave | #obesity risk factors #structural equation models #socioeconomic disadvantage |
Tipo |
Journal Article |