Obesity in adults: an emerging problem in urban areas of Ho Chi Minh City, Vietnam

OBJECTIVE: To assess the prevalence of overweight, obesity and underweight among Vietnamese adults living in urban areas of Ho Chi Minh City (HCMC), Vietnam. DESIGN: This cross-sectional survey was conducted in the local health stations of 30 randomly selected wards, which represent all 13 urban districts of HCMC, over a period of 2 months from March to April 2004. SUBJECTS: A total of 1488 participants aged 20-60 years completed the interview, physical examination and venous blood collection. MEASUREMENTS: Anthropometric measurements of body weight, height, waist and hip circumference were taken to construct indicators of adiposity including body mass index (BMI), waist circumference, and waist-to-height and waist-to-hip ratios. Both systolic and diastolic blood pressure and biochemical indicators of cardiovascular disease and type II diabetes risk (lipid profile and fasting blood glucose) were also measured. RESULTS: The age and sex standardized prevalence of overweight and obesity using Asian specific BMI cutoffs of 23.0 and 27.5 kg/m2 was 26.2 and 6.4%, respectively. The prevalence of overweight and obesity was slightly higher in females (33.6%) than males (31.6%), and progressively increased with age. The age and sex-standardized prevalence of underweight (BMI <18.5 kg/m2) among Vietnamese adults living in HCMC was 20.4%. The prevalence was slightly higher in males (22.0%) than in females (18.9%), and there was a much higher prevalence in all underweight categories in younger women than in men but this was reversed for older men. CONCLUSION: The adult population in HCMC Vietnam is in an early 'nutrition transition' with approximately equal prevalence of low and high BMI. The prevalence of overweight and obesity of Vietnamese urban adults was lower than that reported for other east and southeast Asian countries.

Citizen science program shows urban areas have lower occurrence of frog species, but not accelerated declines

Understanding the influence of landscape change on animal populations is critical to inform biodiversity conservation efforts. A particularly important goal is to understand how urban density affects the persistence of animal populations through time, and how these impacts can be mediated by habitat provision; but data on this question are limited for some taxa. Here, we use data from a citizen science monitoring program to investigate the effect of urbanization on patterns of frog species richness and occurrence over 13 years. Sites surrounded by a high proportion of bare ground (a proxy for urbanization) had consistently lower frog occurrence, but we found no evidence that declines were restricted to urban areas. Instead, several frog species showed declines in rural wetlands with low-quality habitat. Our analysis shows that urban wetlands had low but stable species richness; but also that population trajectories are strongly influenced by vegetation provision in both the riparian zone and the wider landscape. Future increases in the extent of urban environments in our study area are likely to negatively impact populations of several frog species. However, existing urban areas are unlikely to lose further frog species in the medium term. We recommend that landscape planning and management focus on the conservation and restoration of rural wetlands to arrest current declines, and the revegetation of urban wetlands to facilitate the re-expansion of urban-sensitive species.

Do food and physical activity environments vary between disadvantaged urban and rural areas? Findings from the READI study

Issues addressed: The presence or absence of amenities in local neighbourhood environments can either promote or restrict access to opportunities to engage in healthy and/or less healthy behaviours. Rurality is thought to constrain access to facilities and services. This study investigated whether the presence and density of environmental amenities related to physical activity and eating behaviours differs between socioeconomically disadvantaged urban and rural areas in Victoria, Australia.

Methods: We undertook cross-sectional analysis of environmental data collected in 2007-08 as part of the Resilience for Eating and Activity Despise Inequality (READI) study. These data were sourced and analysed for 40 urban and 40 rural socioeconomically disadvantaged areas. The variables examined were the presence, raw count, count/km², and count/'000 population of a range of environmental amenities (fast-food restaurants, all supermarkets (also separated by major chain and other supermarkets), greengrocers, playgrounds, gyms/leisure centres, public swimming pools and public open spaces).

Results: A greater proportion of urban areas had a fast-food restaurant and gym/leisure centre present while more rural areas contained a supermarket and public swimming pool. All amenities examined (with the exception of swimming pools) were more numerous per km² in urban areas, however rural areas had a greater number of all supermarkets, other supermarkets, playgrounds, swimming pools and public open area per '000 population.

Conclusion: Although opportunities to engage in healthy eating and physical activity exist in many rural areas, a lower density per km² suggests a greater travel distance may be required to reach these.

Family average income and diagnosed Type 2 diabetes in urban and rural residents in regional mainland China.

Aims: To explore the relationship between family average income (FAI; an index of socio-economic status) and Type 2 diabetes in a region of mainland China. Methods: Population-based cross-sectional study, conducted between October 2000 and March 2001 in administrative villages (n = 45) randomly selected from three urban districts and two rural counties of NanJing municipality, mainland China, with a regional population of 5.6 million. Participants were all local residents aged ≥ 35 years old (n = 29 340); 67.7% from urban areas, 32.3% from rural areas, 49.8% male and 50.2% female. Results: The response rate of eligible participants was 90.1%. The overall prevalence of self-reported Type 2 diabetes was 1.9%. After adjustment for possible confounding variables (age, gender, area of residence, body mass index, educational level, smoking status, occupational and leisure-time physical activity), participants in the higher and middle FAI categories were more than twice as likely to have Type 2 diabetes as those in the lower FAI category. Conclusions: The prevalence of Type 2 diabetes is positively related to socio-economic status (indexed by FAI) in Chinese at the population level. After controlling for potential confounding factors, people in higher socio-economic status groups are more likely to have Type 2 diabetes. These associations are consistent with other effects of epidemiological transition and identify a need for preventive initiatives.

Urban heat island and its impact on building energy consumption

Urban areas tend to have higher air temperatures than their surroundings as a result of man-made aiterations. This phenomenon is known as the urban heat island (UHI) effect. UHI is considered to he one of the major problems encountered by the human race this century. Solar radiation that is absorbed during the day by buildings is re~emitted after sunset creating high temperatures in urban areas. Also, anthropogenic heat sources such as air conditioners and road traffic add to the rise in temperatures, A number of
studies have indicated that UHI has a significant effect on the energy use of buildings. In mid- and low-latitude cities, heat islands contribute to urban dwellers' summer discomfort and significantly higher air-conditioning loads. This chapter summarizes and reviews the latest research methodologies and findings about the effect of increased temperatures on the energy consumption of buildings. The latest developments in the heat island mitigation strategies are remarkable, However, more attention needs to be
given to the implementation and testing of these strategies in full-scale buildings.

Sand pads : a promising technique to quantify human visitation into nature conservation areas

In many places the expansion of urban areas has brought recreationists into close proximity to nature conservation areas, sometimes leading to conflict where recreation and sensitive environmental or natural values are incompatible. An important first step in managing these conflicts is to assess the degree and nature of the problem. We describe the application, and methodological considerations, associated with the use of an innovative, low-cost, practical technique to monitor human intrusions into a wetland reserve which has been designated as ‘off-limits’ to the general public. The use of seven frequently monitored sand pads over 13 weeks enabled us to determine that intrusions occurred in every week (3–14 per sand pad), deep inside the reserve during most weeks, and also identified the key access points. Most intrusions occurred during holiday periods and were by walkers or cyclists. We also conducted a series of simple experiments to examine the utility of sand pads. Our sand pads maintained their shape well and held footprints for over 1 month, they were rarely avoided by people and provided reliable indices of the level of human activity. Sand hardness varied with rainfall, and hardened sand was frequent (53.8% of 26 days) and potentially prevented detection of people. We conclude that the sand pad technique is an effective and efficient tool to measure recreational use of off-limits areas and other conservation and recreation areas, provided human traffic is not too intense, and that checks are made reasonably frequently.

Integrating agriculture and food policy to achieve sustainable peri-urban fruit and vegetable production in Victoria, Australia

Efforts to increase fruit and vegetable consump­tion are a significant aspect of national approaches to preventive health. However, policy frameworks for increasing fruit and vegetable consumption rarely take an integrated food-systems approach that includes a focus on production. In this policy analysis and commentary we examine fruit and vegetable production in peri-urban areas of Melbourne in Victoria, Australia, and highlight the significance of emerging environmental and eco­nomic pressures on fruit and vegetable production. This examination will be of interest to other locations around the world also experiencing pressure on their peri-urban agriculture. These pressures suggest that the availability and afforda­bility of fruit and vegetable supplies cannot be taken for granted, and that future initiatives to increase fruit and vegetable consumption should include a focus on sustainable production. Threats to production that include environmental pressures, together with the loss and cost of peri-urban agri­cultural land and a cost-price squeeze due to rising input costs and low farm-gate prices, act in combi­nation to threaten the viability of the Victorian fruit and vegetable industries. We pro­pose that policy initiatives to increase fruit and vegetable consumption should include measures to address the pressures facing production, and that the most effective policy responses are likely to be integrated approaches that aim to increase fruit and vegetable availability and affordability through innovative solutions to problems of production and distribu­tion. Some brief examples of potential integrated policy solutions are identified to illu­strate the possibilities and stimulate discussion.

Simulating urban growth in a developing nation's region using a cellular automata-based model

Urbanization is one of the most evident global changes. Research in the field of urban growth modelling has generated models that explore for drivers and components of the urban growth dynamics. Cellular automata (CA) modeling is one of the recent advances, and a number of CA-based models of urban growth have produced satisfactory simulations of spatial urban expansion over time. Most application and test of CA-based models of urban growth which provide likely and reliable simulations has been developed in urban regions of developed nations; urban regions in the United States, in particular. This is because most of the models were developed in universities and research centers of developed nations, and these regions have the required data, which is extensive. Most of the population growth in the world, however, occurs in the developing world. While some European countries show signs of stabilization of their population, in less developed countries, such as India, population still grows exponentially. And this growth is normally uncoordinated, which results in serious environmental and social problems in urban areas. Therefore, the use of existing dynamic–spatial models of urban growth in regions of developing nations could be a means to assist planners and decision makers of these regions to understand and simulate the process of urban growth and test the results of different development strategies. The pattern of growth of urban regions of developing nations, however, seems to be different of the pattern of developed countries. The former use to be more dense and centralized, normally expanding outwards from consolidated urban areas; while the second is normally more fragmented and sparse. The present paper aims to investigate to how extent existing CA-based urban growth models tested in developed nations can also be applied to a developing country urban area. The urban growth model was applied to Porto Alegre City, Brazil. An expected contiguous expansion from existing urban areas has been obtained as following the historical trends of growth of the region. Moreover, the model was sensitive and able to portray different pattern of growth in the study area by changing the value of its parameters.

Fracture rates lower in rural than urban communities : the Geelong Osteoporosis Study

Background: Urban and rural communities differ in the incidence of several diseases including coronary heart disease and some cancers. Lower hip fracture rates among rural than urban populations have been reported but few studies have compared rural and urban fractures at sites other than the hip.

Objective: To compare total and site specific fracture rates among adult residents of rural and urban communities within the same population.

Design and setting: This is a population based study on osteoporosis in Australia. All fractures occurring in adult residents over a two year period were ascertained using radiological reports. The rural and urban areas are in close proximity, with the same medical, hospital, and radiological facilities permitting uniform fracture ascertainment.

Main outcome measures: All fracture rates were age adjusted and sex adjusted to the Australian population according to the 1996 census of the Australian Bureau of Statistics and described as the rate per 10 000 person years. The p values refer to the adjusted rate difference.

Results: The hip fracture rate (incidence per 10 000 person years) was 32% lower (39 v 57, p<0.001), and the total fracture rate 15% lower (160 v 188, p=0.004) among rural than urban residents, respectively. The lower fracture rates in the rural population were also apparent for pelvic fractures.

Conclusion: In the older rural population, lower fracture rates at sites typically associated with osteoporosis suggest environmental factors may have a different impact on bone health in this community. If the national rate of hip fracture could be reduced to that of the rural population, the projected increase in hip fracture number attributable to aging of the population could be prevented.

MidiCities : test beds for innovative delivery of urban transformation

Cities globally and nationally are facing a range of daunting challenges to respond to a suite of emerging imperatives including a low carbon future, oil vulnerability, demographic re-composition, and the prospect of unpredictable economic shocks. To pursue a future that is sustainable and resilient requires substantial transformation of existing urban areas and creation of new mechanisms to guide and manage delivery of physical, economic and social changes.

Mid-sized cities provide legible, nimble test beds for exploring cross-disciplinary models and innovative governance and delivery techniques. Australia’s ‘MidiCities’ – home to 4 million urban dwellers frequently overlooked by urban policy or research effort – are emerging as crucibles of innovation and experimentation. Most of these cities retain that essential key ingredient for sustainable urbanism, economic resilience and community identity: a strong, highly legible city centre with a tightly clustered diversity of facilities and functions – the multi-functional activity centre that metropolitan suburban hubs yearn to grow up to become!

These diverse MidiCities are passing a threshold of self-confident sophistication, and are now providing valuable lessons for each other, which could be adopted or adapted by metropolitan cities where scale and complexity can often overwhelm the search for new and appropriate approaches to delivery of rapid change while maintaining clear guidance toward the vision of a ‘preferred’ future. A network of professionals working with Australian and New Zealand MidiCities is coalescing toward a cross-disciplinary platform for exchange of experiences and information, mutual support, improved research and understanding, capacity-building and the refinement of new specialist skills and structures.

A study of building materials to create an identity of traditional Balinese architecture for urban housing

The use or local architecture characteristics is regulated by the spatial planning and building code of Indonesia. Balinese tmditional architecture has existed, coloured the traditional architecture of Indonesia and can be used as Bali's identity that is different from other regions in Indonesia.On the other hand, the cost of such building is high and most of people in urban areas are unable to afford to build in the traditional architecture style, especially in the residential housing sector .. Some of the major components that determine the price of housing units are the price of land, building materials, labour and technology. In developing countries, the first and second components that affect the unit price of the building are building materials representing about 70% and skilled labour respectively (Ural, 1980). Based on this, a good strategy to adopt in order to minimize the price is to manipulate these two components.Based on a literature review and observation, this study will explain which aspects of building material technology can reduce the building cost and how it can maintain the identity of local architecture.The results of the study indicate that the building material can be created to both reduce cost and adopt traditional architecture style as an identity. The materials have some shapes that can be joined easily to facilitate the skill of the worker and yet still be able to adopt the forms of traditional Balinese architecture.

Bryophytes of urban industrial streetscapes in Victoria, Australia

The bryophyte floristics of industrial/commercial streetscapes of urban Victoria and the importance of various substrata to species richness were explored. Species richness was low compared to healthy natural environments. Thirty mosses from 14 families, and six liverworts, each from different families, were identified. Most species occurred at fewer than 30% of sites, showing the patchy nature of their distribution. Only three species occurred at more than half the sites. Markedly higher species richness occurred on soil than on any other substratum. Epiphytes were extremely few. The low bryodiversity of streetscapes, the patchy nature of the bryophytes and the high number of colonists suggest that the streetscapes have not fulfilled their potential in providing connectivity between urban and non-urban areas. Colonists characteristically occur early in the successional sequence of disturbed areas but, as streetscapes are continually disturbed, colonists effectively are climax species for this habitat. Better management of streetscapes to provide more complex habitat is needed to enable colonisation of these areas by bryophyte species that are more representative of our ever-shrinking natural habitats.

Gender wage discrimination in rural and urban labour markets of Bangladesh

Female wages in Bangladesh are significantly lower than male wages. This paper quantifies the extent to which discrimination can explain this gender wage gap across the rural and urban labour markets of Bangladesh, using unit record data from the 1999–2000 Labour Force Survey. The gender wage differential is decomposed into a component that can be explained by differences in productive characteristics and a component not explained by observable productive differences, which is attributed to discrimination. An attempt is also made to improve on the standard methodology by implementing a wage-gap decomposition method that accounts for selectivity bias, on top of the usual “explained” and “unexplained” components. Analytical results from this paper show that gender wage differentials are considerably larger in urban areas than in rural areas and a significant portion of this wage differential can be attributed to discrimination against women. The results also show that selectivity bias is an important component of total discrimination.

A good place to raise a family? Comparing parents, service-providers', and media perspectives of the inner and outer suburban areas of Melbourne

In Australia, the suburbs have historically been the favoured place to raise children. However this is being challenged both by social change and government policy encouraging innerurban renewal. We examined how inner-urban areas compare with more traditional suburban locations as places to raise a family. Recognising that there are many influences on perceptions of place, we included the opinions of parents, service-providers and the media in the two locations.

Research focused on two municipalities in Melbourne, one located >25km and the other <10km from the CBD. Themes were obtained and compared from in-depth interviews with parents, serviceproviders and analysis of municipality-specific and state-wide newspaper articles.

Service provision was the only theme common at all levels of analysis. For all other themes, differences occurred between perspectives of service-providers, media and parents, as well as between the two residential locations. These in-depth snapshots on the challenges and rewards of raising children in different urban locations can help inform government in planning healthy neighbourhoods that better serve the needs of contemporary Australian families.

Urban heat island and wind flow characteristics of a tropical city

 Urban Heat Island (UHI) has become a growing concern to the quality of densely built urban environments, particularly in tropical cities. Wind speed has widely been reported to have decreased the intensity of heat island effect in urban areas. The cooling effect of the wind helps to mitigate the adverse effects of heat island on the micro climate and human thermal comfort. This paper investigates the existence of heat island in Muar, one of the fast growing cities in southern part of Malaysia and its possible causes, and then examines the effects of different urban geometry on the wind flow. The results of this study indicate that the chaotic development in Muar has caused reduced ventilation in urban canyons. The heat island intensity in the city center was recorded as 4. °C during the day and 3.2. °C during the night. Investigation of various urban geometry modifications showed that step up configuration was the most effective geometry as it can distribute the wind evenly allowing the wind to reach even the leeward side of each building. © 2014 Elsevier Ltd.