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Article

Residential Proximity to Urban Play Spaces and Childhood Overweight and Obesity in Barcelona, Spain: A Population-Based Longitudinal Study

by
Nacho Sánchez-Valdivia
1,2,*,
Carmen Pérez-del-Pulgar
1,2,3,4,
Jeroen de Bont
5,
Isabelle Anguelovski
1,2,6,
Antonio López-Gay
7,8,
Andrea Pistillo
9,
Margarita Triguero-Mas
1,2,10,*,† and
Talita Duarte-Salles
9,†
1
Barcelona Lab for Urban Environmental Justice and Sustainability, Institute of Environmental Science and Technology (ICTA), Universitat Autònoma de Barcelona (UAB), 08003 Barcelona, Spain
2
Hospital del Mar Medical Research Institute (IMIM), Carrer Doctor Aiguader, 88, 08003 Barcelona, Spain
3
Helmholtz Centre for Environmental Research—UFZ Department Environmental Politics, 04318 Leipzig, Germany
4
Department for Political Science, Friedrich-Schiller-University, 07737 Jena, Germany
5
Institute of Environmental Medicine, Karolinska Institute, 171 77 Stockholm, Sweden
6
ICREA (Institució Catalana de Recerca i Estudis Avançats), 08010 Barcelona, Spain
7
Department of Geography, Universitat Autònoma de Barcelona (UAB), 08193 Barcelona, Spain
8
Center for Demographic Studies, 08193 Bellaterra, Spain
9
Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), 08007 Barcelona, Spain
10
Mariana Arcaya’s Research Lab, Department of Urban Studies and Planning, Massachusetts Institute of Technology, 77 Massachusetts Ave, Cambridge, MA 02139, USA
*
Authors to whom correspondence should be addressed.
†
Joint last authorship.
Int. J. Environ. Res. Public Health 2022, 19(20), 13676; https://doi.org/10.3390/ijerph192013676
Submission received: 27 September 2022 / Revised: 17 October 2022 / Accepted: 18 October 2022 / Published: 21 October 2022
(This article belongs to the Special Issue Natural and Built Outdoor Environments and Children’s Health)
Review Reports Versions Notes

Abstract

Findings on the relationship between play spaces and childhood overweight and obesity are mixed and scarce. This study aimed to investigate the associations between residential proximity to play spaces and the risk of childhood overweight or obesity and potential effect modifiers. This longitudinal study included children living in the city of Barcelona identified in an electronic primary healthcare record database between 2011 and 2018 (N = 75,608). Overweight and obesity were defined according to the WHO standards and we used 300 m network buffers to assess residential proximity to play spaces. We calculated the risk of developing overweight or obesity using Cox proportional hazard models. A share of 29.4% of the study population developed overweight or obesity, but we did not find consistent associations between play space indicators and overweight or obesity. We did not find any consistent sign of effect modification by sex, and only some indications of the modifying role of area socioeconomic status and level of exposure. Although it is not possible to draw clear conclusions from our study, we call for cities to continue increasing and improving urban play spaces with an equitable, healthy, and child-friendly perspective.
Keywords: urban health; built environment; childhood; overweight; obesity; body mass index; play space; playground; park urban health; built environment; childhood; overweight; obesity; body mass index; play space; playground; park

Share and Cite

MDPI and ACS Style

Sánchez-Valdivia, N.; Pérez-del-Pulgar, C.; de Bont, J.; Anguelovski, I.; López-Gay, A.; Pistillo, A.; Triguero-Mas, M.; Duarte-Salles, T. Residential Proximity to Urban Play Spaces and Childhood Overweight and Obesity in Barcelona, Spain: A Population-Based Longitudinal Study. Int. J. Environ. Res. Public Health 2022, 19, 13676. https://doi.org/10.3390/ijerph192013676

AMA Style

Sánchez-Valdivia N, Pérez-del-Pulgar C, de Bont J, Anguelovski I, López-Gay A, Pistillo A, Triguero-Mas M, Duarte-Salles T. Residential Proximity to Urban Play Spaces and Childhood Overweight and Obesity in Barcelona, Spain: A Population-Based Longitudinal Study. International Journal of Environmental Research and Public Health. 2022; 19(20):13676. https://doi.org/10.3390/ijerph192013676

Chicago/Turabian Style

Sánchez-Valdivia, Nacho, Carmen Pérez-del-Pulgar, Jeroen de Bont, Isabelle Anguelovski, Antonio López-Gay, Andrea Pistillo, Margarita Triguero-Mas, and Talita Duarte-Salles. 2022. "Residential Proximity to Urban Play Spaces and Childhood Overweight and Obesity in Barcelona, Spain: A Population-Based Longitudinal Study" International Journal of Environmental Research and Public Health 19, no. 20: 13676. https://doi.org/10.3390/ijerph192013676

APA Style

Sánchez-Valdivia, N., Pérez-del-Pulgar, C., de Bont, J., Anguelovski, I., López-Gay, A., Pistillo, A., Triguero-Mas, M., & Duarte-Salles, T. (2022). Residential Proximity to Urban Play Spaces and Childhood Overweight and Obesity in Barcelona, Spain: A Population-Based Longitudinal Study. International Journal of Environmental Research and Public Health, 19(20), 13676. https://doi.org/10.3390/ijerph192013676

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