Abstract：
OBJECTIVES:While there is extensive evidence about the influence of environmental factors on adult obesity, fewer studies have assessed how the environment influences body fat in children. This cross-sectional study investigated the distribution of adiposity indices according to urbanization level and patterns of physical activity among children in the Italian cohort of the IDEFICS study. METHODS:The sample included 1673 preschool and school-aged children (mean age 6.1 years, standard deviation 1.7) living in rural (n = 579), suburban (n = 442) and urban (n = 652) areas. Anthropometric measures were taken and questionnaires were used to assess children's lifestyles, including patterns of physical activity. RESULTS:Children who lived in rural areas spent significantly more time in outdoor activities but participated in less structured physical activity compared with children living in suburban and urban areas. Adiposity estimated by the sum of skinfold thickness increased linearly from rural to urban areas, with results for suburban areas showing intermediate values. CONCLUSIONS:The data show that geographical environmental factors influence patterns of physical activity and body fat in children. In particular, the results suggest an association between the time spent in unstructured outdoor activities and the degree of adiposity in schoolchildren. These results may have implications for public health, including efforts to increase freely available playgrounds as an effective measure to counteract the obesity epidemic in children.
journal_name
Public Healthjournal_title
Public healthauthors
Donatiello E,Dello Russo M,Formisano A,Lauria F,Nappo A,Reineke A,Sparano S,Barba G,Russo P,Siani Adoi
10.1016/j.puhe.2013.04.031subject
Has Abstractpub_date
2013-08-01 00:00:00pages
761-5issue
8eissn
0033-3506issn
1476-5616pii
S0033-3506(13)00166-2journal_volume
127pub_type
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