BMJ 2005;331:611-612 (17 September), doi:10.1136/bmj.38575.664549.F7 (published 19 August 2005)
Paper
Graffiti, greenery, and obesity in adults: secondary analysis of European cross sectional survey
Anne Ellaway, senior researcher1,
Sally Macintyre, director1,
Xavier Bonnefoy, regional adviser2
1 MRC Social and Public Health Sciences Unit, University of Glasgow, Glasgow, G12 8RZ,
2 WHO European Centre for Environment and Health, Görresstr 15, D-53113 Bonn, Germany
Correspondence to: A Ellaway anne@msoc.mrc.gla.ac.uk
| The first 150 words of the full text of this article appear below. |
Introduction
Obesity levels are high and increasing worldwide. Being overweight
is linked with increased death rates and contributes to a wide
range of conditions, including ischaemic heart disease, hypertension,
stroke, diabetes, certain cancers, and diseases of the gall
bladder.
1 The principal cause of obesity is an imbalance between
energy intake and energy expenditure. And there is growing recognition
that, independently of individual characteristics, place of
residence may be associated with health outcomes, including
body size
2 and health related behaviours, such as level of physical
exercise.
3
Few studies have explored which features of the local neighbourhood might be related to these outcomes or behaviours, although perceived attractiveness has been found to be related to levels of physical activity.4 Levels of incivilities, such as litter and graffiti, are associated with poorer health outcomes such as general wellbeing but not, to our knowledge, with levels of physical activity. Few studies use objectively measured indicators . . . [Full text of this article]
Participants, methods, and results
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