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Grant Details

Grant Number: 5R21CA125078-02 Interpret this number
Primary Investigator: Troped, Philip
Organization: Purdue University West Lafayette
Project Title: Exploratory Study of Environmental Effects on Activity/Overweight in Older Women
Fiscal Year: 2008
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Abstract

DESCRIPTION (provided by applicant): Physical inactivity and overweight/obesity are important risk factors for a number of cancers, including breast and colon. Physical activity levels among U.S. adults are less than optimal and there is a growing epidemic of obesity. There is increasing evidence that certain aspects of the neighborhood built environment influence physical activity and that factors such as greater urban sprawl are related to overweight. Studies to-date have important limitations, including infrequent use of smaller scale objective environmental measures, scant research using both objective and perceived environmental measures, and limited evidence for older adults. For this two-year exploratory R21 study, we have assembled an experienced transdisciplinary team of researchers from public health, urban planning and geography to develop sound measures of the built environment for older women in the Nurses Health Study (NHS) and to assess the effects of these factors on physical activity, BMI, overweight, and obesity. Our specific aims are: 1) develop household-level objective measures of the built environment for approximately 30,000 NHS participants in three states and examine cross-sectional associations with physical activity and weight-related outcomes; 2) measure perceptions of neighborhood environment and physical activity in a sub-sample of 3800 women and assess associations between perceived and objective environmental measures and key outcomes; and 3) pilot test the use of high-resolution orthophotographs to develop several micro-scale measures of the built environment. We will obtain publicly and commercially available geographic information systems (GIS) data in order to create household-level measures of residential density, land use mix, and street connectivity for NHS participants in MA, PA, and CA with geocoded home addresses. We will survey women with the Neighborhood Environment Walkability Scale (NEWS) and the Physical Activity Scale for the Elderly (PASE). In a small sample in MA, we will use orthophotographs to create several micro-scale measures of the built environment (e.g., amenities for walking). To test for associations we will use multivariable modeling techniques that control for potential individual and environmental confounders. A key goal of this study is the development of methods that can be used in future prospective studies that may help elucidate causal pathways between the built environment and physical activity and obesity. Also, we anticipate using the findings from this study to design more effective physical activity interventions for older women that incorporate environmental strategies. Relevance: This study may yield new insights into how characteristics of neighborhood environments influence older women's participation in regular physical activity and information as to how these characteristics may be related to the risk of overweight and obesity. We plan to use this study's results to develop more effective initiatives to promote physical activity among older women that take into consideration neighborhood characteristics and resources. Ultimately, this study's findings may help to decrease the risk of several cancers related to lack of physical activity -- both among older adults and younger populations.

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Publications

Urban sprawl, physical activity, and body mass index: Nurses' Health Study and Nurses' Health Study II.
Authors: James P, Troped PJ, Hart JE, Joshu CE, Colditz GA, Brownson RC, Ewing R, Laden F
Source: Am J Public Health, 2013 Feb;103(2), p. 369-75.
EPub date: 2012 Jun 14.
PMID: 22698015
Related Citations

Grant Numbers:
NCI NIH HHS - P01 CA87969 NCI NIH HHS - R21 CA125078-01 A1 NCI NIH HHS - R01 CA50385
NCI NIH HHS - P30 CA091842

MeSH Terms:
United States Environment Design Questionnaires
Humans Nurses Aged
Body Mass Index Exercise Urban Renewal
Cross-Sectional Studies Prospective Studies Aged, 80 and over
Logistic Models Population Density Adult
Cohort Studies Middle Aged Female

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Perceived built environment and physical activity in U.S. women by sprawl and region.
Authors: Troped PJ, Tamura K, Whitcomb HA, Laden F
Source: Am J Prev Med, 2011 Nov;41(5), p. 473-9.
PMID: 22011417
Related Citations

Grant Numbers:
NCI NIH HHS - R21 CA125078-01 A1 NCI NIH HHS - R01 CA50385

MeSH Terms:
United States Environment Design Humans
Cross-Sectional Studies Prospective Studies Recreation
Logistic Models Perception Adult
Cohort Studies Motor Activity Data Collection
Middle Aged Residence Characteristics Urban Population
Female

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Persistent organochlorine pesticides in serum and risk of Parkinson disease.
Authors: Weisskopf MG, Knekt P, O'Reilly EJ, Lyytinen J, Reunanen A, Laden F, Altshul L, Ascherio A
Source: Neurology, 2010 Mar 30;74(13), p. 1055-61.
PMID: 20350979
Related Citations

Grant Numbers:
NIEHS NIH HHS - K01 ES012653 NIEHS NIH HHS - P30 ES000002 NINDS NIH HHS - R01 NS047467
NIOSH CDC HHS - R01 OH008171 NCI NIH HHS - R01 CA104786 NIEHS NIH HHS - P01 ES009825
NCI NIH HHS - R21 CA125078 NIEHS NIH HHS - R01 ES012667 NIEHS NIH HHS - R01 ES016284
NIAMS NIH HHS - P60 AR047782 NINDS NIH HHS - R01 NS48517 NINDS NIH HHS - R01 NS042194
NCI NIH HHS - R01 CA098122 NINDS NIH HHS - R01 NS045893 NINDS NIH HHS - R01 NS046635
NIOSH CDC HHS - R01 OH008649 NIEHS NIH HHS - R01 ES014370

MeSH Terms:
Young Adult Odds Ratio Finland
Humans Dieldrin Aged
Registries Smoking Parkinson Disease
Logistic Models Risk Factors Pesticides
Adult Hydrocarbons, Chlorinated Case-Control Studies
Environmental Exposure Middle Aged Female
Male

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Last Updated: August 24, 2012
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