Grant Details
Grant Number: |
1R01CA123243-01A2 Interpret this number |
Primary Investigator: |
Pentz, Mary |
Organization: |
University Of Southern California |
Project Title: |
Effects of a Smart Growth Community on Prevention of Family Obesity Risk |
Fiscal Year: |
2008 |
Abstract
DESCRIPTION (provided by applicant): As obesity risk increases in adults and youth in the U.S., the risks for multiple types of disease also increase, including at least 6 types of cancer. Smart growth communities represent 1 of 5 major building trends in the U.S., today, and the one most associated with obesity prevention potential. However, smart growth communities have not been systematically evaluated in research, either as the planned set of 10 principles or in terms of the combination of individual factors that contribute most to obesity risk prevention. The aim of this translational research study is to evaluate the longitudinal, temporal relationships of an entire built environment, the smart growth community, on family obesity risk, and to evaluate changes from this environment that mediate this risk. The research design is a 3 group hybrid design, involving aspects of both matching and a randomized trial. The sample consists of 600 families (1 index parent, 1 index child between age 10-14, 36% white, 44% Hispanic, 5% African-American, 11% Asian, 4% other). The intervention group is new resident families who are randomly drawn to live in a low-moderate income smart growth community in California (n=300). The randomly selected control is families matched in demographic and income characteristics to the intervention group who are interested in living in a smart growth community, but are not drawn in the random lottery (n=150). The matched control is 150 families who are matched on demographics and live adjacent to the smart growth community. The sample is stratified, with 50% moderate income single family home owners, 25% low- moderate income renters of multi-family residences, and 25% very low-low income renters. Measurement is longitudinal, with 4 waves of anthropomorphic, accelerometry, communication network, and self-report data on physical activity, obesity risk (BMI), and food intake; GIS mapped environmental indices that reflect measurable built environment characteristics of smart growth; and archival data on regional planning, traffic, and density. Analyses will evaluate the effects of all and individual smart growth principles on obesity risk, including multi-level modeling controlling for contextual effects of neighborhood and family variables, growth and growth mixture modeling to evaluate trajectories of physical activity changes, and structural equation modeling to test theoretical models of relationships. The findings are expected to have significant implications for the inclusion of health and obesity prevention factors in community planning. Results are expected to generalize across rural, suburban, and urban communities in the U.S. PUBLIC HEALTH RELEVANCE: Smart growth is one of five major community planning trends sweeping the U.S. today. The CDC estimates that 1/3 of all existing and new communities will use smart growth principles in their planning within 5-7 years. The 10 principles constituting smart growth have broad application to urban, suburban, and rural areas, as well as to unused infill and green field spaces. However, while a few of the 10 individual principles, e.g., green space allotment for walking, have been shown to relate cross-sectionally to increased physical activity, there has been no study of smart growth in its' entirety as a intervention for preventing obesity and improving health, no comparison of the relative impact of its' individual principles, and no longitudinal or randomized study of its' effects. The proposed study is innovative in that it involves the partnership of a transdisciplinary team of researchers, regional planners, a county public health department, and a major health coalition in evaluating the effects of smart growth on changing physical activity, eating behavior, BMI, and overall health practices in a randomized trial, the first of its' type. The findings are expected to have a significant impact on future community planning related to obesity prevention and health promotion, and will be disseminated through county public health and regional planning departments.
Publications
A videogame intervention for tobacco product use prevention in adolescents.
Authors: Pentz M.A.
, Hieftje K.D.
, Pendergrass T.M.
, Brito S.A.
, Liu M.
, Arora T.
, Tindle H.A.
, Krishnan-Sarin S.
, Fiellin L.E.
.
Source: Addictive Behaviors, 2019 Apr; 91, p. 188-192.
EPub date: 2018-11-14 00:00:00.0.
PMID: 30477819
Related Citations
Adolescents' perceptions of flavored tobacco products, including E-cigarettes: A qualitative study to inform FDA tobacco education efforts through videogames.
Authors: Camenga D.R.
, Fiellin L.E.
, Pendergrass T.
, Miller E.
, Pentz M.A.
, Hieftje K.
.
Source: Addictive Behaviors, 2018 Jul; 82, p. 189-194.
EPub date: 2018-03-13 00:00:00.0.
PMID: 29573891
Related Citations
Physical Activity And Variation In Momentary Behavioral Cognitions: An Ecological Momentary Assessment Study
Authors: Pickering T.A.
, Huh J.
, Intille S.
, Liao Y.
, Pentz M.A.
, Dunton G.F.
.
Source: Journal Of Physical Activity & Health, 2016 Mar; 13(3), p. 344-51.
PMID: 26284314
Related Citations
Momentary Assessment Of Contextual Influences On Affective Response During Physical Activity
Authors: Dunton G.F.
, Liao Y.
, Intille S.
, Huh J.
, Leventhal A.
.
Source: Health Psychology : Official Journal Of The Division Of Health Psychology, American Psychological Association, 2015 Dec; 34(12), p. 1145-53.
PMID: 26053885
Related Citations
Association Of Usual Self-reported Dietary Intake With Ecological Momentary Measures Of Affective And Physical Feeling States In Children
Authors: O'Reilly G.A.
, Huh J.
, Schembre S.M.
, Tate E.B.
, Pentz M.A.
, Dunton G.
.
Source: Appetite, 2015 Sep; 92, p. 314-21.
PMID: 26032196
Related Citations
Two Facets Of Stress And Indirect Effects On Child Diet Through Emotion-driven Eating
Authors: Tate E.B.
, Spruijt-Metz D.
, Pickering T.A.
, Pentz M.A.
.
Source: Eating Behaviors, 2015 Aug; 18, p. 84-90.
PMID: 26004248
Related Citations
Using Ecological Momentary Assessment To Understand Where And With Whom Adults' Physical And Sedentary Activity Occur
Authors: Liao Y.
, Intille S.S.
, Dunton G.F.
.
Source: International Journal Of Behavioral Medicine, 2015 Feb; 22(1), p. 51-61.
PMID: 24639067
Related Citations
Understanding The Physical And Social Contexts Of Children's Nonschool Sedentary Behavior: An Ecological Momentary Assessment Study
Authors: Liao Y.
, Intille S.
, Wolch J.
, Pentz M.A.
, Dunton G.F.
.
Source: Journal Of Physical Activity & Health, 2014 Mar; 11(3), p. 588-95.
PMID: 23493261
Related Citations
Momentary Assessment Of Affect, Physical Feeling States, And Physical Activity In Children
Authors: Dunton G.F.
, Huh J.
, Leventhal A.M.
, Riggs N.
, Hedeker D.
, Spruijt-Metz D.
, Pentz M.A.
.
Source: Health Psychology : Official Journal Of The Division Of Health Psychology, American Psychological Association, 2014 Mar; 33(3), p. 255-63.
PMID: 23668846
Related Citations
Neighborhood Park Use By Children: Use Of Accelerometry And Global Positioning Systems
Authors: Dunton G.F.
, Almanza E.
, Jerrett M.
, Wolch J.
, Pentz M.A.
.
Source: American Journal Of Preventive Medicine, 2014 Feb; 46(2), p. 136-42.
PMID: 24439346
Related Citations
Traffic-related Air Pollution And Obesity Formation In Children: A Longitudinal, Multilevel Analysis
Authors: Jerrett M.
, McConnell R.
, Wolch J.
, Chang R.
, Lam C.
, Dunton G.
, Gilliland F.
, Lurmann F.
, Islam T.
, Berhane K.
.
Source: Environmental Health : A Global Access Science Source, 2014; 13, p. 49.
PMID: 24913018
Related Citations
Smart Growth Community Design And Physical Activity In Children
Authors: Jerrett M.
, Almanza E.
, Davies M.
, Wolch J.
, Dunton G.
, Spruitj-Metz D.
, Ann Pentz M.
.
Source: American Journal Of Preventive Medicine, 2013 Oct; 45(4), p. 386-92.
PMID: 24050413
Related Citations
Factors Influencing Whether Children Walk To School
Authors: Su J.G.
, Jerrett M.
, McConnell R.
, Berhane K.
, Dunton G.
, Shankardass K.
, Reynolds K.
, Chang R.
, Wolch J.
.
Source: Health & Place, 2013 Jul; 22, p. 153-61.
PMID: 23707968
Related Citations
Locations Of Joint Physical Activity In Parent-child Pairs Based On Accelerometer And Gps Monitoring
Authors: Dunton G.F.
, Liao Y.
, Almanza E.
, Jerrett M.
, Spruijt-Metz D.
, Pentz M.A.
.
Source: Annals Of Behavioral Medicine : A Publication Of The Society Of Behavioral Medicine, 2013 Feb; 45 Suppl 1, p. S162-72.
PMID: 23011914
Related Citations
Joint Physical Activity And Sedentary Behavior In Parent-child Pairs
Authors: Dunton G.F.
, Liao Y.
, Almanza E.
, Jerrett M.
, Spruijt-Metz D.
, Chou C.P.
, Pentz M.A.
.
Source: Medicine And Science In Sports And Exercise, 2012 Aug; 44(8), p. 1473-80.
PMID: 22367744
Related Citations
Children's Perceptions Of Physical Activity Environments Captured Through Ecological Momentary Assessment: A Validation Study
Authors: Dunton G.F.
, Intille S.S.
, Wolch J.
, Pentz M.A.
.
Source: Preventive Medicine, 2012 Aug; 55(2), p. 119-21.
PMID: 22659225
Related Citations
Organized Physical Activity In Young School Children And Subsequent 4-year Change In Body Mass Index
Authors: Dunton G.
, McConnell R.
, Jerrett M.
, Wolch J.
, Lam C.
, Gilliland F.
, Berhane K.
.
Source: Archives Of Pediatrics & Adolescent Medicine, 2012 Aug; 166(8), p. 713-8.
PMID: 22869403
Related Citations
Does Community Type Moderate The Relationship Between Parent Perceptions Of The Neighborhood And Physical Activity In Children?
Authors: Durand C.P.
, Dunton G.F.
, Spruijt-Metz D.
, Pentz M.A.
.
Source: American Journal Of Health Promotion : Ajhp, 2012 Jul-Aug; 26(6), p. 371-80.
PMID: 22747320
Related Citations
Assessing The Social And Physical Contexts Of Children's Leisure-time Physical Activity: An Ecological Momentary Assessment Study
Authors: Dunton G.F.
, Kawabata K.
, Intille S.
, Wolch J.
, Pentz M.A.
.
Source: American Journal Of Health Promotion : Ajhp, 2012 Jan-Feb; 26(3), p. 135-42.
PMID: 22208410
Related Citations
A Study Of Community Design, Greenness, And Physical Activity In Children Using Satellite, Gps And Accelerometer Data
Authors: Almanza E.
, Jerrett M.
, Dunton G.
, Seto E.
, Pentz M.A.
.
Source: Health & Place, 2012 Jan; 18(1), p. 46-54.
PMID: 22243906
Related Citations
Investigating The Impact Of A Smart Growth Community On The Contexts Of Children's Physical Activity Using Ecological Momentary Assessment
Authors: Dunton G.F.
, Intille S.S.
, Wolch J.
, Pentz M.A.
.
Source: Health & Place, 2012 Jan; 18(1), p. 76-84.
PMID: 22243909
Related Citations
Investigating Children's Physical Activity And Sedentary Behavior Using Ecological Momentary Assessment With Mobile Phones
Authors: Dunton G.F.
, Liao Y.
, Intille S.S.
, Spruijt-Metz D.
, Pentz M.
.
Source: Obesity (silver Spring, Md.), 2011 Jun; 19(6), p. 1205-12.
PMID: 21164502
Related Citations
A Systematic Review Of Built Environment Factors Related To Physical Activity And Obesity Risk: Implications For Smart Growth Urban Planning
Authors: Durand C.P.
, Andalib M.
, Dunton G.F.
, Wolch J.
, Pentz M.A.
.
Source: Obesity Reviews : An Official Journal Of The International Association For The Study Of Obesity, 2011 May; 12(5), p. e173-82.
PMID: 21348918
Related Citations
Identifying Patterns Of Eating And Physical Activity In Children: A Latent Class Analysis Of Obesity Risk
Authors: Huh J.
, Riggs N.R.
, Spruijt-Metz D.
, Chou C.P.
, Huang Z.
, Pentz M.
.
Source: Obesity (silver Spring, Md.), 2011 Mar; 19(3), p. 652-8.
PMID: 20930718
Related Citations
Childhood Obesity And Proximity To Urban Parks And Recreational Resources: A Longitudinal Cohort Study
Authors: Wolch J.
, Jerrett M.
, Reynolds K.
, McConnell R.
, Chang R.
, Dahmann N.
, Brady K.
, Gilliland F.
, Su J.G.
, Berhane K.
.
Source: Health & Place, 2011 Jan; 17(1), p. 207-14.
PMID: 21075670
Related Citations
Physical And Social Contextual Influences On Children's Leisure-time Physical Activity: An Ecological Momentary Assessment Study
Authors: Dunton G.F.
, Liao Y.
, Intille S.
, Wolch J.
, Pentz M.A.
.
Source: Journal Of Physical Activity & Health, 2011 Jan; 8 Suppl 1, p. S103-8.
PMID: 21350250
Related Citations
Automobile Traffic Around The Home And Attained Body Mass Index: A Longitudinal Cohort Study Of Children Aged 10-18 Years
Authors: Jerrett M.
, McConnell R.
, Chang C.C.
, Wolch J.
, Reynolds K.
, Lurmann F.
, Gilliland F.
, Berhane K.
.
Source: Preventive Medicine, 2010 Jan; 50 Suppl 1, p. S50-8.
PMID: 19850068
Related Citations