Change in waist circumference with longer time in the United States among Hispanic and Chinese immigrants: The modifying role of the neighborhood built environment

Sandra S. Albrecht; Theresa L. Osypuk; Namratha R. Kandula; Linda C. Gallo; Félice Lê-Scherban; Sandi Shrager; Ana V. Diez Roux

doi:10.1016/j.annepidem.2015.07.003

Change in waist circumference with longer time in the United States among Hispanic and Chinese immigrants: The modifying role of the neighborhood built environment

Sandra S. Albrecht^*, Theresa L. Osypuk, Namratha R. Kandula, Linda C. Gallo, Félice Lê-Scherban, Sandi Shrager, Ana V. Diez Roux

^*Corresponding author for this work

Medicine, General Medicine Division

Research output: Contribution to journal › Article › peer-review

21 Scopus citations

Abstract

Purpose: We examined whether living in neighborhoods supportive of healthier diets and more active lifestyles may buffer immigrants against the unhealthy weight gain that is purported to occur with longer length of US residence. Methods: Neighborhood data referring to a 1-mile buffer around participants' baseline home addresses were linked to longitudinal data from 877 Hispanic and 684 Chinese immigrants aged 45 to 84years in the Multi-Ethnic Study of Atherosclerosis. We used ethnicity-stratified linear mixed models to examine whether food and activity-based neighborhood measures (healthy food stores, walkability, and recreational facilities) were associated with change in waist circumference (WC) over a 9-year follow-up. Results: Among Hispanics, living in neighborhoods with more resources for healthy food and recreational activity was related to lower baseline WC. However, there was no association with change in WC over time. Among Chinese, living in more walkable neighborhoods was associated with lower baseline WC and with slower increases in WC over time, especially among the most recent immigrant arrivals. Conclusions: Where immigrants reside may have implications for health patterns that emerge with longer time in the United States.

Original language	English (US)
Pages (from-to)	767-772.e2
Journal	Annals of Epidemiology
Volume	25
Issue number	10
DOIs	https://doi.org/10.1016/j.annepidem.2015.07.003
State	Published - Oct 1 2015

Funding

This work was supported by the National Heart, Lung, and Blood Institute Research Supplement to Promote Diversity in Health-Related Research, supplement to grant R01 HL071759 05A1 (D.R.); and by the Michigan Center for Integrative Approaches to Health Disparities ( P60 MD002249 ) funded by the National Institute on Minority Health and Health Disparities . The Multi-Ethnic Study of Atherosclerosis is supported by contracts N01-HC-95159 through N01-HC-95169 from the National Heart, Lung, and Blood Institute . S.S.A. also received support from the Population Research Training grant ( T32 HD007168 ) and the Population Research Infrastructure Program ( R24 HD050924 ) awarded to the Carolina Population Center at the University of North Carolina at Chapel Hill by the Eunice Kennedy Shriver National Institute of Child Health and Human Development .

Keywords

Acculturation
Immigrants
Longitudinal
Neighborhood
Waist circumference

ASJC Scopus subject areas

Epidemiology

Access to Document

10.1016/j.annepidem.2015.07.003

Cite this

Albrecht, S. S., Osypuk, T. L., Kandula, N. R., Gallo, L. C., Lê-Scherban, F., Shrager, S., & Diez Roux, A. V. (2015). Change in waist circumference with longer time in the United States among Hispanic and Chinese immigrants: The modifying role of the neighborhood built environment. Annals of Epidemiology, 25(10), 767-772.e2. https://doi.org/10.1016/j.annepidem.2015.07.003

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title = "Change in waist circumference with longer time in the United States among Hispanic and Chinese immigrants: The modifying role of the neighborhood built environment",

abstract = "Purpose: We examined whether living in neighborhoods supportive of healthier diets and more active lifestyles may buffer immigrants against the unhealthy weight gain that is purported to occur with longer length of US residence. Methods: Neighborhood data referring to a 1-mile buffer around participants' baseline home addresses were linked to longitudinal data from 877 Hispanic and 684 Chinese immigrants aged 45 to 84years in the Multi-Ethnic Study of Atherosclerosis. We used ethnicity-stratified linear mixed models to examine whether food and activity-based neighborhood measures (healthy food stores, walkability, and recreational facilities) were associated with change in waist circumference (WC) over a 9-year follow-up. Results: Among Hispanics, living in neighborhoods with more resources for healthy food and recreational activity was related to lower baseline WC. However, there was no association with change in WC over time. Among Chinese, living in more walkable neighborhoods was associated with lower baseline WC and with slower increases in WC over time, especially among the most recent immigrant arrivals. Conclusions: Where immigrants reside may have implications for health patterns that emerge with longer time in the United States.",

keywords = "Acculturation, Immigrants, Longitudinal, Neighborhood, Waist circumference",

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Albrecht, SS, Osypuk, TL, Kandula, NR, Gallo, LC, Lê-Scherban, F, Shrager, S & Diez Roux, AV 2015, 'Change in waist circumference with longer time in the United States among Hispanic and Chinese immigrants: The modifying role of the neighborhood built environment', Annals of Epidemiology, vol. 25, no. 10, pp. 767-772.e2. https://doi.org/10.1016/j.annepidem.2015.07.003

Change in waist circumference with longer time in the United States among Hispanic and Chinese immigrants: The modifying role of the neighborhood built environment. / Albrecht, Sandra S.; Osypuk, Theresa L.; Kandula, Namratha R. et al.
In: Annals of Epidemiology, Vol. 25, No. 10, 01.10.2015, p. 767-772.e2.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Change in waist circumference with longer time in the United States among Hispanic and Chinese immigrants

T2 - The modifying role of the neighborhood built environment

AU - Albrecht, Sandra S.

AU - Osypuk, Theresa L.

AU - Kandula, Namratha R.

AU - Gallo, Linda C.

AU - Lê-Scherban, Félice

AU - Shrager, Sandi

AU - Diez Roux, Ana V.

PY - 2015/10/1

Y1 - 2015/10/1

N2 - Purpose: We examined whether living in neighborhoods supportive of healthier diets and more active lifestyles may buffer immigrants against the unhealthy weight gain that is purported to occur with longer length of US residence. Methods: Neighborhood data referring to a 1-mile buffer around participants' baseline home addresses were linked to longitudinal data from 877 Hispanic and 684 Chinese immigrants aged 45 to 84years in the Multi-Ethnic Study of Atherosclerosis. We used ethnicity-stratified linear mixed models to examine whether food and activity-based neighborhood measures (healthy food stores, walkability, and recreational facilities) were associated with change in waist circumference (WC) over a 9-year follow-up. Results: Among Hispanics, living in neighborhoods with more resources for healthy food and recreational activity was related to lower baseline WC. However, there was no association with change in WC over time. Among Chinese, living in more walkable neighborhoods was associated with lower baseline WC and with slower increases in WC over time, especially among the most recent immigrant arrivals. Conclusions: Where immigrants reside may have implications for health patterns that emerge with longer time in the United States.

AB - Purpose: We examined whether living in neighborhoods supportive of healthier diets and more active lifestyles may buffer immigrants against the unhealthy weight gain that is purported to occur with longer length of US residence. Methods: Neighborhood data referring to a 1-mile buffer around participants' baseline home addresses were linked to longitudinal data from 877 Hispanic and 684 Chinese immigrants aged 45 to 84years in the Multi-Ethnic Study of Atherosclerosis. We used ethnicity-stratified linear mixed models to examine whether food and activity-based neighborhood measures (healthy food stores, walkability, and recreational facilities) were associated with change in waist circumference (WC) over a 9-year follow-up. Results: Among Hispanics, living in neighborhoods with more resources for healthy food and recreational activity was related to lower baseline WC. However, there was no association with change in WC over time. Among Chinese, living in more walkable neighborhoods was associated with lower baseline WC and with slower increases in WC over time, especially among the most recent immigrant arrivals. Conclusions: Where immigrants reside may have implications for health patterns that emerge with longer time in the United States.

KW - Acculturation

KW - Immigrants

KW - Longitudinal

KW - Neighborhood

KW - Waist circumference

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ER -

Change in waist circumference with longer time in the United States among Hispanic and Chinese immigrants: The modifying role of the neighborhood built environment

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