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Publication - Professor Angie Page

    Housing, neighbourhood and sociodemographic associations with adult levels of physical activity and adiposity

    Baseline findings from the ENABLE London study


    Nightingale, CM, Rudnicka, AR, Ram, B, Shankar, A, Limb, ES, Procter, D, Cooper, AR, Page, AS, Ellaway, A, Giles-Corti, B, Clary, C, Lewis, D, Cummins, S, Whincup, PH, Cook, DG & Owen, CG, 2018, ‘Housing, neighbourhood and sociodemographic associations with adult levels of physical activity and adiposity: Baseline findings from the ENABLE London study’. BMJ Open, vol 8.


    Objectives: The neighbourhood environment is increasingly shown to be an important correlate of health. We assessed associations between housing tenure, neighbourhood perceptions, sociodemographic factors, and levels of physical activity (PA) and adiposity among adults seeking housing in East Village (formerly London 2012 Olympic/Paralympic Games Athletes’ Village). Setting: Cross-sectional analysis of adults seeking social, intermediate and market-rent housing in East Village.

    Participants: 1278 participants took part in the study (58% female). Complete data on adiposity (body mass index [BMI] and fat mass %) were available for 1240 participants (97%); of these a sub-set of 1107 participants (89%) met the inclusion criteria for analyses of accelerometer-based measurements of PA. We examined associations between housing sector sought, neighbourhood perceptions (covariates) and PA and adiposity (dependent variables) adjusted for household clustering, sex, age group, ethnic group, and limiting longstanding illness.

    Results: Participants seeking social housing had the fewest daily steps (8304, 95%CI 7959,8648) and highest BMI (26.0kg/m 2 95%CI 25.5,26.5kg/m 2 ) compared with those seeking intermediate (daily steps 9417, 95%CI 9106,9731; BMI 24.8kg/m 2 95%CI 24.4,25.2kg/m 2 ) or market-rent housing (daily steps 9313, 95%CI 8858,9768; BMI 24.6kg/m 2 95%CI 24.0,25.2kg/m 2 ). Those seeking social housing had lower levels of PA (by 19-42%) at weekends vs weekdays, compared with other housing groups. Positive perceptions of neighbourhood quality were associated with higher steps and lower BMI, with differences between social and intermediate groups reduced by ~10% following adjustment, equivalent to a reduction of 111 for steps and 0.5kg/m2 for BMI.

    Full details in the University publications repository