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American Journal of Epidemiology Advance Access originally published online on January 19, 2009
American Journal of Epidemiology 2009 169(4):409-412; doi:10.1093/aje/kwn394
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American Journal of Epidemiology © 2009 The Authors
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/2.0/uk/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Invited Commentary

Invited Commentary: Built Environment and Obesity Among Older Adults—Can Neighborhood-level Policy Interventions Make a Difference?

Yvonne L. Michael and Irene H. Yen

Correspondence to Dr. Yvonne L. Michael, 3181 SW Sam Jackson Park Road, Portland, OR 97239 (e-mail: michaely{at}ohsu.edu).

Received for publication October 16, 2008. Accepted for publication October 29, 2008.

Obesity is more prevalent and its consequences severe among middle-aged and older adults. Efforts to understand and address neighborhood-level causes of obesity in this population offer the potential to enhance health and reduce the costs of obesity for everyone. The accompanying paper by Li et al. (Am J Epidemiol. 2009;169(4):401–408) presents new data on the apparently significant interaction between neighborhood and individual characteristics on 1-year change in body weight and waist circumference. Despite methodological limitations in measurement, this paper supports the importance of future research that considers the complex relation between people and where they live. Efforts to design neighborhood-level policy interventions to effectively address the problem of obesity will require greater interdisciplinary collaboration.

aged; obesity; residence characteristics


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Related articles in Am. J. Epidemiol.:

Built Environment and 1-Year Change in Weight and Waist Circumference in Middle-Aged and Older Adults: Portland Neighborhood Environment and Health Study
Fuzhong Li, Peter Harmer, Bradley J. Cardinal, Mark Bosworth, Deborah Johnson-Shelton, Jane M. Moore, Alan Acock, and Naruepon Vongjaturapat
Am. J. Epidemiol. 2009 169: 401-408. [Abstract] [FREE Full Text]  



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F. Li, P. Harmer, and B. J. Cardinal
Li et al. Respond to "Can Neighborhood-level Interventions Make a Difference?"
Am. J. Epidemiol., February 15, 2009; 169(4): 413 - 414.
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