Children living in areas with high levels of air pollution, noise and traffic are more likely to be OBESE, study suggests
- The health and diet patterns of more than 2,000 children in Spain was examined
- They also looked at 'weight influencing' factors surrounding their homes
- This included access to fast food restaurants, parks and public transport links
- Forty percent of the children living in the city were overweight or obese
- Understanding the relationship between obesity and urban environment can help experts produce a wider variety of healthcare programs to tackle obesity
Children living in areas of the country with higher levels of air pollution, noise and traffic are more likely to be obese, researchers claim.
A study of more than 2,000 children in Sabadell, near Barcelona, Spain, explored these key environmental factors and their impact on children's weight.
Children aged nine to 12 were examined by experts from the Barcelona Institute for Global Health and the University Institute for Primary Care Research Jordi Gol.
Forty percent of the children living in the city were overweight or obese at the time of the study, with urban factors including pollution, noise and traffic to blame.
The authors say that by understanding the mechanism of the relationship between an urban environment and childhood obesity can lead to the development of community-led health provisions to promote healthier behaviours in a city.
They couldn't say what caused the link, but suggest it may be air pollution inducing inflammation or oxidative stress, hormone disruption and visceral adiposity.

Children living in areas of the country with higher levels of air pollution, noise and traffic are more likely to be obese, researchers claim

A study of more than 2,000 children in Sabadell, near Barcelona, Spain, explored these key environmental factors and their impact on children's weight
The researchers investigated the association between urban factors that the children were exposed to between October 2017 and January 2019.
They explored the impact of ambient air pollution, green spaces, built environment, density of unhealthy food establishments, road traffic and road traffic noise.
They looked at various measures of childhood obesity including body mass index, waist circumference and body fat.
The team then looked at weight-related behaviours such as eating fast food and sugar-sweetened beverage consumption, physical activity, sedentary behaviour, sleep duration and general well-being.
To date, few studies have assessed whether the urban environment influences children's behaviours in order to better understand the relationship between this environment and the risk of childhood obesity.
'Higher levels of air pollution, traffic and noise were associated with higher body mass index and a higher likelihood of the child being overweight or obese,' explained lead author Jeroen de Bont.
Although the mechanisms that could explain this association remain unknown, the scientific team proposed various ideas that could fit the findings.
For example, they say air pollution could disrupt the molecular mechanisms that cause obesity by inducing inflammation or oxidative stress, hormone disruption and visceral adiposity.
Noise could influence sleep deprivation and increase stress hormones, which are associated with physical development in childhood and could increase the risk of becoming overweight.
The findings were consistent with those obtained in the same study when some environmental exposures were analysed separately.
In particular, the number of unhealthy food establishments in an area was also found to be associated with childhood obesity.
The team say this was probably because such an environment may favour higher fast food consumption and higher caloric intake.
The study did not, however, find an association between the urban environment and the level of physical activity, sedentary behaviour and other weight-related behaviours in children, although it is thought that such factors could play a role.
For example, in areas with a good public transport network and nearby facilities and shops, journeys tend to be made on foot or by bicycle, which increases children's physical activity.

Forty percent of the children living in the city were overweight or obese at the time of the study, with urban factors including pollution, noise and traffic to blame
The fact that the study did not find an association between these factors could be attributed to 'the difficulty of determining to what extent obesity itself influences weight-related behaviours,' explained de Bont.
Moreover, information on children's physical activity was collected using a questionnaire that did not take into account where the activities took place.
'We were able to find out if the children played basketball or football, but not if they cycled in nearby green spaces, for example,' he added.
Finally, 'socioeconomic status plays an important role in the association between the urban environment and childhood obesity that is not yet clear,' commented last author Martine Vrijheid, a researcher at ISGlobal.

The authors say that by understanding the mechanism of the relationship between an urban environment and childhood obesity can lead to the development of community-led health provisions to promote healthier behaviours in a city
In this study, children living in more deprived areas on the outskirts of the city had higher rates of overweight and obesity even though they were exposed to lower levels of air pollution, road traffic and noise .
Those children also had access to more green spaces, which prompted the authors to say that further research is needed to shed light on this issue.
The findings have been published in the journal Environment International.