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Title
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Resilience to obesity among socioeconomically disadvantaged women: the READI study
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Author
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Abstract
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| Objective: This cross-sectional study aimed to identify sociodemographic and behavioural characteristics of 'overweight-resilient' women, that is, women who were in a healthy body weight range, despite living in socioeconomically disadvantaged neighbourhoods that place them at increased risk of obesity. The study also aimed to test a comprehensive theoretically derived model of the associations between intrapersonal, social and environmental factors and obesity among this target group. Participants: A total of 3235 women aged 18-45 years from 80 urban and rural neighbourhoods throughout Victoria, Australia, participated in the Resilience for Eating and Activity Despite Inequality study. Measurements: Women reported height, weight, sociodemographic characteristics, leisure-time physical activity, dietary behaviours and a range of theoretically derived cognitive, social and neighbourhood environmental characteristics hypothesized to influence obesity risk. A theoretical model predicting body mass index (BMI) was tested using structural equation models. Results: Women classified as 'resilient' to obesity tended to be younger, born overseas, more highly educated, unmarried and to have higher or undisclosed household incomes. They engaged in more leisure-time physical activity and consumed less fast foods and soft drinks than overweight/obese women. Neighbourhood characteristics, social characteristics and cognitive characteristics all contributed to explaining variation in BMI in the hypothesized directions. Conclusions: These results demonstrate several characteristics of women appearing 'resilient' to obesity, despite their increased risk conferred by residing in socioeconomically disadvantaged neighbourhoods. Acknowledging the cross-sectional study design, the results advance theoretical frameworks aimed at investigating obesity risk by providing evidence in support of a comprehensive model of direct and indirect effects on obesity of neighbourhood, as well as social, cognitive and behavioural characteristics. International Journal of Obesity (2012) 36, 855-865; doi:10.1038/ijo.2011.183; published online 20 September 2011 |
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Language
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English
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Source (journal)
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International journal of obesity. - London, 1977, currens
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Publication
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London
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2012
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ISSN
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0307-0565
[print]
1476-5497
[online]
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DOI
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10.1038/IJO.2011.183
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Volume/pages
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36
:6
(2012)
, p. 855-865
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ISI
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000305282400013
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Pubmed ID
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21931326
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Full text (Publisher's DOI)
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