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Neighborhood effect and obesity in adult survivors of pediatric cancer: A report from the St. Jude Lifetime Cohort Study

International Journal of Cancer Oct 17, 2019

Howell CR, Wilson CL, Yasui Y, et al. – Because childhood cancer survivors at risk for becoming obese, researchers investigated the link between neighborhood-level factors and obesity among survivors in the St. Jude Lifetime cohort and community comparison group members (N = 2,265; 85% white). Survivors completed questionnaires on individual behaviors; percentage body fat was assessed using dual x-ray absorptiometry; and neighborhood effect was characterized using census tract of residence. The researchers found that the probability of residing in neighborhoods with lower socioeconomic status and rural areas was greater among obese childhood cancer survivors (n = 1,420; 62.7%) vs survivors with normal percentage body fat. They noted that percentage body fat was directly influenced by resource-poor neighborhoods and cranial radiation. Those with poor diets exhibited increased associations between neighborhood of residence and percentage body fat. Neighborhoods where survivors live as adults were found to be related to obesity. Strategies addressing the environmental impact on obesity were recommended to be included in interventions targeting survivors.

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