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Non-freeway NOx tracks children's BMI growth

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In 4,550 Southern California children, non-freeway NOx associated with BMI at age 10 and 4-year growth; freeway NOx and near-road traffic density were weaker after confounding control.

Source

Traffic-related air pollution and obesity formation in children: a longitudinal, multilevel analysis

Jerrett M, McConnell R, Wolch J, et al. · Environmental health : a global access science source · 2014

doi.org/10.1186/1476-069x-13-49Read the full paper ↗185 citationscc by

Study at a glance

Design
Cohort — Longitudinal multilevel BMI growth models vs traffic density and CALINE-like NOx
N
N=4550 · 4,550 children in 13 Southern California communities
Population
Schoolchildren in Southern California communities
Outcome
BMI level and 4-year growth related to non-freeway vs freeway NOx and near-road traffic

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Non-freeway NOx tracks children's BMI growth

These passages occur verbatim in the stored paper text. They support the points listed below; they do not verify every statement in the explanation.

BMI increased approximately 2.6 units by year 5, to 19.35.

By year 5 of the study BMI had increased approximately 2.6 units to 19.35 (SD 4.21) with boys showing a slightly greater increase.

Obesity rates were 15% for BMI at or above the CDC 95th percentile.

Obesity rates measured as BMI scores equal to or greater than the 95th percentile were 15%.
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What they did

Multilevel growth models of measured BMI in a school cohort assigned baseline traffic density and CALINE-like freeway vs non-freeway NOx, adjusting for SES, smoking, greenness, fast food, and street connectivity.

What they found

Mean age 6.6 years; BMI rose ~2.6 units over 5 years. Traffic within 150 m was confounded (especially Spanish questionnaire). Non-freeway NOx stayed positively associated with BMI and slope; freeway NOx was not.

The limits

What it doesn't show

Observational BMI growth is not a randomized pollution trial; diet was not fully measured, and baseline-address exposure misses residential mobility.

Key terms

Non-freeway NOx
Modeled oxides of nitrogen from surface streets rather than freeways.
BMI growth curve
Intercept (level) and slope of body-mass index over childhood follow-up.
Traffic density
Vehicle activity within a 150 m home buffer.
Gamma index
Street-network connectivity affecting walking distances.
NDVI greenness
Vegetation around the home used as a neighborhood covariate.

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BMI growth associated with:

Common questions

Sample?

N = 4,550 children in 13 Southern California communities.

Which pollutant tracked BMI?

Non-freeway NOx, not freeway NOx.

Did 150 m traffic survive full adjustment?

Effect shrank >20% and lost borderline significance.

Entry age/BMI?

Mean 6.6 years; BMI 16.79.

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