{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:36:16Z","timestamp":1792787776327,"version":"4.5.0"},"reference-count":54,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Canadian Institutes of Health Research","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"https:\/\/ror.org\/01gavpb45","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Childhood Obesity"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Neighborhood environments are recognized as important determinants of movement behaviors; however, their role in shaping behavior change following the initiation of obesity care remains poorly understood. We examined associations between neighborhoods and movement behavior changes among children and adolescents 1 year after initiating obesity care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Analysis of baseline and 1-year postbaseline data of the CANadian Pediatric Weight Management Registry was conducted (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 481; 5\u201317 years). At both time points, questionnaire-assessed behaviors included total physical activity (PA), organized PA, screen time, and sleep duration. PA outcomes were categorized as always high\/increased versus always low\/declined. Screen time and sleep duration were categorized using age-specific recommendations (always\/newly meeting vs. never\/no longer meeting recommendations). Neighborhood walkability, greenness, and material and social deprivation were obtained for three-digit postal codes. Generalized estimating equations were used to model associations between neighborhood characteristics and outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Participants (51% boys; mean \u00b1 standard deviation: age, 11.9 \u00b1 3.1 years; zBMI, 3.3 \u00b1 1.1) residing in the least (vs. most) materially deprived neighborhoods were more likely to report always high\/increased participation in organized PA (prevalence ratio [PR] = 1.22, 95% confidence interval [CI]: 1.09\u20131.37). Participants residing in medium (vs. most) materially deprived neighborhoods were more likely to report always high\/increased total PA (PR = 1.18, 95% CI: 1.01\u20131.37). When restricting to participants with low PA at baseline, only material deprivation remained associated with improvements in organized PA (PR = 2.09, 95% CI: 1.31\u20133.32).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Children in less materially deprived neighborhoods may be more likely to improve or maintain PA over 1 year of obesity care, independent of family-level socioeconomic status. Other neighborhood characteristics showed no association with movement behavior changes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21532176261493279","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T07:51:03Z","timestamp":1791445863000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Neighborhood Characteristics and Changes in Movement Behaviors During Pediatric Obesity Care: A Secondary Analysis of the CANadian Pediatric Weight Management Registry"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6479-2623","authenticated-orcid":false,"given":"Yujia","family":"Tang","sequence":"first","affiliation":[{"name":"Ingram School of Nursing, McGill University, Montreal, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Semenic","sequence":"additional","affiliation":[{"name":"Ingram School of Nursing, McGill University, Montreal, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aur\u00e9lie","family":"Baillot","sequence":"additional","affiliation":[{"name":"Interdisciplinary School of Health, Universit\u00e9 du Qu\u00e9bec en Outaouais, Gatineau, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myl\u00e8ne","family":"Riva","sequence":"additional","affiliation":[{"name":"Department of Geography, Canada Research Chair in Housing Community and Health, McGill University, Montreal, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoff D.C.","family":"Ball","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine &amp; Dentistry, College of Health Sciences, University of Alberta, Edmonton, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stasia","family":"Hadjiyannakis","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Ottawa, Ottawa, Canada."},{"name":"CHEO\u2019s Centre for Healthy Active Living, Ottawa, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada."},{"name":"Sick Kids Hospital, Toronto, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josephine","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, Canada."},{"name":"Alberta Children\u2019s Hospital, Calgary, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Legault","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada."},{"name":"Montreal Children\u2019s Hospital of the McGill University Health Center, Montreal, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark S.","family":"Tremblay","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Ottawa, Ottawa, Canada."},{"name":"Children\u2019s Hospital of Eastern Ontario Research Institute, Ottawa, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Zenlea","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada."},{"name":"Institute for Better Health, Trillium Health Partners, Mississauga, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine M.","family":"Morrison","sequence":"additional","affiliation":[{"name":"Population Health Research Institute, McMaster University, Hamilton, Canada."},{"name":"Department of Pediatrics, McMaster University, Hamilton, Canada."},{"name":"Centre for Metabolism, Obesity and Diabetes Research, McMaster University, Hamilton, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andraea","family":"Van Hulst","sequence":"additional","affiliation":[{"name":"Ingram School of Nursing, McGill University, Montreal, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"1.World Health Organization. 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