Investigating the relationship between attributes of the built environment and adult obesity in Alexandria, Egypt

Abstract Obesity is one of the 21st century’s most serious global health challenges. It has reached an alarming rate of increase in Egypt. This paper aims at understanding the possible impact of the built environment (BE) on adult obesity, on the neighborhood level. A cross-sectional study has been applied on two neighborhoods with different BE characteristics. Body mass index (BMI) were gathered from the Family Healthcare Unit and an on-site questionnaire (n = 309). BE features were documented using the Irvine-Minnesota Inventory. Then, data were analyzed using the State of Place™ Index. A survey was conducted to understand residents’ walking patterns and perception towards the BE. A logistic regression model was applied to analyze the survey results. Findings showed that a higher State of Place™ Index was associated with lower rates of adult overweight/obesity. Connectivity, form, traffic safety, and aesthetics were variables of considerable importance in the two study areas. The model showed that active means of transport and safety at night were two extra urban determinants that have a positive impact on BMI. All these factors may be what ultimately influences BMI. This paper paves the way for other researchers concerned with the possible impact of the BE on overweight/obesity.