HIGHLIGHTS
SUMMARY
Obesity is an urgent public health problem. Other studies have reported significant differences in mean BMI and waist circumference by neighborhood built environment characteristics such as access to parks, transit, grocery stores, fast food restaurants, convenience stores, and by walkability scores. Few studies have examined if and how the effectiveness of lifestyle-modification interventions, such as the one tested in the HEALTH study, varies depending on the characteristics of the built environment of neighborhoods where participants live. Using an ecological approach, the aim of this study was to examine whether different characteristics of the . . .

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