Determining the relationship between
physical environment and weight status
using Google Street View
Ketevan Glonti
Research Fellow - ECOHOST
Improving health worldwide
www.lshtm.ac.uk
Enhancing data capture in health research using digital technology
Obesogenic environment
• “The sum of influences that the surroundings,
opportunities or conditions of life have on promoting
obesity in individuals or populations”*
• All around us, with an impact on everyday behaviour,
choices and health
* Swinburn, B., G. Egger, and F. Raza, Dissecting obesogenic environments: the
development and application of a framework for identifying and prioritizing environmental
interventions for obesity. Prev Med, 1999. 29(6 Pt 1): p. 563-70.
Obesogenic environments
• Another photo example of an obesogenic environment -
supermarket
Obesogenic environments
SPOTLIGHT
• EU-funded project
• SPOTLIGHT – Sustainable Prevention of Obesity Through
Integrated Strategies
• Addressing the social and environmental determinants
of obesity
Measuring the obesogenic environment
across European regions
ENVIRONMENT
(objective measures)
Social
Physical
Obesity
INDIVIDUAL
Obesity related behaviors
Environmental perceptions
Neighbourhood audit Individual survey
Virtual audit Online
At neighbourhood level
Defining
neighbourhoods
9
2 CHARACTERISTICS
Residential density
- A central component
of both urban sprawl
and land use mix
- Percentage of
coverage of buildings
devoted to residential
facilities
- Available at
European level from
the European Urban
Atlas dataset
Median income (SES)
5 URBAN REGIONS
4 Types : Low / High Density X SES
Neighbourhood audit Individual survey
Virtual audit Online
In 5 European cities
Random selection
3 neighborhoods per typology
12 neighborhoods by region
Total: 60 neighborhoods
Sampling neighbourhoods
Field audit tools
• ANC (Active Neighborhood Checklist)
• Neighborhood Attributes Inventory
• PHDCN (Project on Human Development in Chicago Neighborhoods)
• NALP (Neighborhood Active Living Potential)
• SPACES (Systematic Pedestrian and Cycling Environmental Scan)
• NOC (Neighborhood Observational Checklist)
• HAN (Healthy Aging research Network Environmental Audit Tool)
• PEDS (Pedestrian Environmental Data Scan)
• REAT (Residential Environment Assessment Tool)
• WABSA (Walkability and Biking suitability Assessment)
• BESSC (Built Environment Site Survey Checklist)
• SSO (Systematic Social Observation Tool)
• EPOCH I (Environmental Profile of a Community’s Health)
Google Street View
• Launched in 2007
• Based on a mobile mapping system
• Collected using cameras on moving vehicles
• Panoramic and omnidirectional views at ‘eye-level’
• Easy to use
• Free 
Google Street View
Virtual audits
Easy and free to use
especially in large areas
Time saved
especially travel time
Safe alternative
especially in unsafe
neighbourhoods
ADVANTAGES
Uncovered areas
Temporal variability: time
of day, season, weather
Date of data collection
(update)
Obstructed view
LIMITATIONS
Tool assesses 4 general
areas:
• Characteristics of
street design
• Land use
• Food outlets
• Recreational facilities
(indoor/outdoor)
• 42 items
Virtual vs. Field audit
Presence Agreement
Walking related items 97 %
Cycling related items 94.4 %
Public transport 98.9 %
Aesthetics 87.3 %
Food outlets 99.9 %
Physical activity facilities 97.1 %
Overall 95.6 %
Bethlehem et al. Int J Health Geographics
2014
128 street segments
4 Dutch urban neighbourhoods
Virtual audit
The SPOTLIGHT Virtual Audit Tool
Google Street View
Virtual Audit
Self-defined neighborhoods
25
“Please draw the boundaries of what you regard as
your neighborhood on the map below”
Charreire et al. In preparation
Conclusions
• New tools and measures developed
To assess environmental characteristics potentially associated
with obesity
• Objective aspects (virtual audit)
• Perceptions (neighbourhood limits)
• Individual choices (mode of transport and food outlets)
• With the aim
– to refine our understanding of the interactions between
environmental and individual influences in the
development of obesity
– to design new strategies for interventions to address the
issue of obesity at different scales in Europe
Thank you for your attention!
Questions?
Special thanks to all colleagues from the SPOTLIGHT team
Contact details:
ketevan.glonti@lshtm.ac.uk
Improving health worldwide
www.lshtm.ac.uk

Determining the relationship between physical environment and weight status using Google Street View

  • 1.
    Determining the relationshipbetween physical environment and weight status using Google Street View Ketevan Glonti Research Fellow - ECOHOST Improving health worldwide www.lshtm.ac.uk Enhancing data capture in health research using digital technology
  • 2.
    Obesogenic environment • “Thesum of influences that the surroundings, opportunities or conditions of life have on promoting obesity in individuals or populations”* • All around us, with an impact on everyday behaviour, choices and health * Swinburn, B., G. Egger, and F. Raza, Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev Med, 1999. 29(6 Pt 1): p. 563-70.
  • 4.
    Obesogenic environments • Anotherphoto example of an obesogenic environment - supermarket
  • 5.
  • 7.
    SPOTLIGHT • EU-funded project •SPOTLIGHT – Sustainable Prevention of Obesity Through Integrated Strategies • Addressing the social and environmental determinants of obesity
  • 8.
    Measuring the obesogenicenvironment across European regions ENVIRONMENT (objective measures) Social Physical Obesity INDIVIDUAL Obesity related behaviors Environmental perceptions Neighbourhood audit Individual survey Virtual audit Online At neighbourhood level
  • 9.
    Defining neighbourhoods 9 2 CHARACTERISTICS Residential density -A central component of both urban sprawl and land use mix - Percentage of coverage of buildings devoted to residential facilities - Available at European level from the European Urban Atlas dataset Median income (SES) 5 URBAN REGIONS 4 Types : Low / High Density X SES
  • 10.
    Neighbourhood audit Individualsurvey Virtual audit Online In 5 European cities Random selection 3 neighborhoods per typology 12 neighborhoods by region Total: 60 neighborhoods Sampling neighbourhoods
  • 11.
    Field audit tools •ANC (Active Neighborhood Checklist) • Neighborhood Attributes Inventory • PHDCN (Project on Human Development in Chicago Neighborhoods) • NALP (Neighborhood Active Living Potential) • SPACES (Systematic Pedestrian and Cycling Environmental Scan) • NOC (Neighborhood Observational Checklist) • HAN (Healthy Aging research Network Environmental Audit Tool) • PEDS (Pedestrian Environmental Data Scan) • REAT (Residential Environment Assessment Tool) • WABSA (Walkability and Biking suitability Assessment) • BESSC (Built Environment Site Survey Checklist) • SSO (Systematic Social Observation Tool) • EPOCH I (Environmental Profile of a Community’s Health)
  • 12.
    Google Street View •Launched in 2007 • Based on a mobile mapping system • Collected using cameras on moving vehicles • Panoramic and omnidirectional views at ‘eye-level’ • Easy to use • Free 
  • 14.
  • 15.
    Virtual audits Easy andfree to use especially in large areas Time saved especially travel time Safe alternative especially in unsafe neighbourhoods ADVANTAGES Uncovered areas Temporal variability: time of day, season, weather Date of data collection (update) Obstructed view LIMITATIONS
  • 16.
    Tool assesses 4general areas: • Characteristics of street design • Land use • Food outlets • Recreational facilities (indoor/outdoor) • 42 items
  • 17.
    Virtual vs. Fieldaudit Presence Agreement Walking related items 97 % Cycling related items 94.4 % Public transport 98.9 % Aesthetics 87.3 % Food outlets 99.9 % Physical activity facilities 97.1 % Overall 95.6 % Bethlehem et al. Int J Health Geographics 2014 128 street segments 4 Dutch urban neighbourhoods
  • 18.
    Virtual audit The SPOTLIGHTVirtual Audit Tool Google Street View
  • 19.
  • 25.
    Self-defined neighborhoods 25 “Please drawthe boundaries of what you regard as your neighborhood on the map below”
  • 26.
    Charreire et al.In preparation
  • 27.
    Conclusions • New toolsand measures developed To assess environmental characteristics potentially associated with obesity • Objective aspects (virtual audit) • Perceptions (neighbourhood limits) • Individual choices (mode of transport and food outlets) • With the aim – to refine our understanding of the interactions between environmental and individual influences in the development of obesity – to design new strategies for interventions to address the issue of obesity at different scales in Europe
  • 28.
    Thank you foryour attention! Questions? Special thanks to all colleagues from the SPOTLIGHT team Contact details: ketevan.glonti@lshtm.ac.uk Improving health worldwide www.lshtm.ac.uk