This population-based cross-sectional study examined the relationship between self-rated living environment and excess body weight in a sample of 216 adults from Itirapuã, São Paulo State, Brazil. Logistic regression adjusted for gender and age showed that people living far from outdoor areas for physical exercise [OR = 2.05 (95%CI: 1.15; 3.66)] and primary schools [OR = 1.99 (95%CI: 1.13; 3.47)] had higher odds of excess weight. Satisfaction with the quality of available supermarkets [OR = 0.14 (95%CI: 0.03; 0.69) p = 0.02], adequate street lighting [OR = 0.37 (95%CI: 0.14; 0.96) p = 0.02], and pedestrians walking on sidewalks within one's line-of-sight [OR = 0.41 (95%CI: 0.18; 0.94) p = 0.03] were inversely associated with excess weight. The results suggest that small-town individuals' negative perceptions of their living environment are associated with excess weight.
Overweight; Body Weight; Environment