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In conclusion, our selected BE metrics were strongly associated with obesity prevalence at baseline but had limited influence on body weight gain over a 5-year period. It would appear that those neighborhoods that are commonly described as "obesogenic" might have less obesogenic power than expected. That finding has implications for those obesity prevention policies or programs that are grounded in the assumption that BE-driven interventions will reduce neighborhood obesity prevalence. BE features may not help reverse the obesity epidemic; rather it is socioeconomic, cultural, and behavioral factors that lead to the geographic clustering of people with obesity. It may also be time to replace the concept of obesogenic neighborhoods with "neighborhoods with concentrated obesity." What does this say in simpler terms?
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