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Background The influence of area-level socioeconomic status (SES) on Body Mass Index (BMI) and adiposity is well known. There is an unequal distribution of exercise facilities (EF), which is dependent on area-level SES. However, is unclear whether EF intervenes on the relationship between SES and BMI. Methods BMI data were obtained from baseline of the Heart Healthy Hoods Cohort. Overall, 1,258 (40-75 years old) residents of Madrid, Spain were recruited between 2017 and 2019. Area-level SES was calculated for each census section based on 7 indicators in 4 domains: education, welfare, employment and living conditions. Availability of EF was defined as the count of EF in a 1,000m street network buffer around participants’ census sections of residence. A five-step mediation analysis was carried out to quantify the effect of EF availability. Analysis of each specific path was carried out with multilevel regression model, adjusted by sex and population density. Results Increases in SES were associated with decreases in BMI (β=-0.723, IC95% -1.003; -0.444). Alike, increases on availability of EF were associated with decreases on BMI (β=-0.09, IC95% -0.132; -0.048). Multilevel regression confirmed availability of EF was a significant moderator between SES and BMI (β=-0.566, IC95% -0.959; -0.173). Thus, the indirect effect of EF on the association between SES on diabetes was -0.258. Conclusions Availability of exercise facilities moderate socioeconomic inequities in BMI. Key messages Increasing the availability of EF in disadvantaged areas may have the potential to moderate inequities related to body size.

710Do exercise facilities moderate the effect of socioeconomic inequities in Body Mass Index?