The association between neighborhood built environment and health-related fitness

There are many health benefits of regular physical activity and improving physical fitness levels can reduce the risk of chronic disease. Accumulating evidence suggests the neighborhood built environment is important for supporting physical activity; however, few studies have investigated the contribution of the neighborhood built environment to fitness levels. We examined the associations between objectively-determined and self-reported neighborhood walkability and overall and specific components of perceived health-related fitness (cardiorespiratory, muscular strength, and flexibility) in a random sample of 592 adults from two areas of Calgary (Canada). Participants provided complete data to an online questionnaire capturing perceived cardiorespiratory fitness (CRF), muscular strength (MST), flexibility, moderate-to-vigorous intensity physical activity (MVPA), resistance training, and sociodemographic characteristics. The questionnaire also captured participant’s perceptions of their neighborhood’s walkability (Physical Activity Neighborhood Environment Scale; PANES) and the physical activity supportiveness of neighborhood parks (Park Perceptions Index; PPI). Objectively-measured neighborhood walkability was estimated using Walk Score®. The average (SD) age of participants was 46.6 (14.8) years and 67.2% were female. Participants, on average, participated in at least 30-minutes of MVPA on 3.4 (2.1) days/week and undertook resistance training 2.0 (1.8) days/week. Adjusting for covariates, Walk Score® was not associated with any fitness outcomes. Adjusting for covariates, the PANES index was positively associated (p < 0.05) with CRF, MST, flexibility, and overall fitness and the PPI was positively associated (p < 0.05) with all fitness outcomes except MST. Our findings provide novel preliminary evidence suggesting the neighborhood built environment may be important for supporting higher health-related fitness levels in adults.

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1185The association between neighbourhood built environment and health-related fitness: A systematic review

International Journal of Epidemiology ◽

10.1093/ije/dyab168.207 ◽

2021 ◽

Vol 50 (Supplement_1) ◽

Author(s):

Levi Frehlich ◽

Chelsea Christie ◽

Paul Ronksley ◽

Tanvir C Turin ◽

Patricia Doyle-Baker ◽

...

Keyword(s):

Built Environment ◽

Cardiorespiratory Fitness ◽

Data Extraction ◽

Cross Sectional ◽

Environment And Health ◽

Neighbourhood Walkability ◽

Health Related ◽

Access And Quality ◽

Objectively Measured ◽

Health Related Fitness

Abstract Background Few studies have investigated potential links between the built environment and health-related fitness, even though there is some evidence linking neighbourhood built environments to physical activity behaviors and chronic health conditions. Methods Following PRISMA guidelines eight databases were searched from inception to August 2020 using a combination of built environment and health-related fitness terms. Inclusion criteria was limited to quantitative studies that sampled of adults aged 18 years or older with no physical disabilities or health issues that may impact health-related fitness. Results Of the 26,219 citations identified within our comprehensive search, 25 studies met eligibility and underwent data extraction and quality assessment. Objectively measured built environment characteristics (e.g., improved sidewalks, higher street connectivity, older neighbourhoods, higher residential density, and higher land use mix) were associated with increased flexibility, cardiorespiratory fitness, grip strength, and body composition. Moreover, perceptions of neighbourhood features such as higher neighbourhood walkability, greater park access and quality, and lower neighbourhood crime, were associated with increased perceived cardiorespiratory fitness, muscular strength, flexibility, and overall fitness. However, many of these findings were from cross-sectional studies where adjustment for key confounders varied. Results also varied by sex in the small number of studies that provided sex-specific stratifications. Conclusions This project may help elucidate the pathway between the built environment and health-related fitness. Key messages Neighbourhood built environment features are associated with aspects of health-related fitness.

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Results From the United States of America’s 2016 Report Card on Physical Activity for Children and Youth

Journal of Physical Activity and Health ◽

10.1123/jpah.2016-0321 ◽

2016 ◽

Vol 13 (s2) ◽

pp. S307-S313 ◽

Cited By ~ 79

Author(s):

Peter T. Katzmarzyk ◽

Kara D. Denstel ◽

Kim Beals ◽

Christopher Bolling ◽

Carly Wright ◽

...

Keyword(s):

Physical Activity ◽

United States ◽

Built Environment ◽

Report Card ◽

Active Transportation ◽

Children And Youth ◽

Socioeconomic Groups ◽

Health Related ◽

Low Prevalence ◽

Health Related Fitness

Background:The 2016 United States (U.S.) Report Card on Physical Activity for Children and Youth provides a comprehensive evaluation of physical activity levels and factors influencing physical activity among children and youth.Methods:The report card includes 10 indicators: Overall Physical Activity, Sedentary Behavior, Active Transportation, Organized Sport Participation, Active Play, Health-related Fitness, Family and Peers, School, Community and the Built Environment, and Government Strategies and Investments. Nationally representative data were used to evaluate the indicators using a standard grading rubric.Results:Sufficient data were available to assign grades to 7 of the indicators, and these ranged from B- for Community and the Built Environment to F for Active Transportation. Overall Physical Activity received a grade of D- due to the low prevalence of meeting physical activity guidelines. A grade of D was assigned to Health-related Fitness, reflecting the low prevalence of meeting cardiorespiratory fitness standards. Disparities across age, gender, racial/ethnic and socioeconomic groups were observed for several indicators.Conclusions:Continued poor grades suggest that additional work is required to provide opportunities for U.S. children to be physically active. The observed disparities indicate that special attention should be given to girls, minorities, and those from lower socioeconomic groups when implementing intervention strategies.

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