scholarly journals Measuring the Influence of Built Neighborhood Environments on Walking in Older Adults

2006 ◽  
Vol 14 (3) ◽  
pp. 302-312 ◽  
Author(s):  
Yvonne Michael ◽  
Tracey Beard ◽  
Dongseok Choi ◽  
Stephanie Farquhar ◽  
Nichole Carlson

There is a need for greater understanding of how perceptions and objective measures of the physical environment influence physical activity among seniors. The goal of this study was to examine the degree of association between perceived and objective characteristics of the neighborhood environment and the relation of each type of measurement to neighborhood walking in older adults. Data on self-reported frequency of walking in the neighborhood and perceived measures of neighborhood environment from 105 older adults were linked to objective measures assessed by geographic information systems and an audit instrument. Perceived and objective measurements of the built environment exhibited a low degree of agreement (kappas: <.20). After adjustment for education, age, and gender, presence of a mall was positively associated with neighborhood walking in both the objective and perceived models.

2009 ◽  
Vol 6 (s1) ◽  
pp. S113-S123 ◽  
Author(s):  
Marc A. Adams ◽  
Sherry Ryan ◽  
Jacqueline Kerr ◽  
James F. Sallis ◽  
Kevin Patrick ◽  
...  

Background:Concurrent validity of Neighborhood Environment Walkability Scale (NEWS) items was evaluated with objective measures of the built environment using geographic information systems (GIS).Methods:A sample of 878 parents of children 10 to 16 years old (mean age 43.5 years, SD = 6.8, 34.8% non-White, 63.8% overweight) completed NEWS and the International Physical Activity Questionnaire. GIS was used to develop 1-mile street network buffers around participants’ residences. GIS measures of the built environment within participants’ buffers included percent of commercial and institutional land uses; number of schools and colleges, recreational facilities, parks, transit stops, and trees; land topography; and traffic congestion.Results:Except for trees and traffic, concordance between the NEWS and GIS measures were significant, with weak to moderate effect sizes (r = −0.09 to −0.36, all P ≤ 01). After participants were stratified by physical activity level, stronger concordance was observed among active participants for some measures. A sensitivity analysis of self-reported distance to 15 neighborhood destinations found a 20-minute (compared with 10- or 30-minute) walking threshold generally had the strongest correlations with GIS measures.Conclusions:These findings provide evidence of the concurrent validity of self-reported built environment items with objective measures. Physically active adults may be more knowledgeable about their neighborhood characteristics.


2016 ◽  
Vol 24 (4) ◽  
pp. 599-616 ◽  
Author(s):  
Yu-Tzu Wu ◽  
Natalia R. Jones ◽  
Esther M.F. van Sluijs ◽  
Simon J. Griffin ◽  
Nicholas J. Wareham ◽  
...  

We examine the relative importance of both objective and perceived environmental features for physical activity in older English adults. Self-reported physical activity levels of 8,281 older adults were used to compute volumes of outdoor recreational and commuting activity. Perceptions of neighborhood environment supportiveness were drawn from a questionnaire survey and a geographical information system was used to derive objective measures. Negative binominal regression models were fitted to examine associations. Perceptions of neighborhood environment were more associated with outdoor recreational activity (over 10% change per standard deviation) than objective measures (5–8% change). Commuting activity was associated with several objective measures (up to 16% change). We identified different environmental determinants of recreational and commuting activity in older adults. Perceptions of environmental supportiveness for recreational activity appear more important than actual neighborhood characteristics. Understanding how older people perceive neighborhoods might be key to encouraging outdoor recreational activity.


Author(s):  
Tjaša Filipčič ◽  
Špela Bogataj ◽  
Jernej Pajek ◽  
Maja Pajek

Hemodialysis (HD) patients have lower functional abilities compared to healthy people, and this is associated with lower physical activity in everyday life. This may affect their quality of life, but research on this topic is limited. Therefore, the present study aimed to determine the relationship between habitual physical activity and quality of life in HD patients and healthy controls. Ninety-three HD patients and 140 controls participated in the study. Quality of life was assessed using a 36-item medical outcomes study short-form health survey (SF-36). Human Activity Profile (HAP) was used to assess habitual physical activity. The adjusted activity score (AAS) from HAP, age, gender, fat tissue index (FTI), lean tissue index (LTI), and Davies comorbidity score were analyzed as possible predictors of the Physical Component Summary (PCS) of the SF-36. Three sequential linear models were used to model PCS. In Model 1, PCS was regressed by gender and age; in Model 2 the LTI, FTI, and Davies comorbidity scores were added. Model 3 also included AAS. After controlling for age and gender (ModelHD 1: p = 0.056), LTI, FTI, and Davies comorbidity score effects (ModelHD 2: p = 0.181), the AAS accounted for 32% of the variation in PCS of HD patients (ModelHD 3: p < 0.001). Consequently, the PCS of HD patients would increase by 0.431 points if the AAS increased by one point. However, in healthy controls, AAS had a lower impact than in the HD sample (B = 0.359 vs. 0.431), while the corresponding effects of age and gender (ModelH 1: p < 0.001), LTI, FTI, and Davies comorbidity score (ModelH 2: p < 0.001) were adjusted for. The proportion of variation in PCS attributed to AAS was 14.9% (ModelH 3: p < 0.001). The current study results showed that physical activity in everyday life as measured by the HAP questionnaire is associated to a higher degree with the quality of life of HD patients than in healthy subjects. Routine physical activity programs are therefore highly justified, and the nephrology community should play a leading role in this effort.


Author(s):  
Jolanthe de Koning ◽  
Suzanne H. Richards ◽  
Grace E. R. Wood ◽  
Afroditi Stathi

Objective: Loneliness and social isolation are associated with higher risk of morbidity and mortality and physical inactivity in older age. This study explored the socioecological context in which both physically active and inactive older adults experience loneliness and/or social isolation in a UK rural setting. Design: A mixed-methods design employed semi structured interviews and accelerometer-measured moderate-to-vigorous physical activity (MVPA). Interviews explored the personal, social and environmental factors influencing engagement with physical activities, guided by an adapted-socioecological model of physical activity behaviour. Findings: Twenty-four older adults (MeanAge = 73 (5.8 SD); 12 women) were interviewed. Transcripts were thematically analysed and seven profiles of physical activity, social isolation and loneliness were identified. The high-MVPA group had established PA habits, reported several sources of social contact and evaluated their physical environment as activity friendly. The low MVPA group had diverse experiences of past engagement in social activities. Similar to the high MVPA, they reported a range of sources of social contact but they did not perceive the physical environment as activity friendly. Conclusions: Loneliness and/or social isolation was reported by both physically active and inactive older adults. There is wide diversity and complexity in types and intensity of PA, loneliness and social isolation profiles and personal, social and environmental contexts.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Oriol Marquet ◽  
Monika Maciejewska ◽  
Xavier Delclòs-Alió ◽  
Guillem Vich ◽  
Jasper Schipperijn ◽  
...  

2016 ◽  
Vol 13 ◽  
Author(s):  
Alejandra Jáuregui ◽  
Deborah Salvo ◽  
Héctor Lamadrid-Figueroa ◽  
Bernardo Hernández ◽  
Juan A. Rivera-Dommarco ◽  
...  

2007 ◽  
Vol 15 (3) ◽  
pp. 318-335 ◽  
Author(s):  
Jill Dawson ◽  
Melvyn Hillsdon ◽  
Irene Boller ◽  
Charlie Foster

The authors investigated whether low levels of walking among older adults in the UK were associated with demographic and health characteristics, as well as perceived environmental attributes. Survey data were obtained from self-administered standard questionnaires given to 680 people age 50+ (mean age 64.4 yr) attending nationally led walking schemes. Items concerned with demographic characteristics and perceived barriers to neighborhood walking were analyzed using multiple logistic regression. Citing more than 1 environmental barrier to walking, versus not, was associated with significantly reduced levels of (leisure) walking (MET/hr) in the preceding week (Z = –2.35, p = .019), but physical activity levels overall did not differ significantly (Z = –0.71, p = .48). Citing a health-related barrier to walking significantly adversely affected overall physical activity levels (Z = –2.72, p = .006). The authors concluded that, among older people who favor walking, health problems might more seriously affect overall physical activity levels than perceived environmental barriers.


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