scholarly journals Effects of walkability on physical activity and obesity: a prospective observational study protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e034882
Author(s):  
Yalan Zhang ◽  
Siyu Chen ◽  
Jiayang Shi ◽  
Zongtao Chen

IntroductionThe prevalence of overweight and obesity is increasing worldwide, which could lead to a set of chronic and metabolic diseases. Physical activity is a modifiable factor for obesity, which was reported to be correlated with the built environment. However, the effects of the built environment on physical activity are not consistent. Walkability is a convenient way to assess the built environment. We aim to prospectively explore the relationship among walkability, physical activity and obesity in Chinese participants in Chongqing, a hilly city and provide evidence for future urban planning.Methods and analysisParticipants will be recruited from people who receive health examination in the Health Management Centre, the First Affiliated Hospital to Army Medical University. Exposure variables are WalkScores calculated within the areas around workplace and residential addresses of participants. The primary outcomes are body mass index measured through health examination at baseline and follow-ups, and daily walking steps recorded by WeChat mini application for 30 days after every time of health examination. Other health-related data of the participants will also be collected. Multivariate regression analysis will be performed to examine the relationship between exposure variables and outcomes.Ethics and disseminationThe Protocol is approved by the Ethics Committee of the First Affiliated Hospital to Army Medical University (KY201839). The results will be actively disseminated through peer-review journals and conference publications.Registration numberChinese Clinical Trial Registry (ChiCTR1800017680).

2001 ◽  
Vol 4 (2b) ◽  
pp. 517-528 ◽  
Author(s):  
IM Vuori

AbstractRegular physical activity causes numerous and substantial performance-improving And health-enhancing effects. Most of them are highly predictable, dose-dependent and generalizable to a wide range of population groups. Many of the biological effects of regular, moderate physical activity translate into substantially reduced risk of coronary heart disease, cerebrovascular disease, hypertension, maturity onset diabetes, overweight and obesity, and osteoporosis. These effects also substantially reduce the risk of deterioration of functional capacity. In the genesis of these conditions, alack of physical activity and inadequate nutrition act synergistically and in part additively, and they operate largely through the same pathways. It is conceivable to suggest that the prevalence of, e.g, the above mentioned metabolic diseases is so high in Europe largely because of the high prevalence of sedentariness and inadequate nutrition. Thus, both physical activity and nutrition have to be given strong emphasis in policies, strategies and programmes that will be developed and implemented for improving the health of Europeans.


2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Tracy L. Kolbe-Alexander ◽  
Kyla Pacheco ◽  
Simone A. Tomaz ◽  
David Karpul ◽  
Estelle V. Lambert

2017 ◽  
Vol 14 (12) ◽  
pp. 925-932 ◽  
Author(s):  
Pasmore Malambo ◽  
Andre P. Kengne ◽  
Estelle V. Lambert ◽  
Anniza De Villiers ◽  
Thandi Puoane

Background: To investigate the mediation effects of physical activity (PA) on the relationship between the perceived neighborhood aesthetic environment and overweight/obesity in free-living South Africans. Methods: A cross-sectional study of 671 adults aged ≥ 35 years was analyzed. PA was assessed using the validated International Physical Activity Questionnaire. Perceived neighborhood aesthetics was assessed using the Neighborhood Environment Walkability Scale Questionnaire. Results: Of 671 participants, 76.0% were women, 34.1% aged 45–54 years, and 69.2% were overweight or obese. In adjusted logistic regression models, overweight/obesity was significantly associated with neighborhood aesthetics [odds ratio (OR) = 0.68; 95% confidence interval (CI), 0.50–0.93] and PA (OR = 0.65; 95% CI, 0.65–0.90). In expanded multivariable models, overweight/obesity was associated with age 45–55 years (OR = 1.59; 95% CI, 1.05–2.40), female gender (OR = 6.24; 95% CI, 3.95–9.86), tertiary education (OR = 4.05; 95% CI, 1.19–13.86), and urban residence (OR = 2.46; 95% CI, 1.66–3.65). Conclusion: Aesthetics was positively associated with PA; both aesthetics and PA were negatively associated with overweight and obesity. There was no evidence to support a significant mediating effect of PA on the relationship between aesthetics and overweight/obesity. Future studies should consider objective assessment of aesthetics and PA. In addition, future studies should consider using longitudinal design to evaluate food-related environments, which are related to overweight or obesity.


2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Geubrina Kananda ◽  
Eka Roina Megawati

According to the World Health Organization in 2010, overweight and obesity are the fifth risk factors of the cause of death in the world. Obesity is influenced by the level of physical activity and it could cause a disturbance in dynamic balance and induce sleep disorder known as sleep apnea. Meanwhile, the lack of physical activity also affects the dynamic balance that can increase the risk of fall injury during the dynamic physical activity. The aim of this study was to investigate the relationship among body mass index, physical activity, the dynamic balance, and sleep patterns. The subjects of this study were 72 young adults aged 20 years in average, consisted of 47 males and 25 females. The body mass index was undertaken by dividing the body weight (kg) and height in meter square (m2). The level of physical activity was performed by using the International Physical Activity Questionnaire. Meanwhile, the dynamic balance was measured by using the modified Bass test; while sleep patterns was measured by using the Pittsburgh Sleep Quality Index. This study found that there was a significant association between BMI and dynamic balance with p value = 0.006 (p 0.05); whereas physical activity was not significantly associated to the dynamic balance (p0.05). Meanwhile, body mass index and physical activity were not significantly associated to sleep patterns (p 0.05). This study concludes that body mass index has a significant association to dynamic balance. Meanwhile, dynamic balance is highly needed in carrying out dynamic physical activity to avoid fall injury.


2019 ◽  
Vol 12 (1) ◽  
pp. 329 ◽  
Author(s):  
Lizhen Zhao ◽  
Zhenjiang Shen ◽  
Yanji Zhang ◽  
Fubin Sheng

Many researchers have confirmed a correlation between the built environment and physical activity. However, most studies are based on the objective characteristics of the built environment, and seldom involve the residents’ subjective perception. The purpose of this study is to explore the relationship between the subjective and objective characteristics of the built environment and physical activity at the community scale. Data consists of that collected from a social survey, Points of Interest (POI), the road network, and land use in Fuzhou, China. The duration of moderate-to-vigorous physical activity (MVPA) within a week is used to represent the general physical activity of residents. Security perception is introduced as an intermediary variable. SPSS software is used for factor analysis and Amos software for statistical analysis. Structural equations are set up to analyse the relationship between these variables. The final results show that: (1) The objective characteristics of the built environment have no direct impact on the development of leisure MVPA, but it can indirectly affect leisure MVPA through residents’ subjective perception of the built environment; (2) The subjective perception of residents has a significant impact on the duration of MVPA, the subjective perception of humanized space has a direct impact on the duration of MVPA, and destination accessibility and urban environment maintenance has an indirect impact through community public security perception; and (3) The individuals’ attributes such as gender and self-evaluated socioeconomic status have negative effects on the duration of leisure MVPA, and an individual’s love of sports has a positive effect on MVPA.


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