scholarly journals Do State Comprehensive Planning Statutes Address Physical Activity? Implications for Rural Communities

2021 ◽  
Vol 18 (22) ◽  
pp. 12190
Author(s):  
Lisa M. Charron ◽  
Chloe Milstein ◽  
Samantha I. Moyers ◽  
Christiaan G. Abildso ◽  
Jamie F. Chriqui
Keyword(s):  
Physical Activity ◽  
Rural Communities ◽  
Built Environment ◽  
Population Size ◽  
State Level ◽  
Urban Residents ◽  
Comprehensive Planning ◽  
Legal Research ◽  
State Statutes ◽  
Comprehensive Plans

Less than one-quarter of U.S. adults meet physical activity (PA) recommendations, with rural residents less likely to be active than urban residents. The built environment has been identified as a potential facilitator of PA and local comprehensive plans are a foundational tool for guiding the development of the built environment. The purpose of this study was therefore to understand the current landscape of comprehensive planning state statutes related to PA and rural communities. We used primary legal research methods to identify, compile, and evaluate all 50 state comprehensive planning statutes for items related to PA and conditional mandates based on population size of local jurisdictions. The presence of population-conditional planning mandates and the inclusion of PA-related items was analyzed by state-level rurality using Fisher’s exact tests. Our analyses demonstrated that (1) broader PA-related items were addressed in state statutes more often than more specific PA-related items; (2) when PA-related items were addressed, they were most likely to be mandated, subsumed elements; (3) several PA-related items were less likely to be addressed in the most rural states and/or conditionally mandated for jurisdictions meeting minimum population requirements; and (4) only two states addressed PA directly and explicitly in their comprehensive planning statutes.

scholarly journals Translating Urban Walkability Initiatives for Older Adults in Rural and Under-Resourced Communities

2019 ◽  
Vol 16 (17) ◽  
pp. 3041 ◽  
Author(s):  
Alexandra Klann ◽  
Linh Vu ◽  
Mollie Ewing ◽  
Mark Fenton ◽  
Rachele Pojednic
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Rural Communities ◽  
Built Environment ◽  
Urban Communities ◽  
Community Gardens ◽  
Cost Effective ◽  
Neighborhood Walkability ◽  
Effective Strategies ◽  
Resource Limited

The built environment can promote physical activity in older adults by increasing neighborhood walkability. While efforts to increase walkability are common in urban communities, there is limited data related to effective implementation in rural communities. This is problematic, as older adults make up a significant portion of rural inhabitants and exhibit lower levels of physical activity. Translating lessons from urban strategies may be necessary to address this disparity. This review examines best practices from urban initiatives that can be implemented in rural, resource-limited communities. The review of the literature revealed that simple, built environment approaches to increase walkability include microscale and pop-up infrastructure, municipal parks, and community gardens, which can also increase physical activity in neighborhoods for urban older adults. These simple and cost-effective strategies suggest great potential for rural communities.

scholarly journals Google Street View Derived Built Environment Indicators and Associations with State-Level Obesity, Physical Activity, and Chronic Disease Mortality in the United States

2020 ◽  
Vol 17 (10) ◽  
pp. 3659
Author(s):  
Lynn Phan ◽  
Weijun Yu ◽  
Jessica M. Keralis ◽  
Krishay Mukhija ◽  
Pallavi Dwivedi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Built Environment ◽  
Health Outcomes ◽  
State Level ◽  
Premature Mortality ◽  
The United States ◽  
Single Family ◽  
Google Street View ◽  
Street View ◽  
Neighborhood Built Environment

Previous studies have demonstrated that there is a high possibility that the presence of certain built environment characteristics can influence health outcomes, especially those related to obesity and physical activity. We examined the associations between select neighborhood built environment indicators (crosswalks, non-single family home buildings, single-lane roads, and visible wires), and health outcomes, including obesity, diabetes, cardiovascular disease, and premature mortality, at the state level. We utilized 31,247,167 images collected from Google Street View to create indicators for neighborhood built environment characteristics using deep learning techniques. Adjusted linear regression models were used to estimate the associations between aggregated built environment indicators and state-level health outcomes. Our results indicated that the presence of a crosswalk was associated with reductions in obesity and premature mortality. Visible wires were associated with increased obesity, decreased physical activity, and increases in premature mortality, diabetes mortality, and cardiovascular mortality (however, these results were not significant). Non-single family homes were associated with decreased diabetes and premature mortality, as well as increased physical activity and park and recreational access. Single-lane roads were associated with increased obesity and decreased park access. The findings of our study demonstrated that built environment features may be associated with a variety of adverse health outcomes.

scholarly journals Presentation, Management, and Outcomes across the Rural-Urban Continuum for Hepatocellular Carcinoma

2020 ◽  
Author(s):  
Kali Zhou ◽  
Trevor A Pickering ◽  
Christina S Gainey ◽  
Myles Cockburn ◽  
Mariana C Stern ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Rural Communities ◽  
Urban Areas ◽  
Tumor Stage ◽  
The United States ◽  
Population Based ◽  
Urban Residents ◽  
Place Of Residence ◽  
Incidence And Mortality ◽  
Receive Treatment

Abstract Background Hepatocellular carcinoma is one of few cancers with rising incidence and mortality in the United States. Little is known about disease presentation and outcomes across the rural-urban continuum. Methods Using the population-based SEER registry, we identified adults with incident hepatocellular carcinoma between 2000–2016. Urban, suburban and rural residence at time of cancer diagnosis were categorized by the Census Bureau’s percent of the population living in non-urban areas. We examined association between place of residence and overall survival. Secondary outcomes were late tumor stage and receipt of therapy. Results Of 83,368 cases, 75.8%, 20.4%, and 3.8% lived in urban, suburban, and rural communities, respectively. Median survival was 7 months (IQR 2–24). All stage and stage-specific survival differed by place of residence, except for distant stage. In adjusted models, rural and suburban residents had a respective 1.09-fold (95% CI = 1.04–1.14, p < .001) and 1.08-fold (95% CI = 1.05–1.10, p < .001) increased hazard of overall mortality as compared to urban residents. Furthermore, rural and suburban residents had 18% (OR = 1.18, 95% CI 1.10–1.27, p < .001) and 5% (OR = 1.05, 95% CI = 1.02–1.09, p = .003) higher odds of diagnosis at late stage and were 12% (OR = 0.88, 95% CI = 0.80–0.94, p < .001) and 8% (OR = 0.92, 95% CI = 0.88–0.95, p < .001) less likely to receive treatment, respectively, compared to urban residents. Conclusions Residence in a suburban and rural community at time of diagnosis was independently associated with worse indicators across the cancer continuum for liver cancer. Further research is needed to elucidate the primary drivers of these rural-urban disparities.

Built environment, physical activity and obesity of adults in Pingshan District, Shenzhen City in Southern China

2021 ◽  
pp. 1-17
Author(s):  
Qianqian Dun ◽  
Yiting Duan ◽  
Maozhen Fu ◽  
Hongdao Meng ◽  
Wanglin Xu ◽  
...  
Keyword(s):  
Physical Activity ◽  
Built Environment ◽  
Southern China ◽  
Shenzhen City

scholarly journals The Importance of Pedestrian Network Connectivity for Adolescent Health: A Cross-sectional Examination of Associations between Neighbourhood Built Environments and Metabolic Health in the Pacific Islands Families Birth Cohort Study

2019 ◽  
Vol 16 (18) ◽  
pp. 3375 ◽  
Author(s):  
Melody Smith ◽  
Vlad Obolonkin ◽  
Lindsay Plank ◽  
Leon Iusitini ◽  
Euan Forsyth ◽  
...  
Keyword(s):  
Physical Activity ◽  
Built Environment ◽  
Pacific Islands ◽  
International Diabetes Federation ◽  
Network Connectivity ◽  
Metabolic Health ◽  
Mediating Effect ◽  
Fat Free Mass ◽  
Metabolic Risk ◽  
Pedestrian Network

The research aim was to investigate associations between objectively-assessed built environment attributes and metabolic risk in adolescents of Pacific Islands ethnicity, and to consider the possible mediating effect of physical activity and sedentary time. Youth (n = 204) undertook a suite of physical assessments including body composition, blood sampling, and blood pressure measurements, and seven day accelerometry. Objective measures of the neighbourhood built environment were generated around individual addresses. Logistic regression and linear modelling were used to assess associations between environment measures and metabolic health, accounting for physical activity behaviours. Higher pedestrian connectivity was associated with an increase in the chance of having any International Diabetes Federation metabolic risk factors for males only. Pedestrian connectivity was related to fat free mass in males in unadjusted analyses only. This study provides evidence for the importance of pedestrian network connectivity for health in adolescent males. Future research is required to expand the limited evidence in neighbourhood environments and adolescent metabolic health.

scholarly journals Park Proximity and Use for Physical Activity among Urban Residents: Associations with Mental Health

2020 ◽  
Vol 17 (13) ◽  
pp. 4885
Author(s):  
Stephanie L. Orstad ◽  
Kristin Szuhany ◽  
Kosuke Tamura ◽  
Lorna E. Thorpe ◽  
Melanie Jay
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
New York ◽  
Poor Mental Health ◽  
Urban Neighborhoods ◽  
Urban Residents ◽  
Natural Environments ◽  
Protective Effects ◽  
Park Use ◽  
Random Digit Dial

Increasing global urbanization limits interaction between people and natural environments, which may negatively impact population health and wellbeing. Urban residents who live near parks report better mental health. Physical activity (PA) reduces depression and improves quality of life. Despite PA’s protective effects on mental health, the added benefit of urban park use for PA is unclear. Thus, we examined whether park-based PA mediated associations between park proximity and mental distress among 3652 New York City residents (61.4% 45 + years, 58.9% female, 56.3% non-white) who completed the 2010–2011 Physical Activity and Transit (PAT) random-digit-dial survey. Measures included number of poor mental health days in the previous month (outcome), self-reported time to walk to the nearest park from home (exposure), and frequency of park use for sports, exercise or PA (mediator). We used multiple regression with bootstrap-generated 95% bias-corrected confidence intervals (BC CIs) to test for mediation by park-based PA and moderation by gender, dog ownership, PA with others, and perceived park crime. Park proximity was indirectly associated with fewer days of poor mental health via park-based PA, but only among those not concerned about park crime (index of moderated mediation = 0.04; SE = 0.02; 95% BC CI = 0.01, 0.10). Investment in park safety and park-based PA promotion in urban neighborhoods may help to maximize the mental health benefits of nearby parks.

A Longitudinal Study of Objectively Measured Built Environment as Determinant of Physical Activity in Young Adults: The European Youth Heart Study

2015 ◽  
Vol 12 (7) ◽  
pp. 909-914 ◽  
Author(s):  
Jasper Schipperijn ◽  
Mathias Ried-Larsen ◽  
Merete S. Nielsen ◽  
Anneli F. Holdt ◽  
Anders Grøntved ◽  
...  
Keyword(s):  
Physical Activity ◽  
Young Adults ◽  
Longitudinal Study ◽  
Built Environment ◽  
Cross Sectional ◽  
Environmental Indices ◽  
Domain Specific ◽  
Objectively Measured ◽  
European Youth

Background:This longitudinal study aimed to examine if a Movability Index (MI), based on objectively measured built environment characteristics, was a determinant for objectively measured physical activity (PA) among young adults.Methods:Data collected from 177 persons participating in the Danish part of the European Youth Hearth Study (EYHS) was used to examine the effect of the built environment on PA. A MI was developed using objectively measured built environment characteristics, and included residential density, recreational facilities, daily destinations and street connectivity.Results:Results showed a positive cross-sectional association between MI and PA. PA decreased from baseline to follow-up. MI increased, primarily due to participants relocating to larger cities. An increase in MI from baseline to follow-up was associated with a reduced decrease in PA for females.Conclusions:Our findings suggest that the built environment is a determinant for PA, especially for females. The found gender differences might suggest the need to develop gender specific environmental indices in future studies. The validity of the measures can be further improved by creating domain specific PA measures as well as domain specific environmental indices and this can potentially reveal more specific built environment determinants for PA.

scholarly journals Youth sport participation and physical activity in rural communities

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Debra K. Kellstedt ◽  
Michaela A. Schenkelberg ◽  
Ann M. Essay ◽  
Mary J. Von Seggern ◽  
Richard R. Rosenkranz ◽  
...  
Keyword(s):  
Physical Activity ◽  
Rural Communities ◽  
Sport Participation ◽  
Family Income ◽  
Vigorous Physical Activity ◽  
Random Effect ◽  
Youth Sport ◽  
Comparison Groups ◽  
Youth Sport Participation ◽  
6Th Graders

Abstract Background Physical activity, a high-frequency health behavior, varies by where children live, learn, and play. Children accumulate physical activity in adult-led in-school and out-of-school settings. Youth sport is a potential setting for physical activity, but there are differences in youth sport participation based on age, sex, and socioeconomic status. There is a gap in understanding demographic influences on youth sport participation and how these factors interact to influence physical activity. This study examines influences of grade, sex, and family income on youth sport participation and these factors and youth sport participation on moderate-to-vigorous physical activity of children in rural communities. Methods Children (n = 418 3rd–6th graders) living in two rural communities completed the online Youth Activity Profile as part of Wellscapes, a type 3 hybrid implementation-effectiveness community randomized trial. Mixed models with community as a random effect examined main effects and interactions of grade, sex, and family income on youth sport participation and these factors and youth sport participation on moderate-to-vigorous physical activity. Results About 80% of children engaged in youth sport, and full-pay lunch students were almost four times more likely to have youth sport participation than students with free/reduced lunch (OR = 3.91, 95% CI = 1.95, 7.8). Females and 6th graders (p < 0.05) had lower physical activity than comparison groups. Males with higher family income had greater physical activity; females with higher family income had less physical activity. For 6th graders, high family income had less effect on physical activity than similar 3rd-5th graders (p < 0.01). Conclusions While a fairly high percentage of children participate in youth sports, there are disparities in rural communities on youth sport participation and physical activity outcomes based on age, sex, and family income.

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