scholarly journals Planning Walkable Neighborhoods for “Aging in Place”: Lessons from Five Aging-Friendly Districts in Singapore

2021 ◽  
Vol 13 (4) ◽  
pp. 1742
Author(s):  
Yiqi Tao ◽  
Wei Zhang ◽  
Zhonghua Gou ◽  
Boya Jiang ◽  
Yi Qi

Today, “walkability” is considered a critical component of an aging-friendly neighborhood. This study examined the relationships between the neighborhood physical environment, walkability, and physical activity levels of older residents in Singapore. Five neighborhoods notable for their “aging in place” strategies were selected for a site survey. A questionnaire focusing on the evaluation of neighborhood walkability was administered to older adults in these neighborhoods. The questionnaire included three sections: neighborhood satisfaction, walkability, and the daily physical activity of older adults. The results indicated that adequate physical facilities and connectivity to the city were critical to older adults’ satisfaction with their neighborhoods. The mean walking time significantly dropped as the number of nearby facilities increased, and the number of facilities was negatively correlated with the daily activity levels of older adults. Thus, planners should attempt to calibrate the provision of neighborhood facilities to maintain the physical activity levels of older adults.

Author(s):  
Aliki Peletidi ◽  
Reem Kayyali

Abstract Aims The primary aim of the programme was a minimum of a 5% weight reduction of the initial weight, while the secondary outcomes were a reduction in participants’ body mass index (BMI), waist circumference (WC), blood pressure (BP), AUDIT-C score and an increase in the Mediterranean diet (MD) score and an improvement in physical activity levels. Methods This 'before and after' study was a 10-week weight management (WM) programme and it was developed and delivered in community pharmacies in Patras chosen for convenience, thus consisting the first service of its type in Greece. The sample size was calculated (n = 96) based on the mean BMI for a Greek male and female individual, and the standard deviation (SD) of weight at baseline of 14 kg. Results Nearly every participant enrolled in the 20 participating pharmacies, 97.4% (n = 114/117), achieved the programme’s aim, losing at least 5% of their initial weight. The mean percentage of total weight loss of the 117 participants at the 10th week was 8.97% (SD 2.65), and the t-test showed statistically significant results (P-value < 0.001; 95% CI [8.48, 9.45]). A significant reduction in the waist-to-height ratio (WHtR) was observed in both male (P-value = 0.004) and female (P-value < 0.001) participants. The participants’ BP and AUDIT-C score and physical activity levels significantly improved (P-value < 0.001), as well as their MD score. Conclusion This study provides the first evidence that Greek pharmacists have the potential to play an important role within primary healthcare and that after training they are able to provide public health services for both the public’s benefit and their clinical role enhancement.


2012 ◽  
Vol 3 ◽  
pp. S48-S49
Author(s):  
T. Hilgenkamp ◽  
R. Van Wijck ◽  
H. Evenhuis

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
J. Slaght ◽  
M. Sénéchal ◽  
T. J. Hrubeniuk ◽  
A. Mayo ◽  
D. R. Bouchard

Background. Most adults choose walking as a leisure activity. However, many do not reach the international physical activity guidelines for adults, which recommend moderate intensity aerobic activity for at least 150 minutes/week in bouts of 10 minutes. Purpose. This systematic review provides an update on the walking cadence required to reach moderate intensity in adults and older adults, identifies variables associated with reaching moderate intensity, and evaluates how walking cadence intensity should be measured, but the main purpose is to report the interventions that have been attempted to prescribe walking cadence to increase time spent at moderate intensity or other outcomes for adults and older adults. Methods. SportDISCUS, Scopus, and PubMed databases were searched. We identified 3,917 articles and 31 were retained for this systematic review. Only articles written in English were included. Results. In general, 100 steps/minute is prescribed for adults to achieve moderate intensity, but older adults may require a higher cadence. Currently, few studies have explored using walking cadence prescription as an intervention to increase physical activity levels. Conclusion. Prescribing walking cadence as a way to increase physical activity levels has potential as a practical and useful strategy, but more evidence is required to assess its ability to increase physical activity levels at moderate intensity.


2012 ◽  
Vol 18 (2) ◽  
pp. 245-257 ◽  
Author(s):  
Jeffrey Gehris ◽  
Elizabeth Myers ◽  
Robert Whitaker

Adventure-physical education has been proposed to promote adolescents’ physical development, but little is known about physical activity levels during such lessons. Using the System for Observing Fitness Instruction Time, we observed students’ (ages 11–14 years) physical activity levels in co-educational classes during 43 adventure-physical education lessons at seven public schools. The mean percentage (±SD) of time spent in moderate-to-vigorous physical activity (MVPA) was 28.3% (±16.3%). The greatest percentage of lesson time was spent in two activities—high elements (24.1% ± 36.5%) and initiatives (22.3% ± 32.4%). When data were aggregated across all lessons, 40.0% of the time in high elements and 13.7% of the time in initiatives was spent in MVPA. Of all MVPA time, 31.5% occurred in high elements and another 12.6% in initiatives. Compared with traditional physical education lessons, less time is spent in MVPA during adventure lessons. Efforts to increase MVPA should target high elements and initiative activities.


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.


Maturitas ◽  
2020 ◽  
Vol 137 ◽  
pp. 24-29
Author(s):  
Mathieu Maltais ◽  
Yves Rolland ◽  
Katherine Boisvert-Vigneault ◽  
Lisa Perus ◽  
Jean-François Mangin ◽  
...  

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