Neighborhood Walkability and Physical and Mental Health among Older Adults Living in a Deprived Community

Background Identifying the factors to improve the quality of life (QOL) is vital to decrease morbidity and mortality rates among older adults. Although unfavorable neighborhood features have a significant negative impact on QOL, few studies have investigated these relationships in a deprived community. The purpose of the study was to understand how neighborhood walkability is associated with QOL using the SF-36 among urban-dwelling older adults. Methods This is a cross-sectional survey. Participants were recruited in 2018 and 2019 at regional health clinics in Flint, MI. To be eligible, participants had to be over 65 years old and Flint residents. Results Of the 132 participants, the majority were female (66%), African American (77%), single, divorced, or widowed (75%), and educated below GED level (84%). After adjusting for gender, assistive device use, medication, and the Supplemental Security Income receipt, multiple regression analysis revealed that those with better perceptions of land-mixed use and accessibility within their neighborhood were more likely to have better physical health (β = .36, p<.05). However, the perceptions of greater pedestrian safety were associated with the poor physical and mental health (PCS; β = -0.19, p <.05; MCS; β = -0.25, p < .05). Perceptions of the presence of walking hazards and crime were not significantly associated with QOL. Discussion Findings suggest that neighborhood walkability characteristics are associated with physical health. The development of walking programs with accessible neighborhoods will be urgent to improve the health-related QOL for older adults living in a targeted community.

Site-Specific Transportation Demand Management: Case of Seattle’s Transportation Management Program, 1988–2015

A central theme of U.S. transportation planning policies is to reduce single-occupancy vehicle (SOV) trips and promote transit and non-motorized transportation by coordinating land-use planning and transportation demand management (TDM) programs. Cities often implement TDM programs by intervening with new development during the municipal permit review process. Seattle’s Transportation Management Program (TMP) under a joint Director’s Rule (DR) requires a commitment from developers to adopt select strategies from six TDM element categories: program management, physical improvements, bicycle/walking programs, employer-based incentives, transit and car/vanpooling, and parking management. TMP targets new developments and requires some TDM elements, recommends others, and leaves the rest to negotiation. The result is an individualized TMP agreement that is site-specific, reflecting both city policy and developer needs. This case study presents a qualitative analysis of the guiding eight DRs and 41 site-specific TMP agreements in Seattle’s Downtown and South Lake Union (SLU) area since 1988. Overall, a content analysis of TMP documents reveals that the average number of elements adopted in an agreement falls short of requirements set by DRs (34%–61%). Major findings include developer preference toward non-traditional TDM measures such as physical improvement of frontage and urban design features, as well as parking management. High-occupancy vehicle (HOV) elements showed higher adoption rates (59%–63%) over biking/walking programs (< 1%). It is concluded that future TDM policies could benefit if future research includes examining the effectiveness of the range of management options stemming from the real estate trends toward green buildings, tenants’ values in sustainability, and city policy to reduce automobile trips.

Continuous or intermittent walking, the effect on glycated hemoglobin in sedentary employees during 10-week intervention

To examine long term changes on glycated hemoglobin in sedentary employees exposed to two different walking programs during a 10-week intervention. A total of 68 sedentary employees participated in a 10-week walking intervention and were randomly assigned to one of three groups: intermittent walking, continuous walking or control group. Hemoglobin A1cNOW+ device tested glycated hemoglobin and accelerometry assessed physical activity. Results showed glycated hemoglobin significantly decreased over the ten weeks (5.82±0.49, 5.66±0.44) F(1,64) =4.229, p=.044) in the continuous walking group. Post-Hoc test showed the continuous walking group was significantly affected, F=8.463, p=.009, with a large size effect n2=.297. There were no changes within the intermittent group (5.69±0.63, 5.63±0.6) or control group (5.59±0.6, 5.6±0.54) (p>0.05). Accelerometry showed a main effect of time by group interaction F(4,124) =4.688, p=0.001). Post-Hoc indicated that the continuous walking group took significantly longer bouts of moderate to vigorous intensity walking at week-6 compared to pre-test (p=0.006) at this could have influenced the results, there were no changes in the length of bouts in the intermittent or control groups (p>0.05). Sedentary employees who perform a moderate intensity continuous walking program show benefits in controlling blood glucose, thereby, reducing the risk of developing type 2 diabetes.

The importance of physical activity for the development of motor skills of younger school age children

Physical activity plays an important role in the motor and psychological development in a pediatric population. The maturation of human motor skills is gradual over the time. It depends on several factors, including but not limited to: individual differences, health condition, quality of neuromuscular structures and stimulating factors. Research included in this review shows that different types of physical activity, including aerobic training, strength training, dance, yoga, and walking programs, improve mood and mental health. Aerobic physical activity has the greatest effect on reducing the symptoms of anxiety and stress. Habits related to the physical activity, acquired in childhood, can be maintained in adulthood, which contributes to the better health and quality of life. Extensive literature indicates that regular physical activity encourages growth and development and has multiple benefits for the mental, physical, cognitive and psychosocial health of children. Children capacities for exercise change in accordance within defined developmental periods. Young children are active at short intervals and their capacity for continuous activity increases as they grow and mature. The health benefits of sporadic exercise at a younger age are not well established, stressing the short-term benefits of physical activity for some aspects of cognitive and mental health, indicating that maximum benefit can be achieved by frequent bouts of exercise during the day.

An Intentionally Designed Walking Program for Seniors Results in Enhanced Community Connection

Social connection is vital for older adults’ physical and psychological well-being, yet nearly one third of them report feeling lonely. The purpose of this study was to evaluate the influence of a monthly walking program (walking once a month for 8 months) on older adults’ community connection. Older adults (Mage = 78.06 ± 5.98 years) completed a focus group at the completion of the program (n = 15). Qualitative findings indicate that participation in the walking program led to enhanced social connection. Researchers developed six major themes: (1) frequent and engaging walking programs, (2) benefits of group activity, (3) enhanced social connections, (4) connection to the community, (5) knowledge about transit, and (6) personal well-being, and 10 subthemes. Implications from this study highlight the importance of designing a walking program with older adults’ needs and desires in mind.

Challenges to Engaging Older Adults in a Group-Based Walking Intervention: Lessons From the Residents in Action Trial

This qualitative research explored older adults’ perceptions of participating in group-based walking programs set in independent-living retirement village contexts. Semistructured interviews were conducted with a subset of participants from the Residents in Action Trial. Data were analyzed through a combination of deductive and inductive thematic analysis. Findings were interpreted from a social identity perspective. Five themes were identified: (a) varying levels of social cohesion in retirement villages; (b) degree of shared identity between residents; (c) health, mobility, and preferred pace; (d) devotion to spouse; and (e) busy lives. When designing group-based walking interventions in retirement villages, it is important to consider community-level social cohesion and degree of relatedness between village residents. When attempting to build a sense of shared identity and relatedness between group members, researchers and policy makers should consider differing backgrounds, capabilities, schedules, and interests of participants.