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Hernández ED, Cobo EA, Cahalin LP, Seron P. Impact of structural-level environmental interventions on physical activity: a systematic review. Int Arch Occup Environ Health 2023:10.1007/s00420-023-01973-w. [PMID: 37099193 DOI: 10.1007/s00420-023-01973-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Accepted: 03/30/2023] [Indexed: 04/27/2023]
Abstract
OBJECTIVE To determine the effectiveness of structural-level environmental interventions on the changes in PA levels in the populations examined. METHODS Natural experiments that involve environmental intervention with structural modification were included. The primary outcome PA levels with consideration of both objective and subjective measurements. An electronic search was carried out in Medline/Pubmed, SCIENCE DIRECT, WEB OF SCIENCE, and CINAHL up to January 2022. Two reviewers screened titles and abstracts, selected studies, extracted relevant data, and examined study quality. A qualitative synthesis was performed. RESULTS Twenty-six articles were included. The structural-level environmental interventions included 4 fundamental areas: schools, work environments, streets or cities, and neighborhoods or parks. Of the 26 studies, 21 examined outdoor environments like parks, cities, pedestrian walkways, or steps, while 5 examined indoor or closed environments like schools and workplaces revealing that structural-level environmental interventions improve PA levels with the greatest effect in parks and active transportation. A risk of bias is inherent in natural experiments which is a limitation of this study. In schools and work areas, there is evidence of both decrease in sedentary time and an increase in PA related to environmental modifications. CONCLUSION Structural-level environmental modifications in parks and active transportation demonstrated greater effects in promoting PA. Environmental modifications can impact physical activity in the population. Given that the economic and cultural setting is a key variable when considering the effectiveness of structural interventions, and since only 1 of the 26 reviewed articles included such data, more studies examining economic factors are needed especially in low- and middle-income countries like in South America. TRIAL REGISTRATION PROSPERO CRD42021229718.
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Affiliation(s)
- Edgar D Hernández
- Facultad de Medicina, Human Movement Department, Universidad Nacional de Colombia, cra 45 30-00, Bogotá, Colombia.
| | - Elisa A Cobo
- Facultad de Ciencias de la Salud, Universidad de Boyacá, Boyacá, Tunja, Colombia
| | - Lawrence P Cahalin
- Department of Physical Therapy, University of Miami, Miami, Florida, USA
| | - Pamela Seron
- Facultad de Medicina, Universidad de La Frontera, Claro Solar #112, Temuco, Chile
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Hernández ED, Cobo EA, Cahalin LP, Seron P. Impact of environmental interventions based on social programs on physical activity levels: A systematic review. Front Public Health 2023; 11:1095146. [PMID: 37033032 PMCID: PMC10078830 DOI: 10.3389/fpubh.2023.1095146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Accepted: 03/01/2023] [Indexed: 04/11/2023] Open
Abstract
Background The design of social programs at the environmental level such as in schools, parks, bicycle paths, or workspaces generates changes in the behavior of individuals and modifies lifestyles by increasing physical activity (PA) levels. Objective To determine the effectiveness of environmental interventions based on social programs by changing the population's level of PA. Methodology Natural experiment studies that involved environmental intervention programs at a social level were included. The primary outcome was PA levels with consideration of both objective and subjective measurements. An electronic search was carried out in Medline/Pubmed, SCIENCE DIRECT, WEB OF SCIENCE, and CINAHL databases up to January 2022 with two reviewers screening titles and abstracts and selecting studies for full-text reading. Two reviewers also acquired relevant data and evaluated study quality using the ROBINS I tool. A qualitative analysis was performed. Results Three thousand eight hundred and sixty-five articles were found in the 4 consulted databases. After eliminating duplication (200), two reviewers screened 3,665 titles and abstracts and excluded 3,566 that did not meet the inclusion criteria, leaving 99 articles to be read in full text. The 99 full texts were reviewed of which 24 papers met the eligibility criteria. All were natural experiments published between 2011 and 2020 and all evaluated environmental social programs revealing that social programs at the environmental level promoted PA in various populations at the community level worldwide. Conclusion The 24 reviewed studies suggest innovative proposals for social programs that seek to increase PA and promote healthy lifestyles related to public activity policies developed in the countries in which they were generated. Environmental social programs can positively impact PA levels among children and adults. Systematic review registration https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=229718, identifier: CRD42021229718.
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Affiliation(s)
- Edgar D. Hernández
- Facultad de Medicina, Human Movement Department, Universidad Nacional de Colombia, Bogotá, Colombia
- *Correspondence: Edgar D. Hernández
| | - Elisa A. Cobo
- Facultad de Ciencias de la Salud, Universidad de Boyacá, Tunja, Colombia
| | - Lawrence P. Cahalin
- Department of Physical Therapy, University of Miami, Coral Gables, FL, United States
| | - Pamela Seron
- Facultad de Medicina, Universidad de La Frontera, Temuco, Chile
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Stangierska D, Kowalczuk I, Juszczak-Szelągowska K, Widera K, Ferenc W. Urban Environment, Green Urban Areas, and Life Quality of Citizens-The Case of Warsaw. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10943. [PMID: 36078659 PMCID: PMC9518520 DOI: 10.3390/ijerph191710943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 08/12/2022] [Accepted: 08/29/2022] [Indexed: 06/15/2023]
Abstract
The increased migration of people from rural areas to cities has prompted researchers to take an interest in the problem of the quality of life (QOL) of the urban population in different contexts. The aim of the study was to determine the relationship between the level of satisfaction of Warsaw residents with urban infrastructure (SUI) and their QOL, the impact of the SUI on the perception of a neighborhood as an ideal place to live and the relationship between the amount of green areas and and the SUI of Warsaw residents and their QOL. The quantitative survey was conducted using the CAWI method on a sample of 381 adults. The WHOQOL-BREF questionnaire was used to measure QOL, the scale used in earlier surveys was used to assess SUI, areas of of Warsaw with different amounts of green space were distinguished using cluster analysis. The study showed a relationship between the SUI declared by residents and their QOL, mainly in the environmental domain. The discriminant analysis showed that satisfaction with greenery is one of the most important determinants of the subjective perception of a neighborhood as an ideal place to live. There was no direct effect of the amount of green areas in objective terms on the QOL of Warsawians, but a relationship was noted between the amount of green areas and SUI, with the highest level of satisfaction noted for the Green-balanced Cluster, characterized by the most favorable combination of quality and utility of urban area.
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Affiliation(s)
- Dagmara Stangierska
- Department of Pomology and Horticulture Economics, Institute of Horticulture Sciences, Warsaw University of Life Sciences—SGGW, Nowoursynowska 166, 02-787 Warsaw, Poland
| | - Iwona Kowalczuk
- Department of Food Market and Consumer Research, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences—SGGW, Nowoursynowska 159C, 02-776 Warsaw, Poland
| | - Ksenia Juszczak-Szelągowska
- Department of Pomology and Horticulture Economics, Institute of Horticulture Sciences, Warsaw University of Life Sciences—SGGW, Nowoursynowska 166, 02-787 Warsaw, Poland
| | - Katarzyna Widera
- Department of Economics, Finance, Regional and International Research, Faculty of Economics and Management, Opole University of Technology, Prószkowska 76, 45-758 Opole, Poland
| | - Weronika Ferenc
- Department of Pomology and Horticulture Economics, Institute of Horticulture Sciences, Warsaw University of Life Sciences—SGGW, Nowoursynowska 166, 02-787 Warsaw, Poland
- Department of Economics, Finance, Regional and International Research, Faculty of Economics and Management, Opole University of Technology, Prószkowska 76, 45-758 Opole, Poland
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Virtual Reality Representations of Nature to Improve Well-Being amongst Older Adults: a Rapid Review. ACTA ACUST UNITED AC 2021; 6:464-485. [PMID: 33688575 PMCID: PMC7934124 DOI: 10.1007/s41347-021-00195-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Revised: 01/19/2021] [Accepted: 01/25/2021] [Indexed: 12/31/2022]
Abstract
Poor well-being amongst older adults poses a serious health concern. Simultaneously, research shows that contact with nature can improve various facets of well-being, including physical, social, and mental well-being. However, nature is not always accessible for older adults due to mobility restrictions and related care needs that come with age. A promising strategy aims at bringing nature inside through pervasive technologies. However, so far, there is little academic understanding of essential nature characteristics, psychological processes involved, and means for implementation in practice. The current study used a three-folded rapid review to assess current understanding and strategies used for improving well-being for older adults through virtual reality representations of nature. Searches were performed across three databases, followed-up by content-based evaluation of abstracts. In total, a set of 25 relevant articles was identified. Only three studies specifically focus on digital nature as an intervention strategy for improving well-being amongst older adults. Although these studies provide useful starting points for the design and (technological) development of such environments, they do not generate understanding of how specific characteristics of virtual nature representations impact social well-being measures in particular, and of the underlying psychological processes involved. We conclude that follow-up research is warranted to close the gap between insights and findings from nature research, gerontology, health research, and human-technology interaction.
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Bojorquez I, Romo-Aguilar MDL, Ojeda-Revah L, Tena F, Lara-Valencia F, García H, Díaz R, Aranda P. Public spaces and physical activity in adults: insights from a mixed-methods study. CAD SAUDE PUBLICA 2021; 37:e00028720. [PMID: 33503160 DOI: 10.1590/0102-311x00028720] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2020] [Accepted: 06/04/2020] [Indexed: 11/22/2022] Open
Abstract
Public spaces could promote health equity by providing a place for people to engage in physical activity. Whereas most studies show a positive association between public spaces and physical activity, there are still mixed results, especially in low- and middle-income countries. The objectives of this mixed-methods study were: (i) to assess the quantitative association between access to public spaces and physical activity; (ii) to assess the modification of the association by public spaces quality, area-level walkability, and social stratifiers; (iii) to explain the quantitative results using qualitative data. Quantitative data were obtained with a household survey in two arid-climate Mexican cities in 2017-2018. physical activity was measured with the Global Physical Activity Questionnaire. Access to public spaces was measured in buffers centered on survey blocks, walkability with area-level indicators, and public spaces quality with the Physical Activity Resources Assessment. Qualitative data were obtained with semi-structured interviews and neighborhood observation. No quantitative association between access to public spaces and physical activity was found, as well as no interactions between access to public spaces and other variables. Walkability was positively associated with physical activity. Qualitative analysis showed that local public spaces were rarely used by adults because they were perceived as small, unequipped, unattractive, and unsafe. The results shed light on the relationship between public spaces and physical activity, highlighting the improvements in design and upkeep of public spaces that are necessary to achieve their potential health benefit.
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Affiliation(s)
| | | | | | | | | | - Hilda García
- El Colegio de la Frontera Norte, Tijuana, México
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Reed JA, Ballard RM, Hill M, Berrigan D. Identification of Effective Programs to Improve Access to and Use of Trails among Youth from Under-Resourced Communities: A Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E7707. [PMID: 33105592 PMCID: PMC7659949 DOI: 10.3390/ijerph17217707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/07/2020] [Revised: 10/13/2020] [Accepted: 10/15/2020] [Indexed: 11/16/2022]
Abstract
The primary purpose of this paper is to identify and review studies evaluating the effectiveness of programs to increase access to trails and trails use (physical activity) among youth from under-resourced communities. Three additional goals include identifying: (1) Correlates of physical activity/trail use and features of transportation systems and/or built environment and land use destinations, that may inform and support the planning and implementation of programs to promote trail use among youth, (2) benefits associated with trail use, and (3) barriers to trail use. Under-resourced communities are defined as those lacking sufficient resources (i.e., under-funded). METHODS A review of the literature was conducted to identify, abstract, and evaluate studies related to programs to promote trail use among youth and youth from under-resourced communities. In anticipation of very few studies being published about this topic, studies were also reviewed to identify correlates of transportation systems and built environment and land use destinations related to increases in physical activity, and benefits of, and barriers to trail use. PUBMED, MEDLINE, PsycINFO, Sportdiscus, Annual Reviews, American Trails, and Google Scholar databases were searched using terms including trails, built environment, physical activity, exercise, walking, children, adolescents, and youth to identify studies that potentially related to the purposes for conducting this review. Review methods identified, 5278 studies based on our search terms. A review of study titles, abstracts, and select full article screens determined that 5049 studies did not meet the study inclusion criteria, leaving 221 studies included in this review. RESULTS No studies were located that evaluated programs designed to promote and increase trail use among youth, including youth from under-resourced communities. Eight studies used longitudinal or quasi-experimental designs to evaluate physical activity and neighborhood characteristics prospectively among adolescent girls (n = 1), the effects of the path or trail development on physical activity behaviors of children, youth, and adults (n = 4), marketing or media campaigns (n = 2), and wayfinding and incremental distance signage (n = 1) to promote increased trail use. Correlates of transportation systems (e.g., trail access, road traffic congestion related to safe active travel, lack of sidewalks, closer proximity to trails, access to transportation), destinations (e.g., park availability and access, park improvements, greenspaces), or both routes and destinations (e.g., perceptions of safety, lighting), were identified. These correlates may support the planning and implementation of programs to increase trail use among youth, or may facilitate the connection of trails or routes to destinations in communities. Barriers to trail use included costs, crime, lack of transportation, lack of role models using trails, and institutional discrimination. CONCLUSIONS Scientific evidence in support of addressing the underrepresentation of trail use by youth from under-resourced communities is lacking. However, there is a related body of evidence that may inform how to develop programs that support trail use by youth from under-resourced areas. Dedicated, deliberate, and systematic efforts will be required to address research and knowledge gaps, and to evaluate programs and practice related to trail use among youth from low income, often racially or ethnically diverse under-resourced neighborhoods or communities.
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Affiliation(s)
- Julian A. Reed
- Health Sciences, Furman University, Greenville, SC 29613, USA
| | - Rachel M. Ballard
- Prevention Research Coordination, Office of Disease Prevention, NIH, Bethesda, MD 20892, USA;
| | - Michael Hill
- Landscape Architect, Enterprise Program, U.S. Forest Service, Washington, DC 20250, USA;
| | - David Berrigan
- Behavioral Research Program, Division of Cancer Control and Population Sciences National Cancer Institute, 9609 Medical Center Drive MSC 7344, Bethesda, MD 20892-7344, USA;
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Hino AAF, Rech CR, Gonçalves PB, Reis RS. [Accessibility to public spaces for leisure and physical activity in adults in Curitiba, Paraná State, Brazil]. CAD SAUDE PUBLICA 2019; 35:e00020719. [PMID: 31800780 DOI: 10.1590/0102-311x00020719] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2019] [Accepted: 06/13/2019] [Indexed: 11/21/2022] Open
Abstract
The study aimed to analyze the association between accessibility to public spaces for leisure activities, availability of equipment for physical exercise in these spaces, and leisure-time physical activity (PA) in adults. A household survey was conducted with 699 adults from 32 census tracts selected according to income and "walkability". Accessibility to public spaces for leisure activities was determined by geoprocessing according to proximity to public spaces for leisure activities and the amount of such spaces within radiuses of 500 and 1,000 meters around the participants' homes. Presence of equipment for physical exercise in these public spaces was assessed by the observation method and classified as: (a) without equipment for physical exercise; (b) with equipment for physical exercise; (c) equipment for physical exercise for adults; and (d) with three or more pieces of equipment for physical exercise. PA was self-reported, and walking was analyzed separately from moderate-vigorous PA, classified in two levels (≥ 10 minutes/week and ≥ 150 minutes/week). The amount of public spaces for leisure activities in a 500-meter radius with one or more pieces of equipment for physical exercise was negatively associated with walking (OR = 0.84, based on ≥ 150 minutes/week). The amount of public spaces for leisure activities in a 1,000-meter radius was positively associated with moderate-vigorous PA (OR = 1.03). The distance to a public space for leisure activities with three or more pieces of equipment for physical exercise (OR = 0.95) was inversely associated with moderate-vigorous PA. Proximity and amount of public spaces for leisure activities are associated with higher levels of moderate-vigorous PA in adults. The combination of methods can help reveal the contribution that access to (and quality of) public spaces for leisure activities can make to PA.
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Affiliation(s)
- Adriano Akira Ferreira Hino
- Programa de Pós-graduação em Tecnologia em Saúde, Pontifícia Universidade Católica do Paraná, Curitiba, Brasil
| | - Cassiano Ricardo Rech
- Programa de Pós-graduação em Educação Física, Universidade Federal de Santa Catarina, Florianópolis, Brasil
| | - Priscila Bezerra Gonçalves
- Programa de Pós-graduação em Tecnologia em Saúde, Pontifícia Universidade Católica do Paraná, Curitiba, Brasil
| | - Rodrigo Siqueira Reis
- Brown School, Washington University in St. Louis, St. Louis, U.S.A.,Programa de Pós-graduação em Gestão Urbana, Pontifícia Universidade Católica do Paraná, Curitiba, Brasil
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Older Adults' Outdoor Walking and Inequalities in Neighbourhood Green Spaces Characteristics. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16224379. [PMID: 31717514 PMCID: PMC6888485 DOI: 10.3390/ijerph16224379] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/25/2019] [Revised: 10/24/2019] [Accepted: 11/05/2019] [Indexed: 11/16/2022]
Abstract
Outdoor walking has considerable benefits for healthy ageing and older adults are recommended to walk regularly. However, older adults living in high-deprivation areas walk less than those living in low-deprivation areas. Previous research has shown that the characteristics of neighbourhood green spaces (i.e., proximity, attractiveness, size, and number) may influence outdoor walking. This study examines spatial inequalities in the characteristics of neighbourhood green spaces in high- versus low-deprivation areas and their possible influences on disparities in older adults’ outdoor walking levels. For this purpose, it included a sample of 173 participants (≥65 years) and used secondary data and a geographic information system (GIS) to objectively measure neighbourhood green spaces characteristics. Geographic positioning system (GPS) technology was used to objectively measure outdoor walking levels. Data on participants’ personal characteristics were collected by questionnaire. The results indicate that one characteristic of neighbourhood green spaces (i.e., size) is positively related to outdoor walking levels. They show that inequalities in neighbourhood green spaces’ size in high- versus low-deprivation areas may influence disparities in older adults’ outdoor walking levels. Despite inequalities in other neighbourhood green space characteristics (e.g., proximity, attractiveness, and number) in high- versus low-deprivation areas, no relationship was found between these neighbourhood green space characteristics and participants’ outdoor walking levels. Enhancing the distribution or creation of large neighbourhood green spaces (e.g., through creating green space networks) may enhance outdoor walking among older residents, especially in high-deprivation areas.
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Higgs C, Badland H, Simons K, Knibbs LD, Giles-Corti B. The Urban Liveability Index: developing a policy-relevant urban liveability composite measure and evaluating associations with transport mode choice. Int J Health Geogr 2019; 18:14. [PMID: 31185987 PMCID: PMC6558748 DOI: 10.1186/s12942-019-0178-8] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Accepted: 06/01/2019] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Designing healthy, liveable cities is a global priority. Current liveability indices are aggregated at the city-level, do not reflect spatial variation within cities, and are often not aligned to policy or health. OBJECTIVES To combine policy-relevant liveability indicators associated with health into a spatial Urban Liveability Index (ULI) and examine its association with adult travel behaviours. METHODS We developed methods to calculate spatial liveability indicators and the ULI for all residential addresses in Melbourne, Australia. Associations between the address-level ULI and adult travel behaviours from the 2012-2014 Victorian Integrated Survey of Travel and Activity (VISTA) (n = 12,323) were analysed using multilevel logistic regression. Sensitivity analyses to evaluate impact of methodological choices on distribution of liveability as assessed by the ULI and associations with travel mode choice were also conducted. RESULTS Liveability estimates were calculated for 1,550,641 residential addresses. ULI scores were positively associated with active transport behaviour: for each unit increase in the ULI score the estimated adjusted odds ratio (OR) for: walking increased by 12% (95% Credible Interval: 9%, 15%); cycling increased by 10% (4%, 17%); public transport increased by 15% (11%, 19%); and private vehicle transport decreased by 12% (- 9%, - 15%). CONCLUSIONS The ULI provides an evidence-informed and policy-relevant measure of urban liveability, that is significantly and approximately linearly associated with adult travel behaviours in the Melbourne context. The ULI can be used to evaluate progress towards implementing policies designed to achieve more liveable cities, identify spatial inequities, and examine relationships with health and wellbeing.
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Affiliation(s)
- Carl Higgs
- NHMRC Centre of Research Excellence in Healthy Liveable Communities, Centre for Urban Research, RMIT University, Room 12, Building 15, Level 3 RMIT University, 124 Latrobe St, Melbourne, VIC, Australia.
| | - Hannah Badland
- Centre for Urban Research, RMIT University, Melbourne, VIC, Australia
| | - Koen Simons
- NHMRC Centre of Research Excellence in Healthy Liveable Communities, Centre for Urban Research, RMIT University, Room 12, Building 15, Level 3 RMIT University, 124 Latrobe St, Melbourne, VIC, Australia
- Centre for Epidemiology and Biostatistics, University of Melbourne, Melbourne, VIC, Australia
| | - Luke D Knibbs
- School of Public Health, University of Queensland, Brisbane, QLD, Australia
| | - Billie Giles-Corti
- NHMRC Centre of Research Excellence in Healthy Liveable Communities, Centre for Urban Research, RMIT University, Room 12, Building 15, Level 3 RMIT University, 124 Latrobe St, Melbourne, VIC, Australia
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Li Y, Yatsuya H, Hanibuchi T, Hirakawa Y, Ota A, Uemura M, Chiang C, Otsuka R, Murata C, Tamakoshi K, Toyoshima H, Aoyama A. The association between objective measures of residence and worksite neighborhood environment, and self-reported leisure-time physical activities: The Aichi Workers' Cohort Study. Prev Med Rep 2018; 11:282-289. [PMID: 30116699 PMCID: PMC6082790 DOI: 10.1016/j.pmedr.2018.07.007] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Revised: 07/17/2018] [Accepted: 07/21/2018] [Indexed: 11/28/2022] Open
Abstract
The possible effects of a neighborhood's built environment on physical activity have not been studied in Asian countries as much as in Western countries. The present study cross-sectionally examined the relationship between geographic information system (GIS) measured residence and worksite neighborhood walkability, and the number of parks/green spaces and sports facilities within a 1 km radius of home and workplace, with self-reported leisure-time habitual (3–4 times per week or more) walking and moderate-to-vigorous intensity habitual exercise among local government workers aged 18 to 64 years living in an urban-suburban area of Aichi, Japan in 2013. A single-level binomial regression model was used to estimate the multivariable odds ratios (ORs) and 95% confidence intervals (95% CIs). Of the 1959 male and 884 female participants, 288 (15%) and 141 (16%) reported habitual walking, respectively, and 18% and 17% reported habitual exercise, respectively. Compared with women who resided in neighborhood with a walkability index of 4–30, those living in an area with that of 35–40 were significantly more likely to engage in leisure-time habitual exercise (multivariable OR: 1.70, 95% CI: 1.08–2.68). Marginally significant positive associations were found between leisure-time habitual exercise and the residential neighborhood's number of parks/green spaces among women, as well as the number of sports facilities among men. In conclusion, a residential neighborhood environment characterized by higher walkability may contribute to the initiation or maintenance of moderate-to-vigorous intensity leisure-time exercise among working women living in an urban-suburban area of Japan. Residential neighborhood walkability was associated with exercise habits of women. No features of residential neighborhood were related to walking habits in both sexes. No association was found for worksite neighborhood environmental features.
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Affiliation(s)
- Yuanying Li
- Department of Public Health, Fujita Health University School of Medicine, Toyoake, Aichi, Japan
| | - Hiroshi Yatsuya
- Department of Public Health, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.,Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Tomoya Hanibuchi
- School of International Liberal Studies, Chukyo University, Nagoya, Japan
| | - Yoshihisa Hirakawa
- Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Atsuhiko Ota
- Department of Public Health, Fujita Health University School of Medicine, Toyoake, Aichi, Japan
| | - Mayu Uemura
- Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Chifa Chiang
- Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Rei Otsuka
- National Center for Geriatrics and Gerontology, Obu, Aichi, Japan
| | - Chiyoe Murata
- National Center for Geriatrics and Gerontology, Obu, Aichi, Japan
| | - Koji Tamakoshi
- Department of Nursing, Nagoya University School of Health Science, Nagoya, Japan
| | - Hideaki Toyoshima
- Rehabili-Park Kurokawa, Geriatric Health Service Facility, Nagoya, Aichi, Japan
| | - Atsuko Aoyama
- Department of Public Health and Health Systems, Nagoya University Graduate School of Medicine, Nagoya, Japan
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Sugiyama T, Cerin E, Mridha M, Koohsari MJ, Owen N. Prospective Associations of Local Destinations and Routes With Middle-to-Older Aged Adults’ Walking. THE GERONTOLOGIST 2017; 58:121-129. [DOI: 10.1093/geront/gnx088] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2016] [Indexed: 11/13/2022] Open
Affiliation(s)
- Takemi Sugiyama
- Australian Catholic University, Melbourne
- Swinburne University of Technology, Melbourne, Australia
| | | | | | | | - Neville Owen
- Swinburne University of Technology, Melbourne, Australia
- Baker Heart & Diabetes Institute, Melbourne, Australia
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Wang Q, Zhang Z. Examining social inequalities in urban public leisure spaces provision using principal component analysis. ACTA ACUST UNITED AC 2016. [DOI: 10.1007/s11135-016-0396-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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Sugiyama T, Gunn LD, Christian H, Francis J, Foster S, Hooper P, Owen N, Giles-Corti B. Quality of Public Open Spaces and Recreational Walking. Am J Public Health 2015; 105:2490-5. [PMID: 26469676 DOI: 10.2105/ajph.2015.302890] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES We examined associations between specific public open space (POS) attributes and recreational walking to local POS. METHODS Between October 2004 and December 2006, 1465 adults of the RESIDential Environments Project, conducted in Perth, Australia, reported whether they walk to a POS for recreation. For each participant, we identified all open spaces larger than 0.8 hectares within 1.6 kilometers from home. On the basis of field audit data, we created 3 scores (presence, count, size-weighted presence) for 19 specific open space attributes. RESULTS With logistic regression analyses, we found that walking to a POS was associated with the presence of gardens, grassed areas, walking paths, water features, wildlife, amenities, dog-related facilities, and off-leash areas for dogs. It was also associated with the highest number of these attributes in a single open space, but not with the total number of attributes in all POSs within 1.6 kilometers of home. CONCLUSIONS Building 1 high-quality local park may be more effective in promoting recreational walking than is providing many average-quality parks.
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Affiliation(s)
- Takemi Sugiyama
- Takemi Sugiyama is with the Centre for Design Innovation, Swinburne University of Technology, Melbourne, Victoria, Australia. Lucy D. Gunn and Billie Giles-Corti are with the Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia. Hayley Christian is with the School of Population Health, University of Western Australia, Perth, Australia. Jacinta Francis, Sarah Foster, and Paula Hooper are with the School of Earth and Environment, University of Western Australia. Neville Owen is with the Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia
| | - Lucy D Gunn
- Takemi Sugiyama is with the Centre for Design Innovation, Swinburne University of Technology, Melbourne, Victoria, Australia. Lucy D. Gunn and Billie Giles-Corti are with the Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia. Hayley Christian is with the School of Population Health, University of Western Australia, Perth, Australia. Jacinta Francis, Sarah Foster, and Paula Hooper are with the School of Earth and Environment, University of Western Australia. Neville Owen is with the Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia
| | - Hayley Christian
- Takemi Sugiyama is with the Centre for Design Innovation, Swinburne University of Technology, Melbourne, Victoria, Australia. Lucy D. Gunn and Billie Giles-Corti are with the Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia. Hayley Christian is with the School of Population Health, University of Western Australia, Perth, Australia. Jacinta Francis, Sarah Foster, and Paula Hooper are with the School of Earth and Environment, University of Western Australia. Neville Owen is with the Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia
| | - Jacinta Francis
- Takemi Sugiyama is with the Centre for Design Innovation, Swinburne University of Technology, Melbourne, Victoria, Australia. Lucy D. Gunn and Billie Giles-Corti are with the Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia. Hayley Christian is with the School of Population Health, University of Western Australia, Perth, Australia. Jacinta Francis, Sarah Foster, and Paula Hooper are with the School of Earth and Environment, University of Western Australia. Neville Owen is with the Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia
| | - Sarah Foster
- Takemi Sugiyama is with the Centre for Design Innovation, Swinburne University of Technology, Melbourne, Victoria, Australia. Lucy D. Gunn and Billie Giles-Corti are with the Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia. Hayley Christian is with the School of Population Health, University of Western Australia, Perth, Australia. Jacinta Francis, Sarah Foster, and Paula Hooper are with the School of Earth and Environment, University of Western Australia. Neville Owen is with the Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia
| | - Paula Hooper
- Takemi Sugiyama is with the Centre for Design Innovation, Swinburne University of Technology, Melbourne, Victoria, Australia. Lucy D. Gunn and Billie Giles-Corti are with the Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia. Hayley Christian is with the School of Population Health, University of Western Australia, Perth, Australia. Jacinta Francis, Sarah Foster, and Paula Hooper are with the School of Earth and Environment, University of Western Australia. Neville Owen is with the Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia
| | - Neville Owen
- Takemi Sugiyama is with the Centre for Design Innovation, Swinburne University of Technology, Melbourne, Victoria, Australia. Lucy D. Gunn and Billie Giles-Corti are with the Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia. Hayley Christian is with the School of Population Health, University of Western Australia, Perth, Australia. Jacinta Francis, Sarah Foster, and Paula Hooper are with the School of Earth and Environment, University of Western Australia. Neville Owen is with the Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia
| | - Billie Giles-Corti
- Takemi Sugiyama is with the Centre for Design Innovation, Swinburne University of Technology, Melbourne, Victoria, Australia. Lucy D. Gunn and Billie Giles-Corti are with the Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia. Hayley Christian is with the School of Population Health, University of Western Australia, Perth, Australia. Jacinta Francis, Sarah Foster, and Paula Hooper are with the School of Earth and Environment, University of Western Australia. Neville Owen is with the Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia
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Koohsari MJ, Mavoa S, Villanueva K, Sugiyama T, Badland H, Kaczynski AT, Owen N, Giles-Corti B. Public open space, physical activity, urban design and public health: Concepts, methods and research agenda. Health Place 2015; 33:75-82. [PMID: 25779691 DOI: 10.1016/j.healthplace.2015.02.009] [Citation(s) in RCA: 120] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2014] [Revised: 02/18/2015] [Accepted: 02/19/2015] [Indexed: 11/18/2022]
Abstract
Public open spaces such as parks and green spaces are key built environment elements within neighbourhoods for encouraging a variety of physical activity behaviours. Over the past decade, there has been a burgeoning number of active living research studies examining the influence of public open space on physical activity. However, the evidence shows mixed associations between different aspects of public open space (e.g., proximity, size, quality) and physical activity. These inconsistencies hinder the development of specific evidence-based guidelines for urban designers and policy-makers for (re)designing public open space to encourage physical activity. This paper aims to move this research agenda forward, by identifying key conceptual and methodological issues that may contribute to inconsistencies in research examining relations between public open space and physical activity.
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Affiliation(s)
- Mohammad Javad Koohsari
- McCaughey VicHealth Community Wellbeing Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia; Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, VIC, Australia.
| | - Suzanne Mavoa
- McCaughey VicHealth Community Wellbeing Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
| | - Karen Villanueva
- McCaughey VicHealth Community Wellbeing Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia; Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, VIC, Australia.
| | - Takemi Sugiyama
- Spatial Epidemiology and Evaluation Research Group, Sansom Institute for Health Research & School of Population Health, University of South Australia, Adelaide, SA, Australia; Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, VIC, Australia.
| | - Hannah Badland
- McCaughey VicHealth Community Wellbeing Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
| | - Andrew T Kaczynski
- Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
| | - Neville Owen
- Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, VIC, Australia.
| | - Billie Giles-Corti
- McCaughey VicHealth Community Wellbeing Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
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16
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Koohsari MJ, Sugiyama T, Lamb KE, Villanueva K, Owen N. Street connectivity and walking for transport: role of neighborhood destinations. Prev Med 2014; 66:118-22. [PMID: 24963892 DOI: 10.1016/j.ypmed.2014.06.019] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2014] [Revised: 04/24/2014] [Accepted: 06/15/2014] [Indexed: 10/25/2022]
Abstract
OBJECTIVE Built environment attributes may be important determinants of physical activity. Greater street connectivity has been shown in several studies to be associated with adults' walking for transport (WFT). We examined the extent to which this association can be explained by the availability of utilitarian destinations. METHODS Adults (n=2544) participating in the Physical Activity in Localities and Community Environments (PLACE) study in Adelaide, Australia during 2003-2004, reported their WFT and perceived distances to 16 utilitarian destinations. Connectivity was calculated as the ratio of the number of intersections to Census Collection District land area. Marginal models via generalized estimating equations were used and the product-of-coefficients test was used to test mediation effects. RESULTS Connectivity was significantly associated with destination availability and with WFT frequency. The connectivity-WFT relationship was attenuated after taking availability of destinations into account, but remained significant. Availability of destinations accounted for 16% of the total effect of connectivity on WFT. CONCLUSIONS Higher connectivity can be associated with more frequent WFT, partly because more utilitarian destinations are available in areas with well-connected street networks. Further clarification of these relationships and other pathways through which connectivity influences residents' walking can inform urban design initiatives to promote physical activity.
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Affiliation(s)
- Mohammad Javad Koohsari
- Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Australia; McCaughey VicHealth Centre for Community Wellbeing, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
| | - Takemi Sugiyama
- Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Australia; Spatial Epidemiology and Evaluation Research Group, Sansom Institute for Health Research & School of Population Health, University of South Australia, Adelaide, Australia
| | - Karen Elaine Lamb
- Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Royal Children's Hospital, Melbourne, Australia
| | - Karen Villanueva
- McCaughey VicHealth Centre for Community Wellbeing, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia; Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, Australia
| | - Neville Owen
- Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Australia; School of Population Health, the University of Queensland, Australia; School of Population and Global Health, Melbourne University, Australia; Department of Medicine, Monash University, Australia
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