Neighborhood Environments and Physical Activity Among Adults in 11 Countries
Neighborhood Environments and Physical Activity Among Adults in 11 Countries
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DOI：
10.1016/j.amepre.2009.01.031
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发表时间：
2009-06-01
影响因子：
5.5
通讯作者：
Bergman, Patrick
中科院分区：
文献类型：
--
作者：
Sallis, James F.;Bowles, Heather R.;Bergman, Patrick
背景：了解体育活动的环境相关性可以为政策变化提供信息。在11个国家进行了调查，使用相同的自我报告环境变量和国际身体活动问卷，允许使用汇总数据进行分析。方法：参与调查的国家包括比利时、巴西、加拿大、哥伦比亚、中国（香港）、日本、立陶宛、新西兰、挪威、瑞典和美国，总共有11,541名生活在城市的成年人。样本具有一定的代表性，数据收集季节具有可比性。参与者指出他们的社区是否存在七种环境属性。结果是衡量身体活动是否符合健康相关指南的指标。数据收集于2002-2003年，并于2007年进行分析。逻辑回归分析评估了身体活动与环境属性的关联，并根据年龄、性别和国家内聚集性进行了调整。结果：7个环境变量中有5个与满足体育活动指南显著相关，从获得低成本娱乐设施（OR=1.16）到大多数街道上的人行道（OR=1.47）。观察到一个分级关联，与那些没有支持属性的社区相比，最支持活动的社区有100%高的充足体育活动率。结论：结果表明，支持体育活动的社区有很大的潜力有助于增加体育活动。设计支持体育活动的社区现在可以被定义为一个国际公共卫生问题。[J]中华预防医学杂志2009；36(6):484-490
Background: Understanding environmental correlates of physical activity can inform policy changes. Surveys were conducted in 11 countries using the same self-report environmental variables and the International Physical Activity Questionnaire, allowing analyses with pooled data.Methods: The participating Countries were Belgium, Brazil, Canada, Colombia, China (Hong Kong), Japan, Lithuania, New Zealand, Norway, Sweden, and the U.S., with a combined sample of 11,541 adults living in cities. Samples were reasonably representative, and seasons of data collection were comparable. Participants indicated whether seven environmental attributes were present in their neighborhood. Outcomes were measures of whether health-related guidelines for physical activity were met. Data were collected in 2002-2003 and analyzed in 2007. Logistic regression analyses evaluated associations of physical activity with environmental attributes, adjusted for age, gender, and clustering within Country.Results: Five of seven environmental variables were significantly related to meeting physical activity guidelines, ranging from access to low-cost recreation facilities (OR=1.16) to sidewalks on most streets (OR=1.47). A graded association was observed, with the most activity-supportive neighborhoods having 100% higher rates of sufficient physical activity compared to those with no supportive attributes.Conclusions: Results suggest neighborhoods built to support physical activity have a strong potential to contribute to increased physical activity. Designing neighborhoods to support physical activity can now be defined as an international public health issue. (Am J Prev Med 2009;36(6):484-490) (C) 2009 American Journal of Preventive Medicine