The relationship between changes in neighborhood physical environment and changes in physical activity among children: a prospective cohort study.
The relationship between changes in neighborhood physical environment and changes in physical activity among children: a prospective cohort study.
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DOI：
10.1186/s12966-023-01478-2
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发表时间：
2023-07-07
影响因子：
8.7
通讯作者：
Ohri-Vachaspati, Punam
中科院分区：
文献类型：
--
作者：
Acciai, Francesco;DeWeese, Robin S.;Lloyd, Kristen;Yedidia, Michael J.;Kennedy, Michelle;DiSantis, Katherine Isselmann;Tulloch, David;Ohri-Vachaspati, Punam
关键词：
身体活动（PA）与整个生命过程中的积极健康结果相关。许多以社区为基础的促进巴勒斯坦权力机构的干预措施侧重于对现有设施和基础设施进行渐进式改革。本研究的目的是确定这种升级是否与儿童PA的增加有关。在2009年至2017年的2至5年期间，对居住在4个低收入新泽西城市的两组3至15岁儿童（n = 599）进行了随访。通过对父母的电话调查，在每个队列的2个时间点（T1和T2）收集了儿童PA的数据;从2009年到2017年，使用开放公共记录法的要求，公开可用的数据来源以及与关键利益相关者的访谈，每年收集现有PA设施变化的数据。PA的变化分为六个领域（PA设施，公园，小径，完整的街道，人行道，或自行车道）和编码为新的机会，翻新的机会，或舒适。构建了一个规模变量，用于捕获所有与街道相关的升级（完整的街道、人行道和自行车道）。PA被测量为儿童每周参与至少60分钟PA的天数。T1和T2之间的PA变化（范围从-7到+7）与PA环境变化之间的关联使用加权线性回归进行建模，控制T1时的PA，儿童年龄，性别，种族以及家庭和社区人口统计学和社会经济学特征。虽然PA环境变化的大多数测量结果与T1和T2之间的PA变化无关，但与街道相关的升级与PA变化正相关;具体而言，对于距离他们家1英里半径内的街道升级的每一个额外标准差，PA的变化为0.42（95% CI：0.02，0.82; p = 0.039）额外天数。这相当于平均基线值（3.8天）增加11%。目前的研究支持为旨在改善城市街道和人行道的项目提供资金，因为研究表明，逐步改善儿童之家附近的PA环境可能会导致儿童中PA的增加。
Physical activity (PA) is associated with positive health outcomes over the entire life course. Many community-based interventions that promote PA focus on implementing incremental changes to existing facilities and infrastructure. The objective of this study was to determine if such upgrades were associated with increases in children’s PA. Two cohorts of 3- to 15-year-old children (n = 599) living in 4 low-income New Jersey cities were followed during 2- to 5-year periods from 2009 to 2017. Data on children’s PA were collected at 2 time points (T1 and T2) from each cohort using telephone survey of parents; data on changes to existing PA facilities were collected yearly from 2009 to 2017 using Open Public Records Act requests, publicly available data sources, and interviews with key stakeholders. PA changes were categorized into six domains (PA facility, park, trail, complete street, sidewalk, or bike lane) and coded as new opportunity, renovated opportunity, or amenity. A scale variable capturing all street-related upgrades (complete street, sidewalk, and bike lane) was constructed. PA was measured as the number of days per week the child engaged in at least 60 min of PA. The association between change in PA between T1 and T2, ranging from − 7 to + 7, and changes to the PA environment was modeled using weighted linear regression controlling for PA at T1, child age, sex, race, as well as household and neighborhood demographic and socioeconomic characteristics. While most measures of the changes to the PA environment were not associated with change in PA between T1 and T2, the street-related upgrades were positively associated with the change in PA; specifically, for each additional standard deviation in street upgrades within a 1-mile radius of their homes, the change in PA was 0.42 (95% CI: 0.02, 0.82; p = 0.039) additional days. This corresponds to an 11% increase over the mean baseline value (3.8 days). The current study supports funding of projects aimed at improving streets and sidewalks in cities, as it was shown that incremental improvements to the PA environment near children’s homes will likely result in increased PA among children.
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影响因子：
5.4
作者：
Cain, Kelli L.;Millstein, Rachel A.;Sallis, James F.;Conway, Terry L.;Gavand, Kavita A.;Frank, Lawrence D.;Saelens, Brian E.;Geremia, Carrie M.;Chapman, James;Adams, Marc A.;Glanz, Karen;King, Abby C.
通讯作者：
King, Abby C.
影响因子：
2.8
作者：
DeWeese, Robin S.;Acciai, Francesco;Tulloch, David;Lloyd, Kristen;Yedidia, Michael J.;Ohri-Vachaspati, Punam
通讯作者：
Ohri-Vachaspati, Punam
影响因子：
6.4
作者：
King, Diane K.;Litt, Jill;Ross, Colleen
通讯作者：
Ross, Colleen
影响因子：
3.6
作者：
Melnick, Emily M.;DeWeese, Robin S.;Ohri-Vachaspati, Punam
通讯作者：
Ohri-Vachaspati, Punam
影响因子：
5.5
作者：
Abercrombie, Lauren C.;Sallis, James F.;Chapman, James E.
通讯作者：
Chapman, James E.