Built Environment Attributes and Walking Patterns Among the Elderly Population in Bogota

Built Environment Attributes and Walking Patterns Among the Elderly Population in Bogota
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DOI:
10.1016/j.amepre.2010.02.005
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发表时间:
2010-06-01
影响因子:
5.5
通讯作者:
Lobelo, Felipe
Lobelo, Felipe
中科院分区:
医学2区
文献类型:
--
作者:
Gomez, Luis F.;Parra, Diana C.;Lobelo, Felipe

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背景资料:有越来越多的证据表明,建筑环境对身体活动的影响,然而,鲜为人知的是这种关系在发展中国家。目的:本研究探讨了建筑环境和步行模式之间的关联属性among the elderly.Methods:一个多层次的横断面研究进行了2007年。选择了50个社区,对1966名年龄≥ 60岁的参与者进行了调查。利用GIS在500 m的缓冲区内获得了客观的建筑环境测量结果。结果:居住在中等公园面积(4.53%~ 7.98%土地面积)地区的居民,在平时一周内步行时间不少于60分钟的可能性更大(患病率OR [POR]=1.42,95%CI = 1.02,1.98)。那些居住在连通性指数最高的地区(1.81-1.99)的人不太可能报告步行至少60分钟(POR=0.64,95% CI=0.44,0.93)。报告感觉安全或非常安全的参与者更有可能报告步行至少60分钟(POR=1.50,95% CI=1.11,2.03)。Ciclovia(娱乐项目)的存在与在平常的一周内步行至少150分钟(POR=1.29,95%CI =0.97,1.73)。结论:这项研究表明,某些建成和感知的环境特征与生活在波哥大的老年人之间的步行。应开展进一步研究,以更好地了解拉丁美洲城市建筑环境对老年人体育活动的潜在影响。(Am J Prey Med 2010;38(6):592-599)(C)2010年美国预防医学杂志
Background: There is increasing evidence that the built environment has an influence on physical activity; however, little is known about this relationship in developing countries.Purpose: This study examined the associations between attributes of the built environment and walking patterns among the elderly.Methods: A multilevel cross-sectional study was conducted in 2007. Fifty neighborhoods were selected and 1966 participants aged >= 60 years were surveyed. Objective built environment measures were obtained in a buffer of 500 m using GIS. Environmental perceptions were assessed via questionnaire.Results: People who lived in areas with middle park area (4.53%-7.98% of land) were more likely to walk for at least 60 minutes during a usual week (prevalence OR [POR]=1.42, 95% CI = 1.02, 1.98). Those who lived in areas with the highest connectivity index (1.81-1.99) were less likely to report walking for at least 60 minutes (POR=0.64, 95% CI=0.44, 0.93). Participants who reported feeling safe or very safe from traffic were more likely to report walking for at least 60 minutes (POR=1.50, 95% CI=1.11, 2.03). The presence of Ciclovia (recreational program) was marginally associated with having walked at least 150 minutes in a usual week (POR=1.29, 95% CI=0.97, 1.73).Conclusions: This study showed that certain built and perceived environment characteristics were associated with walking among older adults living in Bogota. Further studies should be conducted to better understand the potential influence of the built environment on physical activity among the elderly population in the context of Latin American cities. (Am J Prey Med 2010;38(6):592-599) (C) 2010 American Journal of Preventive Medicine