The association between health enhancing physical activity and neighbourhood environment among Swedish adults - a population-based cross-sectional study

The association between health enhancing physical activity and neighbourhood environment among Swedish adults - a population-based cross-sectional study
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DOI:
10.1186/1479-5868-6-8
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发表时间:
2009-02-09
影响因子:
8.7
通讯作者:
Sjostrom, Michael
Sjostrom, Michael
中科院分区:
医学1区
文献类型:
--
作者:
Bergman, Patrick;Grjibovski, Andrej M.;Sjostrom, Michael

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背景资料:本研究探讨邻里环境因素与步行和整体健康增强体力activity.Methods的关系:一项基于人口的横断面研究。使用经验证的国际体力活动问卷(IPAQ)的简短自我管理版本来评估增强健康的体力活动,包括步行。邻里环境进行了评估,使用17个项目的环境模块。对环境变量进行了主成分分析。结果:在调整后的模型中,达到中等水平的优势比(OR)较低,OR:0.66(95%置信区间(CI):0.47-0.98),和上限,OR:0.65(0.45-0.95),在城市化程度最低的三分位数中观察到步行的三分位数。在犯罪恐惧最低的三分位数中,观察到行走的OR值较高,OR值为1.84(1.28-1.64),OR值为1.64(1.14-2.36)。较高的OR达到高类别的总健康增强体力活动中观察到的最低,OR:2.01(1.32-3.05),和中间的三分位数,OR:1.52(1.02-2.25),城市化程度的因素degree of urbanization.Conclusion:研究结果表明,环境是差异相关的步行和总健康增强体力活动。这应该在未来的研究中进行探索,以解开身体活动的不同水平和方面之间的复杂关系,以及它们与环境的关系。
Background: This study examines the relationship of neighbourhood environment factors with walking and total health enhancing physical activity.Methods: A population-based cross-sectional study. The short self-administered version of the validated International Physical Activity Questionnaire (IPAQ) was used to assess health enhancing physical activity including walking. The neighbourhood environment was assessed using a 17-item environmental module. A principal component analysis among the environmental variables was conducted. The factor scores were divided into tertiles and independent associations between factor tertiles and physical activity categories and walking were studied by multinomial logistic regression with adjustment for confounders.Results: In adjusted models, a lower odds ratio ( OR) for reaching the middle, OR: 0.66 (95% Confidence Interval (CI): 0.47-0.98), and upper, OR: 0.65 (0.45-0.95), tertile of walking was observed among those in the lowest tertile of the degree of urbanisation. A higher OR for reaching the middle, OR: 1.84 (1.28-1.64), and upper tertile, OR: 1.64 (1.14-2.36), of walking was observed among those in the lowest tertile of fear of crime. A higher OR for reaching the high category of total health enhancing physical activity was observed among those in the lowest, OR: 2.01 (1.32-3.05), and middle tertile, OR: 1.52 (1.02-2.25), of the factor degree of urbanisation.Conclusion: The findings suggest that the environment is differentially related to walking and total health enhancing physical activity. This should be explored in future research to disentangle the complex relationship between different levels and aspects of physical activity and their relationship with the environment.