Do changes to the local street environment alter behaviour and quality of life of older adults? The 'DIY Streets' intervention.
Do changes to the local street environment alter behaviour and quality of life of older adults? The 'DIY Streets' intervention.
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DOI：
10.1136/bjsports-2012-091718
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发表时间：
2014-07
影响因子：
18.4
通讯作者：
Zuin A
中科院分区：
文献类型：
--
作者：
Ward Thompson C;Curl A;Aspinall P;Alves S;Zuin A
由于缺乏活动而造成的健康不良负担最近受到了重视。需要对支持身体活动的环境进行更好的研究，包括对环境干预措施的纵向研究。英国的一项住宅街道改善计划（Sustrans“DIY Streets”）为前瞻性、纵向研究此类变化对老年人活动、健康和生活质量的影响提供了难得的机会。在英格兰、威尔士和苏格兰各地进行了事前、事后横断面调查；参与者年龄在 65 岁以上，居住在干预或比较街道上。调查问卷涵盖健康和生活质量、户外旅行的频率、不同活动的户外时间以及社区开放空间的 38 项量表。一项队列研究探讨了干预后自我报告活动和幸福感的变化。活动水平还通过加速度计和随附的日记记录进行测量。横断面调查显示，户外活动的前提条件是拥有一个干净、无公害的当地公园、有吸引力的、无障碍的通往公园的路线以及附近的其他自然环境。能够将车停在屋外也可以预测户外时间。环境变化影响了人们对夜间街道步行的适宜性和安全性的看法，但不会影响整体活动水平、健康或生活质量。参与者的中度至剧烈活动水平很少符合英国的健康建议。我们的研究有助于纵向、前后设计的方法论，并指出建筑环境中支持积极老龄化的因素。我们为政策制定者和规划者提供了有关老年友好型建筑环境的知识交流指南的示例。
The burden of ill-health due to inactivity has recently been highlighted. Better studies on environments that support physical activity are called for, including longitudinal studies of environmental interventions. A programme of residential street improvements in the UK (Sustrans ‘DIY Streets’) allowed a rare opportunity for a prospective, longitudinal study of the effect of such changes on older adults’ activities, health and quality of life. Pre–post, cross-sectional surveys were carried out in locations across England, Wales and Scotland; participants were aged 65+ living in intervention or comparison streets. A questionnaire covered health and quality of life, frequency of outdoor trips, time outdoors in different activities and a 38-item scale on neighbourhood open space. A cohort study explored changes in self-report activity and well-being postintervention. Activity levels were also measured by accelerometer and accompanying diary records. The cross-sectional surveys showed outdoor activity predicted by having a clean, nuisance-free local park, attractive, barrier-free routes to it and other natural environments nearby. Being able to park one's car outside the house also predicted time outdoors. The environmental changes had an impact on perceptions of street walkability and safety at night, but not on overall activity levels, health or quality of life. Participants’ moderate-to-vigorous activity levels rarely met UK health recommendations. Our study contributes to methodology in a longitudinal, pre–post design and points to factors in the built environment that support active ageing. We include an example of knowledge exchange guidance on age-friendly built environments for policy-makers and planners.
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DOI：
10.1097/00005768-199805000-00021
发表时间：
1998-05-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Freedson, PS;Melanson, E;Sirard, J
通讯作者：
Sirard, J
DOI：
10.1177/1466424006070466
发表时间：
2006-11-01
期刊：
JOURNAL OF THE ROYAL SOCIETY FOR THE PROMOTION OF HEALTH
影响因子：
--
作者：
Barton, Hugh;Grant, Marcus
通讯作者：
Grant, Marcus
影响因子：
5.7
作者：
JETTE, AM;DAVIES, AR;DELBANCO, TL
通讯作者：
DELBANCO, TL
影响因子：
1.5
作者：
Copeland, Jennifer L.;Esliger, Dale W.
通讯作者：
Esliger, Dale W.
影响因子：
5.7
作者：
Iwarsson, S
通讯作者：
Iwarsson, S