Objectively Measured Neighborhood Walkability and Change in Physical Activity in Older Japanese Adults: A Five-Year Cohort Study.
Objectively Measured Neighborhood Walkability and Change in Physical Activity in Older Japanese Adults: A Five-Year Cohort Study.
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DOI：
10.3390/ijerph15091814
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发表时间：
2018-08-22
影响因子：
--
通讯作者：
Inoue S
中科院分区：
文献类型：
--
作者：
Kikuchi H;Nakaya T;Hanibuchi T;Fukushima N;Amagasa S;Oka K;Sallis JF;Inoue S
目标：本研究调查了通过地理信息系统（GIS，（ArcGIS，ESRI Inc.，雷德兰兹，加利福尼亚州，美国））测量的老年人体力活动变化与社区步行能力之间的纵向关联。方法：对从三种不同定居类型中随机选择的日本老年人进行邮件调查。在基线（2010 年）和随访（2015 年）时收集了步行、中度至剧烈体力活动总量 (MVPA) 和社会人口统计学特征的数据。采用多元线性回归分析来评估 MVPA 变化与社区步行能力之间的关联，并针对潜在的混杂因素进行调整。估计了自变量对 MVPA 变化的影响大小。结果：分析了 731 名社区老年人（43.7% 为女性）的数据。在随访期间，老年人的 MVPA 平均减少了 94.4 分钟/周 (−14.2%)（2010 年和 2015 年分别为 675.5 分钟/周和 579.9 分钟/周）。总体而言，居住在高度步行区域的老年人比居住在低步行区域的老年人减少幅度较小（β：99.7 分钟/周，95% 置信区间：28.5–171.0）。在城市和郊区也观察到了类似的关联，但在农村地区则不然。对于解释 MVPA 变化，步行性比人口特征具有更大的效应量。此外，步行的结果与 MVPA 相似。结论：社区步行适宜性缓解了老年人 5 年步行次数和总 MVPA 的减少，尤其是在城市地区。
Objectives: This study investigated the longitudinal association between changes in older adults’ physical activity and neighborhood walkability measured by geographic information systems (GISs, (ArcGIS, ESRI Inc., Redlands, CA, USA)). Methods: A mail survey was conducted for Japanese older adults who were randomly selected from three different settlement types. Data on walking, total moderate to vigorous physical activity (MVPA), and sociodemographic characteristics were collected at baseline (in 2010) and follow-up (in 2015). Multiple linear regression analyses were employed to assess the association between MVPA change and neighborhood walkability, adjusted for potential confounders. Effect sizes for independent variables on MVPA change were estimated. Results: Data from 731 community-dwelling older adults (43.7% women) were analyzed. During the follow-up, older adults’ MVPA was reduced by 94.4 min/week (−14.2%) on average (675.5 and 579.9 min/week in 2010 and 2015, respectively). Overall, older adults living in highly walkable areas showed a smaller reduction than those in low walkable areas (beta: 99.7 min/week, 95% confidence interval: 28.5–171.0). Similar associations were observed among those in the urban and suburban area, but not in the rural area. Walkability had larger effect sizes for explaining MVPA change than demographic characteristics. In addition, the findings for walking were similar to MVPA. Conclusion: Neighborhood walkability mitigated the 5-year reduction of walking and total MVPA among older adults, especially in urban areas.
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DOI：
10.3390/ijerph121013350
发表时间：
2015-10-23
影响因子：
--
作者：
Hanibuchi T;Nakaya T;Yonejima M;Honjo K
通讯作者：
Honjo K
影响因子：
--
作者：
Glicksman, Allen;Ring, Lauren;Hoffman, Christine
通讯作者：
Hoffman, Christine
DOI：
10.1093/geronb/gbr134
发表时间：
2012-01-01
影响因子：
6.2
作者：
Gauvin, Lise;Richard, Lucie;Payette, Helene
通讯作者：
Payette, Helene
影响因子：
3.4
作者：
Arnadottir, Solveig A.;Gunnarsdottir, Elin D.;Lundin-Olsson, Lillemor
通讯作者：
Lundin-Olsson, Lillemor
影响因子：
18.4
作者：
Lee IM;Shiroma EJ
通讯作者：
Shiroma EJ