HEALTHY URBAN LIVING AND AGEING IN PLACE: PHYSICAL ACTIVITY, BUILT ENVIRONMENT AND KNOWLEDGE EXCHANGE IN BRAZILIAN CITIES (HULAP)

巴西是世界上人口老龄化速度最快的国家之一，非传染性疾病正在成为国家公共卫生的主要优先事项。这些包括肥胖水平的增加和其他与缺乏PA相关的疾病。越来越多的证据表明，PA增加对健康的影响，尤其是在老年人中，尽管这并不像其他人口群体那样充分发展，尽管他们是最不活跃和最久坐的。越来越清楚的是，在更广泛的生态模型中，建筑城市环境的形式可以影响PA的水平，这表明这一领域的干预措施可以在支持公共卫生的长期战略方面发挥有益的作用。尽管有一些证据表明，无论年龄、教育和社会经济地位如何，在巴西老年人中进行的PA研究很少，但它与生活质量和健康状况的改善有关。因此，加强对巴西老年人私人护理人员行为的了解、城市设计在促进这一行为方面的作用以及提高政策效力，将有利于巴西的经济发展和福祉，通过实现更健康的老龄化、减少未来的健康负担和加强机构能力。该项目整合了招标书中强调的三个主题：城市设计/规划/住房/基础设施；健康/不平等正义;和领导力/管理/机构。该项目将通过汇集来自公共卫生、地理、规划和管理研究的巴西/英国研究人员组成的多学科团队，以及对在巴西、英国和欧洲推动这一政策议程至关重要的一系列关键利益攸关方，开发政策工具、伙伴关系和证据，以提高巴西城市老年人的PA水平。我们采用巴西和英国的比较方法，以ESRC、CAPES、CNPq等机构此前资助的研究为基础。我们的目标是捕获库里蒂巴（巴西）和贝尔法斯特（英国）老年人样本的PA，并测量可能影响PA的建筑环境的一系列属性。我们将为此开发和测试新的方法和协议，这将有助于形成具有更广泛国际相关性的新方法方法，包括用于快速评估建筑环境可步行性的IPEN协议和工具。我们将调查客观和感知环境措施与老年人身体功能之间的关系。我们还将比较绘制巴西和英国涉及老龄化和步行环境的制度和治理背景，评估其吸收证据并汇集创新实践实例的能力。该项目将产生一系列政策指导和工具包，以加强未来的政策方针。主要项目合作伙伴包括Embarq（巴西）和贝尔法斯特健康城市（英国），他们将协调巴西和英国健康老龄化领域更广泛的利益攸关方对项目影响咨询小组的投入。这将涉及巴西-英国联合影响讲习班，将确保该项目继续侧重于提供有价值的社会影响，并反过来影响该领域未来的研究方法，以创造研究-实施-反馈-研究的良性循环。该项目旨在提供广泛的双语产出，包括：项目网站、视频内容和社交媒体；同行评议的论文;在巴西和英国的地方政策网络和会议上作报告；工作文件及概要、政策简报文件；收集老年人PA数据的修订方案；一种新的知识翻译自评工具修订了审核建筑环境的工具和老年人步行工具包。

Brazil has one of the most rapidly ageing populations in the world and non-communicable diseases are emerging as the main national public health priority. These include increasing levels of obesity and other conditions associated with a lack of PA. There is emerging evidence on the impact of increased PA on health, particularly amongst older adults, although this is not as well developed as for other demographic groups, despite them being the least active and most sedentary. It is also becoming clear that, set within a wider ecological model, the form of the built urban environment can influence levels of PA, suggesting that interventions in this area could provide a useful role in supporting long-term strategies for public health. There are very few studies on PA amongst older adults in Brazil, although there is some evidence that suggests it is associated with improved quality of life and health, irrespective of age, education and socio-economic status. Therefore, an enhanced understanding of PA behaviour of older adults in Brazil, the role of urban design in facilitating this and improved policy effectiveness will benefit the economic development and well-being in Brazil, through healthier ageing in place, reduction in future health burdens and enhanced institutional capacity. The project integrates three themes highlighted in the call specification related to: Urban Design/Planning/Housing/Infrastructure; Health/Inequalities/Justice; and Leadership/Governance/Institutions. This project will develop policy tools, partnerships and evidence for increasing PA levels of older adults in Brazilian cities, by bringing together a multi-disciplinary team of Brazilian/UK researchers drawn from public health, geography, planning and management studies, as well as a range of key stakeholders that are central to promoting this policy agenda in Brazil, the UK and Europe. We take a comparative Brazil-UK approach that builds on research previously funded by the ESRC, CAPES, CNPq and others. We aim to capture the PA of a sample of older adults in Curitiba (Brazil) and Belfast (UK) and measure a range of attributes of the built environment which may influence this. We will develop and test new methodologies and protocols for doing this, which will contribute to new methodological approaches of wider international relevance, including IPEN protocols and tools for rapidly evaluating the built environment for its walkability. We will investigate the associations between objective and perceived environmental measures with the physical functioning of older adults. We will also comparatively map the Brazil and UK institutional and governance contexts involved in ageing and walkable environments, evaluate the capacity of this to assimilate evidence and bring together examples of innovative practice. The project will result in a range of policy guidance and toolkits to enhance future policy approaches. Key project partners include Embarq (Brazil) and Belfast Healthy Cities (UK), who will coordinate input to the project's Impact Advisory Groups from a wider range of stakeholders involved in the healthy ageing arenas in Brazil and the UK. This will involve joint Brazil-UK impact workshops, will ensure that the project remains focused on delivering valuable societal impact and in turn will influence future approaches to research in this field to create a virtuous circle of research-implementation-feedback-research. The project aims to deliver a wide range of bi-lingual outputs which will include: project website, video content and social media; peer-reviewed papers; presentations to local policy networks and conferences in Brazil and the UK; working papers and lay summaries, policy briefing papers; a revised protocol for capturing older adults PA data; a new knowledge translation self-assessment tool; revised tools for auditing the built environment and an Older-Adults Walkability Toolkit.