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

巴西是世界上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。其中包括肥胖水平的增加和其他与PA缺乏相关的情况。有新的证据表明，PA增加对健康的影响，特别是在老年人中，尽管这一点不如其他人口群体那么发达，尽管他们是最不活跃和最久坐的群体。同样清楚的是，在更广泛的生态模式下，城市建成环境的形式可以影响PA的水平，这表明在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用的作用。关于巴西老年人中PA的研究很少，尽管有一些证据表明，无论年龄、教育程度和社会经济地位如何，PA都与改善生活质量和健康有关。因此，通过更健康的老龄化、减少未来的健康负担和加强机构能力，加强对巴西老年人PA行为的了解、城市设计在促进这方面的作用以及改善政策效力，将有利于巴西的经济发展和福祉。该项目结合了呼吁规范中强调的三个主题，涉及：城市设计/规划/住房/基础设施；卫生/不平等/正义；以及领导/治理/机构。该项目将通过汇集巴西/英国公共卫生、地理、规划和管理研究的多学科研究人员以及在巴西、英国和欧洲促进这一政策议程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。我们采取了比较巴西和英国的方法，建立在以前由ESRC、CAPES、CNPQ和其他机构资助的研究基础上。我们的目标是捕捉巴西库里蒂巴和英国贝尔法斯特老年人的PA样本，并测量可能影响这一点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意义的新方法方法，包括IPEN协议和工具，用于快速评估建筑环境的步行能力。我们将调查客观和感知的环境措施与老年人身体功能之间的联系。我们还将比较巴西和英国在老龄化和可步行环境方面的机构和治理背景，评估其吸收证据的能力，并汇集创新实践的例子。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法。主要项目合作伙伴包括Embarq(巴西)和Belfast Healthy Cities(英国)，他们将协调巴西和英国参与健康老龄化领域的更广泛的利益相关者向项目影响咨询小组提供的意见。这将涉及巴西和英国的联合影响讲习班，将确保该项目继续侧重于产生有价值的社会影响，并反过来影响该领域未来的研究方法，以创建研究-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，其中将包括：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的介绍；工作文件和专题摘要、政策简报文件；经修订的获取老年人PA数据的协议；新的知识翻译自我评估工具；经修订的建筑环境审计工具和老年人步行能力工具包。

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.