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

健康的城市生活和就地老龄化：巴西城市的体育活动、建筑环境和知识交流 (HULAP)

• 批准号: ES/N013336/1
• 负责人: Geraint Ellis
• 金额: $ 59.71万
• 依托单位: Queen's University Belfast
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2016
• 资助国家: 英国
• 起止时间: 2016 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FN013336%2F1
• 关键词: HEALTHY; URBAN; LIVING; AGEING; PLACE

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.

巴西是世界上人口老龄化最快的国家之一，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与缺乏PA相关的其他状况。有新的证据表明，PA增加对健康的影响，特别是在老年人中，尽管这并不像其他人口群体那样发达，尽管他们是最不活跃和久坐不动的。人们也越来越清楚，在更广泛的生态模式中，城市建筑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长期公共卫生战略方面发挥有益的作用。在巴西的老年人中，关于PA的研究很少，尽管有一些证据表明，无论年龄、教育和社会经济地位如何，PA与生活质量和健康的改善有关。因此，加强对巴西老年人养老金行为的了解、城市设计在促进这一点方面的作用以及提高政策效力，将通过更健康的就地养老、减少未来的健康负担和增强机构能力，有益于巴西的经济发展和福祉。 该项目整合了与城市设计/规划/住房/基础设施有关的呼叫规范中强调的三个主题;健康/不平等/正义;领导力/治理/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/英国研究人员以及一系列关键人员组成的多学科团队，开发政策工具、合作伙伴关系和证据，以提高巴西城市老年人的PA水平。对于在巴西、英国和欧洲促进这一政策议程至关重要的利益相关者。我们采取比较巴西-英国的方法，建立在以前由ESRC，CAPES，CNPq等资助的研究基础上。我们的目标是捕捉PA的样本中的老年人在库里蒂巴（巴西）和贝尔法斯特（英国）和测量的一系列属性的建筑环境，这可能会影响这一点。我们将为此制定和测试新的方法和协议，这将有助于制定具有更广泛国际意义的新方法，包括国际消除持久性有机污染物网络协议和快速评估建筑环境步行能力的工具。我们将调查客观和感知的环境措施与老年人的身体功能之间的关联。我们还将比较地图涉及老龄化和步行环境的巴西和英国的机构和治理环境，评估这一能力，以吸收证据，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，以加强今后的政策办法。主要项目伙伴包括Embarq（巴西）和贝尔法斯特健康城市（联合王国），它们将协调巴西和联合王国参与健康老龄领域的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-英国联合影响研讨会，将确保该项目继续专注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，其中包括：项目网站、视频内容和社交媒体;同行评审论文;在巴西和英国的地方政策网络和会议上的介绍;工作文件和非专业摘要、政策简报文件;收集老年人PA数据的修订协议;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工具包。

项目成果

Physical environmental factors influencing older adults' park use: A qualitative study

影响老年人公园使用的物理环境因素：一项定性研究

• DOI: 10.1016/j.ufug.2021.127353
• 发表时间: 2021
• 期刊: Urban Forestry & Urban Greening
• 影响因子: 6.4
• 作者: Kou R

Planning for an ageing city: place, older people and urban restructuring

老龄化城市规划：地点、老年人和城市重建

• DOI: 10.1080/23748834.2021.1914506
• 发表时间: 2021
• 期刊: Cities & Health
• 作者: Murtagh B

Dual task walking in healthy aging: Effects of narrow and wide walking paths.

• DOI: 10.1371/journal.pone.0261647
• 发表时间: 2021
• 期刊: PloS one
• 影响因子: 3.7
• 作者: Hennah C;Ellis G;Doumas M
• 通讯作者: Doumas M

Study protocol: healthy urban living and ageing in place (HULAP): an international, mixed methods study examining the associations between physical activity, built and social environments for older adults the UK and Brazil.

• DOI: 10.1186/s12889-018-6018-0
• 发表时间: 2018-09-21
• 期刊: BMC public health
• 影响因子: 4.5
• 作者: Ellis G;Hunter RF;Hino AAF;Cleland CL;Ferguson S;Murtagh B;Anez CRR;Melo S;Tully M;Kee F;Sengupta U;Reis R
• 通讯作者: Reis R

Impact of COVID-19 on neighbourhood physical activity in older adults

COVID-19 对老年人社区体育活动的影响

• DOI: 10.1080/23748834.2022.2095881
• 发表时间: 2022
• 期刊: Cities & Health
• 作者: Hennah C