Association between Access to Public Open Spaces and Physical Activity in a Mediterranean Population at High Cardiovascular Risk

Colom, Antoni; Fiol, Miguel; Ruiz, Maurici; Compa, Montserrat; Morey, Marga; Moñino, Manuel; Romaguera, Dora

doi:10.3390/ijerph15061285

Cited by 17 publications

(16 citation statements)

References 36 publications

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“…The findings of this study show that the urban built environment, such as POS, are not associated with physical activity in older adults. Our results correspond to our previous results with another population shown non-significant relationships between POS accessibility and self-reported leisure time physical activity [27]. In addition, a recent systematic review and meta-analysis in other settings those show a non-significant relationships between POS accessibility and self-reported or objectively-measured leisure-time walking [3].…”

Section: Built Environment Weather and Physical Activitysupporting

confidence: 91%

Mediterranean Built Environment and Weather as Modulator Factors on Physical Activity: Cross-Sectional Study

et al. 2018

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Background: When promoting physical activity practice, it is important to consider the plausible environmental determinants that may affect this practice. We aimed to explore the impact of objectively measured Public Open Spaces (POS) on objectively measured and self-reported physical activity and the influence of weather on this association, in a Mediterranean sample of senior adults with overweight or obesity and the metabolic syndrome. Method: Cross-sectional analyses based on 218 PREDIMED-Plus trial participants aged 55 to 75 years, from Palma de Mallorca (Spain). Indicators of access to POS were assessed in a 1.0 km sausage network walkable buffer around each participant’s residence address using geographic information systems. Mean daily minutes of self-reported leisure-time brisk walking, and accelerometer objectively measured moderate-to-vigorous physical activity in bouts of at least 10 min (OM-MVPA) were measured. To investigate the association between access to POS and physical activity, generalized additive models with Gaussian link function were used. Results: Better access to POS was not statistically significantly associated with self-reported leisure-time brisk walking. A positive significant association was only observed between the distance of healthy routes contained or intersected by buffer and OM-MVPA. This association was only evident on non-rainy days. Conclusions: In this elderly population living in a Mediterranean city, only healthy routes contained or intersected by a 1 km sausage network walkable buffer influenced the accelerometer objectively measured moderate-to-vigorous physical activity in bouts of at least 10 min and rainy conditions during the accelerometer period appeared to be an important factor related to active ageing.

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Section: Built Environment Weather and Physical Activitysupporting

confidence: 91%

Mediterranean Built Environment and Weather as Modulator Factors on Physical Activity: Cross-Sectional Study

et al. 2018

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“…Several researchers believe that the lack of barriers and differences in sidewalk levels is regarded as the reason for the importance of environmental criteria affecting the amount of walking and environmental health [76]. For instance, the distance of residence areas to the workplace, shopping spaces, recreational sports centers, the security of the environment, diversity of space users including female, male, children, youth and age, the volume of the visual information of environments such as the elements existing in space including building architecture (e.g., color and type of materials, decoration, style of architecture and flooring, building height), flooring, tree planting and green space, and the environmental factors such as a high slope of land, severe climatic factors such as severe radiation and wind, and width and quality of sidewalk [59,[76][77][78][79][80][81][82][83], to note a few. Greater street connectivity has consistently been found associated with higher levels of walking [80].…”

Section: General Healthmentioning

confidence: 99%

The Role of Urban Morphology Design on Enhancing Physical Activity and Public Health

Fathi

Sajadzadeh

Sheshkal

et al. 2020

IJERPH

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Along with environmental pollution, urban planning has been connected to public health. The research indicates that the quality of built environments plays an important role in reducing mental disorders and overall health. The structure and shape of the city are considered as one of the factors influencing happiness and health in urban communities and the type of the daily activities of citizens. The aim of this study was to promote physical activity in the main structure of the city via urban design in a way that the main form and morphology of the city can encourage citizens to move around and have physical activity within the city. Functional, physical, cultural-social, and perceptual-visual features are regarded as the most important and effective criteria in increasing physical activities in urban spaces, based on literature review. The environmental quality of urban spaces and their role in the physical activities of citizens in urban spaces were assessed by using the questionnaire tool and analytical network process (ANP) of structural equation modeling. Further, the space syntax method was utilized to evaluate the role of the spatial integration of urban spaces on improving physical activities. Based on the results, consideration of functional diversity, spatial flexibility and integration, security, and the aesthetic and visual quality of urban spaces plays an important role in improving the physical health of citizens in urban spaces. Further, more physical activities, including motivation for walking and the sense of public health and happiness, were observed in the streets having higher linkage and space syntax indexes with their surrounding texture.

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“…Regarding the accelerometer-assessed outcome, we found that higher baseline values in walkability resulted in increases in AA-MVPA. This positive association seems to be driven by the access to public open spaces and baseline physical activity was identified with this cohort [49].…”

Section: Neighborhood Walkability and Physical Activitymentioning

confidence: 55%

Moderation Effect of Neighborhood Walkability during a Physical Activity Intervention in Overweight and Obese Elderly Subjects with Metabolic Syndrome.

Fernández¹,

Mavoa²,

Ruiz³

et al. 2019

Preprint

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Background: An infrequently studied question is how the objective measurement of neighborhood walkability modulates physical activity changes during a physical activity intervention program in older adults. We assessed the influence of objectively assessed neighborhood walkability inside the city limits of Palma de Mallorca on the change in physical activity during the intervention program used in the ongoing PREvención con DIeta MEDiterránea (PREDIMED)-Plus trial, a multicenter randomized trial primarily designed to evaluate the long-term impact of an intensive lifestyle intervention on cardiovascular events. Method: The present study involved 228 PREDIMED-Plus senior participants aged between 55 to 75, recruited in Palma de Mallorca (Spain). Overweight/obese adults with the metabolic syndrome were randomized to an intensive weight-loss lifestyle intervention or a control group. A walkability index was calculated within 1 km buffers around each participant’ baseline home address. Physical activity was assessed using the validated REGICOR Short Physical Activity Questionnaire and accelerometer, at baseline and at 2 follow-up visits (six-months and one-year later). Generalised Additive Mixed Models (GAMMs) were fitted to estimate the association between the neighborhood walkability index and changes in physical activity during follow-up in both the intervention and control group. Results: After one-year of intervention, higher neighborhood walkability (1 z-score increment) was positively and significantly associated with moderate-to-vigorous accelerometer assessed physical activity duration, (ß = 3,44; 95% CI = 0.52;6.36 minutes per day). When analyses were stratified by intervention arm, the association was only significant in the intervention group (ß = 6.357; 95% CI = 2.07;10.64 minutes per day) (p for interaction = 0.055). There were no statistically significant associations between neighborhood walkability and self-reported leisure-time physical activity nor brisk walking duration. Conclusions: The results indicate that the walkability of the neighborhood could support a physical activity intervention, helping to maintain or increase older adults’ physical activity.

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Association between Access to Public Open Spaces and Physical Activity in a Mediterranean Population at High Cardiovascular Risk

Cited by 17 publications

References 36 publications

Mediterranean Built Environment and Weather as Modulator Factors on Physical Activity: Cross-Sectional Study

Mediterranean Built Environment and Weather as Modulator Factors on Physical Activity: Cross-Sectional Study

The Role of Urban Morphology Design on Enhancing Physical Activity and Public Health

Moderation Effect of Neighborhood Walkability during a Physical Activity Intervention in Overweight and Obese Elderly Subjects with Metabolic Syndrome.

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