Associations of neighborhood walkability with intensity‐ and bout‐specific physical activity and sedentary behavior of older adults in Japan

Amagasa, Shiho; Inoue, Shigeru; Fukushima, Noritoshi; Kikuchi, Hiroyuki; Nakaya, Tomoki; Hanibuchi, Tomoya; Sallis, James F.; Owen, Neville

doi:10.1111/ggi.13730

Cited by 25 publications

(17 citation statements)

References 29 publications

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“…The Walk Score uses data provided by the Google™ AJAX Search application program interface [ 23 ], along with a geography-based algorithm to identify nearby amenities and calculate a “walkability” score [ 21 ] based on the distance to amenities. Neighborhood walkability is associated with participation in physical and social activities by older adults [ 24 , 25 , 26 ]. The Walk Scores are associated with the number of steps per day, minutes of leisure walking, and daily moderate- to vigorous-intensity physical activities [ 27 , 28 , 29 ].…”

Section: Methodsmentioning

confidence: 99%

Participation in Social Activities and Relationship between Walking Habits and Disability Incidence

Katayama

Lee

Bae

et al. 2021

JCM

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Identifying the relationship between physical and social activity and disability among community-dwelling older adults may provide important information for implementing tailored interventions to prevent disability progression. The aim of this study was to determine the effect of the number of social activities on the relationship between walking habits and disability incidence in older adults. We included 2873 older adults (mean age, 73.1 years; SD, ±5.9 years) from the National Center for Geriatrics and Gerontology—Study of Geriatric Syndromes. Baseline measurements, including frequencies of physical and social activities, health conditions, physical function, cognitive function, metabolic parameters, and other potential disability risk factors (for example, the number of years of education); monthly assessment for disability was monitored through long-term care insurance certification for at least 2 years from baseline. During a mean follow-up of 35.1 months (SD, 6.4 months), 133 participants developed disability. The disability incidence was 19.0 and 27.9 per 1000 person-years for participants who walked more (≥3 times per week) and less (≤3 times per week) frequently, respectively. The potential confounding factor-adjusted disability hazard ratio was 0.67 (95% confidence interval, 0.46 to 0.96; p = 0.030). The relationship between habitual walking and the number of social activities was statistically significant (p = 0.004). The reduction of disability risk by walking was greater among participants with fewer social activities. Habitual walking was associated with disability incidence, with a more pronounced effect among older adults who were less likely to engage in social activities.

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Section: Methodsmentioning

confidence: 99%

Participation in Social Activities and Relationship between Walking Habits and Disability Incidence

Katayama

Lee

Bae

et al. 2021

JCM

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“…17 In 2015, 1,210 participants (70-79 years of age) who agreed to participate received a mailed questionnaire, and 988 completed and returned the survey. 18 Of these respondents, 478 agreed to wear an accelerometer. Accelerometers with written instructions were delivered and returned via mail.…”

Section: Study Sample and Data Collectionmentioning

confidence: 99%

Older Adults’ Daily Step Counts and Time in Sedentary Behavior and Different Intensities of Physical Activity

Amagasa

Fukushima

Kikuchi

et al. 2021

Journal of Epidemiology

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Background Daily step count is the simplest measure of physical activity. However, little is known about how daily step count related to time spent in different intensities of physical activity (PA) and sedentary behavior (SB). Methods These cross-sectional data were derived from 450 older Japanese adults (56.7% men; mean age, 74.3 years) who were randomly selected from three communities and responded a survey. Daily step count and time spent in moderate-to-vigorous PA (MVPA), light-intensity PA (LPA), and SB were measured using a validated wearable technology (HJA-350IT). Associations of daily step count with time spent in measured behaviors were examined using linear regression models with isometric log-ratio transformations of time-use composition, adjusting for gender, age, and residential area. Results Participants averaged 5,412 (standard deviation, 2,878) steps/d and accumulated MVPA, LPA, and SB corresponding to 4.0%, 34.8%, and 61.2% of daily waking time, respectively. Daily step count significantly increased with increase in time spent in MVPA relative to other behaviors (ie, LPA and SB) and in the ratio of LPA to SB after allowing for MVPA. After stratification, daily step count was significantly related to the ratio of LPA to SB in those taking <5,000 steps/d, but not in those taking 5,000–7,499 and ≥7,500 steps/d. Conclusions Higher daily step count can be an indicator of not only larger relative contribution of time spent in MVPA, but also higher ratio between LPA and SB, particularly among those who are the least physically active.

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“…Features such as street connectivity, residential density, and mixed land use, whether as separate environmental features or in combination to form a walkability index, are indicative of service availability in the environment, and have all been positively associated with time spent on MVPA (2,10,11,13,14), although not consistently (15)(16)(17)(18). MVPA has shown positive associations with closeness of parks (19) and density of recreation facilities (8), yet the associations have also appeared as non-significant (10,13).…”

Section: Introductionmentioning

confidence: 99%

Associations of Environmental Features With Outdoor Physical Activity on Weekdays and Weekend Days: A Cross-Sectional Study Among Older People

Keskinen

Gao

Rantakokko

et al. 2020

Front. Public Health

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Background: Physical activity (PA) of higher intensity and longer duration mainly accumulates from older adults' out-of-home activities. Outdoor PA is influenced by environmental features; however, the day-to-day variability of PA and its associations with environmental features have not been widely studied. This study focused on the associations of environmental features with accelerometer-measured PA in older people on weekdays and weekend days. Methods:The study population comprised 167 community-dwelling older people aged 75-90 years. Accelerometers were worn on 7 consecutive days and a structured interview on physical functioning, health, and socioeconomic factors was administered. A geographic information system (GIS) was used to assess environmental features within a distance of 500 (number of land types, road network slope, intersection, and residential densities) or 1,000 m (habitat diversity within natural and green areas) from participants' homes. Accelerometer-based PA [number of PA bouts >10 min and minutes of moderate to vigorous physical activity (MVPA)] was analyzed for weekdays and weekend days separately. Associations between environmental features and PA were analyzed using linear regression models.Results: Participants accumulated on average 0.60 PA bouts and 34.2 MVPA minutes on weekdays and 0.50 PA bouts and 31.5 MVPA minutes on weekend days. Especially participants with low overall PA were less active at weekends. Habitat diversity in natural and green areas, intersection density, and residential density were positively associated with numbers of PA bouts and MVPA minutes on weekdays. Moreover, more diversity in natural and green areas was associated with more MVPA minutes on weekend days. A higher road network slope was negatively associated with the number of PA bouts throughout the week and with MVPA minutes on weekend days.Conclusions: Environmental features close to home, especially PA-supportive infrastructural features and services, were more strongly associated with weekday than Keskinen et al.Temporal Variation in Environment-PA Associations weekend PA. This suggests that older people's out-of-home activities, typically conducted on weekdays, are related to service use. However, greater diversity of natural areas close to home seemed to motivate older adults to engage in higher MVPA throughout the week.

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Associations of neighborhood walkability with intensity‐ and bout‐specific physical activity and sedentary behavior of older adults in Japan

Cited by 25 publications

References 29 publications

Participation in Social Activities and Relationship between Walking Habits and Disability Incidence

Participation in Social Activities and Relationship between Walking Habits and Disability Incidence

Older Adults’ Daily Step Counts and Time in Sedentary Behavior and Different Intensities of Physical Activity

Associations of Environmental Features With Outdoor Physical Activity on Weekdays and Weekend Days: A Cross-Sectional Study Among Older People

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