Neighbourhood environment and physical activity in older adults

Chaudhury, Habib; Campo, Michael; Michael, Yvonne; Mahmood, Atiya

doi:10.1016/j.socscimed.2015.12.011

Cited by 161 publications

(136 citation statements)

References 75 publications

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“…A major part of older adults’ physical activity is carried out in the home environment [1], but moving through larger areas may add to the accumulation of physical activity [36]. The area, where an individual with physical limitations moves, shrinks and ultimately becomes restricted to the neighborhood [37,38].…”

Section: Discussionmentioning

confidence: 99%

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Physical Limitations, Walkability, Perceived Environmental Facilitators and Physical Activity of Older Adults in Finland

Portegijs

Keskinen

Tsai

et al. 2017

IJERPH

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The aim was to study objectively assessed walkability of the environment and participant perceived environmental facilitators for outdoor mobility as predictors of physical activity in older adults with and without physical limitations. 75–90-year-old adults living independently in Central Finland were interviewed (n = 839) and reassessed for self-reported physical activity one or two years later (n = 787). Lower-extremity physical limitations were defined as Short Physical Performance Battery score ≤9. Number of perceived environmental facilitators was calculated from a 16-item checklist. Walkability index (land use mix, street connectivity, population density) of the home environment was calculated from geographic information and categorized into tertiles. Accelerometer-based step counts were registered for one week (n = 174). Better walkability was associated with higher numbers of perceived environmental facilitators (p < 0.001) and higher physical activity (self-reported p = 0.021, step count p = 0.010). Especially among those with physical limitations, reporting more environmental facilitators was associated with higher odds for reporting at least moderate physical activity (p < 0.001), but not step counts. Perceived environmental facilitators only predicted self-reported physical activity at follow-up. To conclude, high walkability of the living environment provides opportunities for physical activity in old age, but among those with physical limitations especially, awareness of environmental facilitators may be needed to promote physical activity.

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Section: Discussionmentioning

confidence: 99%

“…Older adults are mostly physically active in the near vicinity of the home [1]. In accordance with the environmental press or person-environment fit model, an individual may limit his or her physical activity when the demands of the environment exceed the capabilities of the individual [2,3].…”

Section: Introductionmentioning

confidence: 99%

Physical Limitations, Walkability, Perceived Environmental Facilitators and Physical Activity of Older Adults in Finland

Portegijs

Keskinen

Tsai

et al. 2017

IJERPH

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“…Population/residential density, street connectivity, traffic, aesthetic, mixed land uses (e.g., the accessibility of public infrastructure, such as parks, sport facilities, shops), socioeconomic status (SES), and the crime rate are all indicators of walkability. 6,11,12,15 The measurement of indicators of walkability can be subjective (e.g., perceived questionnaires) or objective (e.g., open data and geographic information systems).…”

Section: Prevention Of Non-communicable Diseasesmentioning

confidence: 99%

Differences in Walkability Influence Residents’ Hypertension in Taiwan: An Analysis of Open Government Data

Yen

2017

IJECS

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Non-communicable diseases have become a serious problem worldwide. Disease prevention focuses on modifiable behavioral and environmental features. Walkable or pedestrian-friendly neighborhoods increase residents' physical activity and decrease the risk and mortality of non-communicable diseases. We examined walkability and the distribution of the rate of outpatients with hypertension in each administrative region in Taiwan and analyzed whether differences in walkability affect the rate of outpatients with hypertension. All data were retrieved from open government data in Taiwan and analyzed using ANOVA and the National Geographic Information System. Regions were divided into four levels, according to the standard deviation of the walkability index. There were significant regional differences in the number of outpatients with hypertension. Regions with the most walkability presented the lowest incidence of outpatients with hypertension, significantly less than incidence in the third and the least walkable regions. Thus, the lack of walkable neighborhoods is an important risk factor for hypertension. Walkable neighborhoods should be considered in urban planning and sport-and health-related policies to promote residents' well-being.

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“…Many researchers use quantitative and qualitative methods to explore the neighborhood environmental factors which have a significant impact on older adults in several aspects like wellbeing, residential satisfaction, and physical activities. The street connectivity and social cohesion [13], security facilities, communal facilities, activities center for aged people, and convenience of shopping and medical service [14] influence capability wellbeing of community-dwelling older adults; outdoor space, care facilities, medical facilities, barrier-free facilities, community services, service accessibility [15], environmental problem [16] influence elderly life satisfaction; and environmental accessibility [17], parks [18], safety, comfort of movement [9], peer support [9,18] and proportion of residents living in extreme poverty [19] are found to affect physical activities of older adults in their daily life heavily. Furthermore, "Person-Environment Fit" (P-E Fit) was proposed by Lawton in the field of gerontology [20,21].…”

Section: Introductionmentioning

confidence: 99%

How the Urban Neighborhood Environment Influences the Quality of Life of Chinese Community-Dwelling Older Adults: An Influence Model of “NE-QoL”

Zhang

2019

Sustainability

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Due to functional impairment and low mobility, the sphere of activities of older adults often shrinks and they rely on their living environment more. Especially for urban community-dwelling older adults who are aging in place, the urban neighborhood environment affects their quality of life (QoL) heavily. This study aims to explore how the urban neighborhood environment affects QoL of community-dwelling older adults and develop a mediation model called "Neighborhood Environment-Quality of Life (NE-QoL)" for community-dwelling older adults. The reliability test is applied to test and modify the questionnaire based on cross-sectional data collected from the survey, the multiple regression analysis is used to identify significant influence relations between variables of neighborhood environment and dimensions of the QoL, mediation effects are assumed and tested by the mediation analysis in SPSS, and then the "NE-QoL" is developed to reveal the detailed influence path between the urban neighborhood environment and QoL of community-dwelling older adults. The "NE-QoL" model reveals seven variables of the urban neighborhood environment, which influences the QoL of community-dwelling older adults significantly, and three mediation effects exist in the influence path, making clear the understanding about the relationship between neighborhood environment and the QoL of community-dwelling older adults. It provides valuable retrofit guidelines of the neighborhood environment for improving QoL of community-dwelling older adults.

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Neighbourhood environment and physical activity in older adults

Cited by 161 publications

References 75 publications

Physical Limitations, Walkability, Perceived Environmental Facilitators and Physical Activity of Older Adults in Finland

Physical Limitations, Walkability, Perceived Environmental Facilitators and Physical Activity of Older Adults in Finland

Differences in Walkability Influence Residents’ Hypertension in Taiwan: An Analysis of Open Government Data

How the Urban Neighborhood Environment Influences the Quality of Life of Chinese Community-Dwelling Older Adults: An Influence Model of “NE-QoL”

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