Relationships Between Neighbourhood Physical Environmental Attributes and Older Adults’ Leisure-Time Physical Activity: A Systematic Review and Meta-Analysis

Cauwenberg, Jelle Van; Nathan, Andrea; Barnett, Anthony; Barnett, David W.; Cerin, Ester

doi:10.1007/s40279-018-0917-1

Cited by 193 publications

(227 citation statements)

References 141 publications

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“…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]. We found that a novel urban built environment POS, as kilometers of healthy routes promoted by the local government, contained or intersected by a 1 km sausage network walkable buffer was associated with objectively-measured physical activity.…”

Section: Built Environment Weather and Physical Activitysupporting

confidence: 91%

“…Although we were unable to differentiate if these healthy routes correlated with others common urban built environment measures commonly used in physical activity and health research, such as residential density, public transport stop access, road intersection density, land use mix or walkability index, we suspect these conditions might strongly affect the local government health policies in the construction of these healthy routes. Moreover, these urban built environment measures show significant relationships between POS accessibility and leisure-time walking [3].…”

Section: Built Environment Weather and Physical Activitymentioning

confidence: 94%

“…A wide range of environmental factors has been attributed to facilitating physical activity as a means of transportation and recreation. On the one hand, the urban built environment and public open spaces (POS), such as parks, beaches or sport facilities, are plausible determinants of physical activity practice in older adults, but some controversy across studies exist [3,4]. On the other hand, only a few studies, in northern European popultations have explored the impact of weather conditions on physical activity (PA) practice in older adults [5][6][7], leaving out the Mediterranean countries which have the highest prevalence of physical inactivity in Europe Region [8].…”

Section: Introductionmentioning

confidence: 99%

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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%

Section: Built Environment Weather and Physical Activitymentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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

et al. 2018

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“…Similarly, no signi cant associations between aesthetics and weekly minutes of recreational walking were observed in the IPEN Adult Latin American countries. This suggests that, in the context of Latin America, aesthetics may promote the adoption of leisure-time PA but may not have a substantial impact on the accumulated amount of leisure-time PA. Interestingly, as in the IPEN Adult study [11], aesthetics were found to be positively related to transportation-PA in the pooled analyses, although this attribute is hypothesized to impact only leisure-time PA [40]. It may be that aesthetically pleasing environments and green spaces can act as motivators for engaging in or spending more time in active transport.…”

Section: Discussionmentioning

confidence: 69%

Is the Perceived Neighborhood Built Environment Associated With Domain-Specific Physical Activity in Latin American Adults? An Eight-Country Observational Study

Ferrari

Werneck

Silva

et al. 2020

Preprint

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Background: Characteristics of the neighborhood built environment are associated with physical activity (PA). However, few studies with representative samples have examined environmental correlates of domain-specific PA in Latin America. We examined the associations of the perceived neighborhood built environment with domain-specific PA in a large sample of adults from eight Latin American countries. Methods: This study examined data from 8185 adults (aged 18–65 years) from eight Latin American countries. The Neighbourhood Environment Walkability Survey - Abbreviated (NEWS-A) scale was used to assess perceptions of land use mix–diversity, land use mix-access, street connectivity, walking/cycling facilities, aesthetics, safety from traffic, and safety from crime. Perceived proximity from home to public open spaces (metropolitan parks, playgrounds, public squares) and to shopping centers was also assessed. Transport-related and leisure-time PA were assessed using the long form of the International Physical Activity Questionnaire. Both logistic and linear regression models were estimated on pooled data. Results: Perceptions of higher land use mix-access (OR: 1.40; 95% CI: 1.22,1.61), the existence of many alternative routes in the neighbourhood (1.12; 1.04,1.20), slow speed of traffic (1.19; 1.03,1.35) and few drivers exceeding the speed limits (1.09; 1.03,1.15) were associated with greater odds of reporting at least 10 min/week of transport-related PA. Perceptions of higher levels of land use mix-diversity, better aesthetics and greater safety from crime, the presence of crosswalks and pedestrian signals, and greater proximity of shopping centers were associated with more min/week of transport-related PA. Perceptions of higher land use mix-diversity (1.12; 1.05,1.20), higher land use mix-access (1.27; 1.13,1.43), more walking/cycling facilities (1.18; 1.09,1.28), and better aesthetics (1.10; 1.02,1.18) were associated with greater odds of engaging in at least 10 min/week of leisure-time PA versus none. Perceptions of higher land use mix-diversity were associated with more min/week of leisure PA. Conclusions: Different perceived neighborhood built environment characteristics were associated with domain-specific PA among adults from Latin America countries. Interventions designed to modify perceptions of the neighbourhood built environment might influence initiation or maintenance of domain-specific PA.Trial registration: ClinicalTrials.Gov NCT02226627. Retrospectively registered on August 27, 2014.

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“…A substantial number of studies have reported significant effects of aspects of the urban environment (residential neighbourhoods, in particular) on physical activity, cardiovascular health and obesity, [14][15][16][17][18] which are established determinants of cognitive health. 8 However, the role of urban environments in relation to brain and cognitive health has received little attention.…”

Section: Introductionmentioning

confidence: 99%

International Mind, Activities and Urban Places (iMAP) study: methods of a cohort study on environmental and lifestyle influences on brain and cognitive health

et al. 2020

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IntroductionNumerous studies have found associations between characteristics of urban environments and risk factors for dementia and cognitive decline, such as physical inactivity and obesity. However, the contribution of urban environments to brain and cognitive health has been seldom examined directly. This cohort study investigates the extent to which and how a wide range of characteristics of urban environments influence brain and cognitive health via lifestyle behaviours in mid-aged and older adults in three cities across three continents.Methods and analysisParticipants aged 50–79 years and living in preselected areas stratified by walkability, air pollution and socioeconomic status are being recruited in Melbourne (Australia), Barcelona (Spain) and Hong Kong (China) (n=1800 total; 600 per site). Two assessments taken 24 months apart will capture changes in brain and cognitive health. Cognitive function is gauged with a battery of eight standardised tests. Brain health is assessed using MRI scans in a subset of participants. Information on participants’ visited locations is collected via an interactive web-based mapping application and smartphone geolocation data. Environmental characteristics of visited locations, including the built and natural environments and their by-products (e.g., air pollution), are assessed using geographical information systems, online environmental audits and self-reports. Data on travel and lifestyle behaviours (e.g., physical and social activities) and participants’ characteristics (e.g., sociodemographics) are collected using objective and/or self-report measures.Ethics and disseminationThe study has been approved by the Human Research Ethics Committee of the Australian Catholic University, the Institutional Review Board of the University of Hong Kong and the Parc de Salut Mar Clinical Research Ethics Committee of the Government of Catalonia. Results will be communicated through standard scientific channels. Methods will be made freely available via a study-dedicated website.Trial registration numberACTRN12619000817145.

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Relationships Between Neighbourhood Physical Environmental Attributes and Older Adults’ Leisure-Time Physical Activity: A Systematic Review and Meta-Analysis

Abstract: PROSPERO 2016:CRD42016051180.

Cited by 193 publications

References 141 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

Is the Perceived Neighborhood Built Environment Associated With Domain-Specific Physical Activity in Latin American Adults? An Eight-Country Observational Study

International Mind, Activities and Urban Places (iMAP) study: methods of a cohort study on environmental and lifestyle influences on brain and cognitive health

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