The Neighbourhood Physical Environment and Active Travel in Older Adults: A Systematic Review and Meta-Analysis

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

doi:10.1016/j.jth.2017.05.289

Cited by 72 publications

(188 citation statements)

References 65 publications

(107 reference statements)

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“…Items 6, 7 and 11 (used for assessing the quality of statistical analysis) were assigned a score of 0 or 1/3 to avoid over-scoring for statistical methods (23). We also assigned an additional score to each study according to its sample size as described in Cerin et al (23). Each study was assigned the total assessment score (the sum of methodological quality and sample size scores), which was then used to assess the strength of evidence (detail explained in the next section).…”

Section: Methodological Quality Assessmentmentioning

confidence: 99%

“…We assessed the methodological quality of the articles using a quality assessment tool that accounted for methodological issues including study design, measurement and analysis, and synthesized the evidence using meta-analysis. One of the limitations of this study is that the quality assessment tool, which was adapted from Cerin et al (23), was extended mainly using inputs from the co-authors. A Delphi study aiming to obtain consensus among experts about key criteria for assessing quality in built environment and health studies can produce a more robust synthesis of the literature in future systematic reviews.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

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Built environment and cardio‐metabolic health: systematic review and meta‐analysis of longitudinal studies

et al. 2018

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Summary Built environment attributes may be related to cardio‐metabolic diseases (e.g. type 2 diabetes, heart disease and stroke) and their risk factors, potentially by influencing residents' physical activity. However, existing literature reviews on the built environment and health for the most part focus on obesity as the outcome and rely on cross‐sectional studies. This systematic review synthesized current evidence on longitudinal relationships between built environment attributes and cardio‐metabolic health outcomes among adults and on the potential mediating role of physical inactivity. By searching eight databases for peer‐reviewed journal articles published in the English language between January 2000 and July 2016, the review identified 36 articles. A meta‐analysis method, weighted Z‐test, was used to quantify the strength of evidence by incorporating the methodological quality of the studies. We found strong evidence for longitudinal relationships of walkability with obesity, type 2 diabetes and hypertension outcomes in the expected direction. There was strong evidence for the impact of urban sprawl on obesity outcomes. The evidence on potential mediation by physical activity was inconclusive. Further longitudinal studies are warranted to examine which specific built environment attributes influence residents' cardio‐metabolic health outcomes and how physical inactivity may be involved in these relationships.

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Section: Methodological Quality Assessmentmentioning

confidence: 99%

Section: Strengths and Limitationsmentioning

confidence: 99%

Built environment and cardio‐metabolic health: systematic review and meta‐analysis of longitudinal studies

et al. 2018

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“…A limitation of the accelerometer measure is the inability to discern activity for a particular purpose. Reviews suggest that walkability is most consistently related to active travel, so including domain‐specific activity measures along with accelerometer‐based measures could help clarify findings …”

Section: Discussionmentioning

confidence: 99%

“…It is well documented that built environment characteristics are associated with overall MVPA among adults and older adults . A recent meta‐analysis found access to destinations and services, aesthetically pleasing scenery, walkability, and safety from crime were positively related to PA . However, few findings have been reported on the associations of built environments with intensity‐ and bout length‐specific PA and SB.…”

Section: Introductionmentioning

confidence: 99%

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

Amagasa

Inoue

Fukushima

et al. 2019

Geriatrics Gerontology Int

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Aim: We examined the relationships of objectively-measured walkability with accelerometer-measured activity patterns including bout-specific moderate-to-vigorous physical activity (MVPA), light-intensity physical activity (LPA) and sedentary behavior in older Japanese adults.Methods: This cross-sectional study included 450 men and women (mean age 74 years) who were randomly selected from a resident registry of each municipality (Bunkyo, Fuchu and Oyama city). Neighborhood walkability was assessed using geographic information system data and activity patterns by a validated accelerometer (Active style Pro HJA-350IT). MVPA was assessed as overall (all minutes), short-bout (<10 min) and long-bout (≥10 min). We used analysis of covariance to examine environmental relationships with the three MVPA measures, LPA and sedentary behavior by quartiles of walkability, adjusting for accelerometer wear time and sociodemographic, behavioral and health-related factors.Results: In total, 27% of participants achieved ≥150 min/week of long-bout MVPA. Walkability was not associated with overall MVPA (Q1 = 35.0, Q2 = 31.9, Q3 = 31.4, Q4 = 34.2 min/day) Older adults living in low-walkability areas significantly accumulated more short-bout MVPA (Q1 = 27.2, Q2 = 22.1, Q3 = 20.1, Q4 = 20.5 min/day) and LPA (Q1 = 346, Q2 = 311, Q3 = 289, Q4 = 284 min/day), but less sedentary behavior (Q1 = 479, Q2 = 520, Q3 = 544, Q4 = 544 min/day) than those living in high-walkability areas.Conclusions: Those living in low-walkability areas accumulated more LPA and short-bout MVPA. These activities might be helpful targets for initiatives to promote physical activity among older adult residents of low-walkability areas.

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“…Estudos evidenciam resultados com determinados públicos, como participantes idosos (≥60 anos de idade) por exemplo (BALBÉ et al, 2018;BARNETT et al, 2016;PAIVA;CAMARGO;. Como por exemplo, um estudo mostrou que indivíduos idosos tem comportamento mais ativo para o transporte (CERIN et al, 2017). Outro estudo que apontou elevada freq uência de indivíduos inativos no lazer, em sua maioria com idade mais avançada (ROCHA et al, 2013).…”

Section: Distritosunclassified

Prática de atividade física de lazer e deslocamento e a percepção do ambiente em usuários dos serviços de saúde no município de Ribeirão Preto - SP

Hodniki¹

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que desde o início do meu ingresso na EERP/USP, tem me apoiado, incentivado e acompanhado minha caminhada na vida acadêmica, aprendi como ser uma pesquisadora, professora e aluna atenta, dedicada e aplicada. Aos amigos da pós-graduação, Gabriel, Plinio, Jennifer, Luis, Tânia, Rosana, Gabi, que fizeram parte da minha trajetória desde o início, e que sorte tenho em ser amiga agora e para a vida toda. Agradeço a Profa. Renata Cristina C. Pereira Silveira, por também fazer parte de dessa experiência, que com paciência e compreensão todos os dias na sala 62, fez com que me sentisse em casa. Aos professores da banca do exame de qualificação, Profa. Dra. Camila de Moraes e Rogério César Fermino, pelas contribuições ricas e valiosas nas observações e sugestões na estruturação e conteúdo do trabalho. Aos alunos da graduação da EERP, que juntos formamos uma equipe especializada em coleta e digitação de dados, foram essenciais e produtivos. À toda Equipe do Programa de Aprimoramento em Hipertensão Arterial e Diabetes Mellitus da Secretaria da Saúde de Ribeirão Preto, são muitas pessoas especiais envolvidas que enriqueceram todo o trabalho, foi uma rica troca de experiências, obrigada de coração. Aos Professores, Funcionários e Colegas da Escola de Enfermagem de Ribeirão Preto / USP, que fizeram do meu dia-a-dia como pesquisadora mais produtivo e gratificante. Ao Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) pela concessão da bolsa de estudos para o desenvolvimento da pesquisa, processo nº: 154619/2016-7. À minha família e amigos, que são minha base e motivo de eu ser quem sou, muito importantes para mim e que sempre estimulam, com amor e reconhecimento, o progresso dos meus estudos e carreira. active in leisure physical activity. Male participants, aged 35-59, in the lower economic classes, who live far from the gym and perceive the quality of green areas and favorable climate, are more likely to be more active in PAL, while those who do not know the place to walk in the neighborhood where they live, seem to have the opposite chance, that is, less chance of being active in the PAT. Interventions for health promotion in relation to the practice of PAs of health service users should consider the creation and maintenance of an environment conducive to the practice of PAL and PAT as places for accessible walking and access to good quality green areas, since the most practiced PA was walking, both PAL and PAT. Also draw incentive interventions targeted at women, older people, economy class and low schooling.

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The Neighbourhood Physical Environment and Active Travel in Older Adults: A Systematic Review and Meta-Analysis

Cited by 72 publications

References 65 publications

Built environment and cardio‐metabolic health: systematic review and meta‐analysis of longitudinal studies

Built environment and cardio‐metabolic health: systematic review and meta‐analysis of longitudinal studies

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

Prática de atividade física de lazer e deslocamento e a percepção do ambiente em usuários dos serviços de saúde no município de Ribeirão Preto - SP

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