Socially active neighborhoods: construct operationalization for aging in place, health promotion and psychometric testing

Health Promotion International, Journal Year: 2023, Volume and Issue: 38(1)

Published: Feb. 1, 2023

Abstract From the year 2003 when first walkability scale was published to date, person-environment fit models and empirical research, some of which in Health Promotion International, have encapsulated healthy communities ‘neighborhood walkability’. While there is no doubt that neighborhood positively influences health-seeking behaviors health, recent suggest their measurement conceptualization not emphasized role played by psychosocial personal factors aging place. Thus, development scales measuring human ecosystem has recognized all critical suited for older adults. In this paper, we aim draw on relevant literature frame a more holistic construct, hereby referred as Socially Active Neighborhoods (SAN), would better support place populations. Through narrative review based systematic search literature, define scope SAN delineate contextual implications gerontology, health promotion psychometric testing. SAN, unlike its current conceptualization, incorporates theory-informed (i.e. safety disability friendliness infrastructure) can encourage adults with physiological cognitive limitations maintain physical social activities well later life. The result our adaptation key models, including Context Dynamics Aging (CODA) framework, recognizes context aging.

Language: Английский

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A street-point method to measure the spatiotemporal relationship between walkability and pedestrian flow

Computers Environment and Urban Systems, Journal Year: 2023, Volume and Issue: 104, P. 101993 - 101993

Published: June 10, 2023

Walkability indicators are a pivotal method to evaluate the role of built environment in peoples' decisions regarding active mobility, supporting application public measures that contribute more sustainable and resilient regions. Currently, data used associations between walkability travel behavior is obtained via traditional methods collection, like questionnaires, costly hard scale large urban environments. Moreover, spatial resolution most may not be sufficient support granular local interventions. To face these issues, we propose novel indicator provides score for every one-meter street point, based on conditions accessibility points interest calculated with Cumulative-Gaussian impedance function. Resorting Linear Geospatial Weighted Regressions, features pedestrian flow retrieved from mobile phone communication signals week March 2022. The relationship stronger during workdays, which education, food amenities government services important predictors. On weekend, explanatory power crosswalks leisure amenities. Accessibility transport, sidewalk width slope seem impact independently day type, although weekends. This study policy makers planners practical tool effectively evaluation current access areas underserved, as well plan gauge new interventions, while objectively understanding their impacts mobility.

Language: Английский

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Exploring the Mediating Effect of Physical Activities on Built Environment and Obesity for Elderly People: Evidence From Shanghai, China

Frontiers in Public Health, Journal Year: 2022, Volume and Issue: 10

Published: March 11, 2022

There is still a scarcity of literature on the specific mechanisms linkage between built environment and obesity. As result, this study investigated whether how physical activities mediate associations objective BMI elderly people. To investigate effect duration intensity activity environment, made use bootstrap method. In general, we discovered that has huge mediating people in Shanghai, especially with respect to density accessibility facilities (gyms, parks, fast-food restaurants) can greatly stimulate reduce their BMI. were both direct indirect effects BMI, which means health benefits green spaces for older may be more complicated than first thought.

Language: Английский

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Using an Exposome-Wide Approach to Explore the Impact of Urban Environments on Blood Pressure among Adults in Beijing–Tianjin–Hebei and Surrounding Areas of China

Environmental Science & Technology, Journal Year: 2022, Volume and Issue: 56(12), P. 8395 - 8405

Published: June 2, 2022

Existing studies mostly explored the association between urban environmental exposures and blood pressure (BP) in isolation, ignoring correlations across exposures. This study aimed to systematically evaluate impact of a wide range on BP using an exposome-wide approach. A multicenter cross-sectional was conducted ten cities China. For each enrolled participant, we estimated their exposures, including air pollution, built environment, surrounding natural space, road traffic indicator. On whole, this comprised three statistical analysis steps, that is, single exposure analysis, multiple cluster analysis. We also used deletion–substitution–addition algorithm conduct variable selection. After considering for hypertension risk, most significant associations model disappeared, with only neighborhood walkability remaining negatively statistically significant. Besides, it observed SBP (systolic BP) raised gradually increase PM2.5, but such rising pattern slowed down when PM2.5 concentration reached relatively high level. spaces, protective green blue spaces were found. found population density public transport accessibility have beneficially BP. Additionally, distance nearest major road, DBP (diastolic decreased rapidly. When beyond around 200 m, however, there no obvious change anymore. By six clusters identified. These findings reinforce importance improving design, which help promote healthy environments optimize human health.

Language: Английский

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The association between the built environment and intervention-facilitated physical activity: a narrative systematic review

International Journal of Behavioral Nutrition and Physical Activity, Journal Year: 2022, Volume and Issue: 19(1)

Published: July 14, 2022

Abstract Background A diverse range of interventions increase physical activity (PA) but few studies have explored the contextual factors that may be associated with intervention effectiveness. The built environment (BE) enhance or reduce effectiveness PA interventions, especially encourage in neighbourhood settings. Several investigated effects BE on intervention-facilitated PA, however, a comprehensive review evidence has yet to conducted. In our systematic review, we synthesize from quantitative examined relationships between objectively-measured and adults. Method October 2021, searched 7 databases (Medline, CINAHL, Embase, Web Science, SPORTDiscus, Environment Complete, Cochrane Central Register Controlled Trials) for English-language reporting randomized non-randomized experiments involving adults (≥18 years) estimated association activity. Results Twenty articles, published 2009 were eligible inclusion review. Among 20 articles this 13 included multi-arm single-arm experiments. Three delivered at population level 17 individual level. characteristics heterogeneous one-half implemented least 12-months ( n = 10). Most undertaken North America 11) most 14) samples populations identified as risk poor health (i.e., metabolic disorders, coronary heart disease, overweight, cancer, high blood pressure, inactivity). Fourteen found variable being negatively positively PA. Conclusion Approximately 70% all reviewed an BE’s potential constrain should considered their design implementation.

Language: Английский

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Walkability Indicators in the Aftermath of the COVID-19 Pandemic: A Systematic Review

Sustainability, Journal Year: 2022, Volume and Issue: 14(17), P. 10933 - 10933

Published: Sept. 1, 2022

Walkability indicators are a pivotal method to evaluate the role of built environment in people’s decisions regarding active mobility, contributing help promote more sustainable and equitable regions. Currently, there is lack literature describing trends findings from recent studies, how research on this topic has responded COVID-19. In work, we apply PRISMA methodology perform systematic review studies that employed walkability uncover associations between different topics, such as physical activity, health aftermath pandemic. Results show growth rate period almost doubled compared three years prior outbreak. We explore main subjects addressed found most resorted well-known indicators, predominantly Walk Score®, while fewer works developed applied new indicators. General point positive association overall mobility. Moreover, works, walkability’s relationship with environmental metrics not clear linking More than two after worldwide outbreak COVID-19 virus, our work provides an effective resource for researchers understand employing

Language: Английский

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Neighborhood environment and body mass index in community-dwelling older adults in China: The mediating role of transport-related physical activity

Geriatric Nursing, Journal Year: 2023, Volume and Issue: 55, P. 304 - 310

Published: Dec. 20, 2023

Language: Английский

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Associations of neighbourhood walkability with patterns of device-measured stepping, standing and sitting

International Journal of Behavioral Nutrition and Physical Activity, Journal Year: 2025, Volume and Issue: 22(1)

Published: April 9, 2025

Abstract Background Neighbourhood walkability is known to be positively associated with self-reported and device-based measures of overall physical activity. However, relations specific active sedentary behaviour patterns are not well understood. Methods We investigated cross-sectional associations neighbourhood time spent stepping, standing, sitting, their pattern metrics using data from 505 participants (mean age 59.2 years) the AusDiab3 study. (a composite measure residential, destination, intersection densities) was calculated within 1 km street-network buffers around participants’ homes. Thigh-worn device (activPAL, 7-day, 24 h/day protocol) were used derive sitting standing minutes per day metrics. Two-level linear mixed models assessed relevant associations, adjusting for potential confounders. Results Higher higher cadences (β [95% CI] = 0.12 [0.04–0.20]), moderate-to-vigorous activity 0.17 [0.09–0.26]), longer stepping bouts 0.18 [0.10–0.25]) in purposeful (≥ 2 min duration) walking 0.21 [0.13–0.30]). There no total time, or Total also had suggesting that neighbourhoods may accumulate similar levels lower neighbourhoods, albeit intensity bouts. Conclusions By examining totals only, relationships masked. Further research needed understand whether other built environment attributes patterns, as light-intensity activities.

Language: Английский

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Neighborhood built environment, obesity, and diabetes: A Utah siblings study

SSM - Population Health, Journal Year: 2024, Volume and Issue: 26, P. 101670 - 101670

Published: April 19, 2024

This study utilizes innovative computer vision methods alongside Google Street View images to characterize neighborhood built environments across Utah. Convolutional Neural Networks were used create indicators of street greenness, crosswalks, and building type on 1.4 million images. The demographic medical profiles Utah residents came from the Population Database (UPDB). We implemented hierarchical linear models with individuals nested within zip codes estimate associations between environment features individual-level obesity diabetes, controlling for individual- code-level characteristics (n=1,899,175 adults living in 2015). Sibling random effects account shared family attributes among siblings (n=972,150) twins (n=14,122) Consistent prior research, variance partition coefficients (VPC) our unadjusted nesting relatively small (0.5% – 5.3%), except HbA1c (VPC=23%), suggesting a percentage outcome is at code-level. However, proportional change (PCV) attributable after inclusion variables covariates ranged 11%-67%, that these substantial portion effects. Non-single-family homes (indicator mixed land use), sidewalks walkability), green streets aesthetics) associated reduced diabetes obesity. Zip third tertile non-single-family 15% reduction (PR: 0.85; 95% CI: 0.79, 0.91) 20% 0.80; 0.70, diabetes. was also BMI -0.68 kg/m2 (95% -0.95, -0.40) observe modest chronic diseases, accounting biological, social, cultural factors this large population-based study.

Language: Английский

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The Role of Environmental Factors in Technology-Assisted Physical Activity Intervention Studies Among Older Adults: Scoping Review

JMIR mhealth and uhealth, Journal Year: 2025, Volume and Issue: 13, P. e59570 - e59570

Published: March 13, 2025

Background The rapidly emerging integration of both technological applications and environmental factors in physical activity (PA) interventions among older adults highlights the need for an overarching investigation. Objective This scoping review compiled current literature aimed to provide overview role physical, social, socioeconomic, systemic technology-assisted PA adults. Methods We systematically searched 6 common databases up September 16, 2024, original longitudinal studies (with at least one preintervention measurement postintervention measurement) that reported on independently living, community-dwelling In a stepwise process, data study characteristics (step 1), their included 2), intervention outcomes effects by type factor 3) were summarized. Results A total 8020 articles screened, 25 (0.31%) included. Most conducted Europe (11/25, 44%), followed North America (5/25, 20%), Asia Oceania (4/25, 16%). Social most often considered (19/25, 76%), from (8/25, 32%), socioeconomic (1/25, 4%), environment 4%). Environmental used as outcome setting variable (7/25, 28%), moderator or facilitator component (3/25, 12%). had beneficial effect interest, played supportive achieving this effect. some studies, no 12%), mixed (2/25, 8%), adverse 4%) reported. Conclusions is first comprehensive description how interact with increase optimize It was found investigation field early stage. play interventions, but findings based heterogeneous empirical platform. Still, certain aspects such application virtual reality environments social (or peer) comparison have shown significant potential remains be leveraged. better understanding results support tailoring programs can provided through inclusion

Language: Английский

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