Relationship between neighborhood walkability and older adults’ physical activity: results from the Belgian Environmental Physical Activity Study in Seniors (BEPAS Seniors)
BACKGROUND: Adequate knowledge on environmental correlates of physical activity (PA) in older adults is needed to develop effective health promotion initiatives. However, research in this age group is scarce and most existing studies were conducted in North America. The present study aimed to examin...
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| creator | Van Holle, Veerle Van Cauwenberg, Jelle Van Dyck, Delfien Deforche, Benedicte Van de Weghe, Nico De Bourdeaudhuij, Ilse |
| description | BACKGROUND: Adequate knowledge on environmental correlates of physical activity (PA) in older adults is needed to develop effective health promotion initiatives. However, research in this age group is scarce and most existing studies were conducted in North America. The present study aimed to examine relationships between GIS-based neighborhood walkability and objective and self-reported PA in community-dwelling Belgian older adults. Furthermore, moderating effects of neighborhood income levels were investigated. METHODS: The Belgian Environmental Physical Activity Study (BEPAS) for Seniors is a cross-sectional study in older adults (≥65 yrs) and was conducted between October 2010 and September 2012. Data from 438 older adults living in 20 neighborhoods across Ghent (Belgium) were analyzed. Stratification of selected neighborhoods was based upon objective walkability and neighborhood income. Participants wore an accelerometer during seven consecutive days to obtain objective levels of moderate-to-vigorous physical activity (MVPA). Self-reported levels of transportation walking/cycling and recreational walking/cycling were assessed using the International Physical Activity Questionnaire (long, last 7 days version) adapted for the elderly. Multi-level regression analyses were conducted. RESULTS: Findings showed a positive relationship between neighborhood walkability and weekly minutes of older adults’ self-reported walking for transportation (B = 4.63 ± 1.05;p < 0.001) and a negative relationship between walkability and accelerometer-derived low-light PA (B = −1.38 ± 0.62;p = 0.025). Walkability was not related to any measure of recreational PA. A walkability x income interaction was found for accelerometer-derived MVPA (B = -1.826 ± 1.03;p = 0.075), showing only a positive association between walkability and MVPA in low-income neighborhood residents. CONCLUSIONS: This was the first European study to examine walkability-PA relationships in older adults. These Belgian findings suggest that a high neighborhood walkability relates to higher levels of older adults’ transport-related walking. As transport-related walking is an accessible activity for older adults and easy to integrate in their daily routine, policy makers and health promoters are advised to provide sufficient destinations and pedestrian-friendly facilities in the close vicinity of older adults’ residences, so short trips can be made by foot. Neighborhood income moderated the relationship between |
| doi_str_mv | 10.1186/s12966-014-0110-3 |
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However, research in this age group is scarce and most existing studies were conducted in North America. The present study aimed to examine relationships between GIS-based neighborhood walkability and objective and self-reported PA in community-dwelling Belgian older adults. Furthermore, moderating effects of neighborhood income levels were investigated. METHODS: The Belgian Environmental Physical Activity Study (BEPAS) for Seniors is a cross-sectional study in older adults (≥65 yrs) and was conducted between October 2010 and September 2012. Data from 438 older adults living in 20 neighborhoods across Ghent (Belgium) were analyzed. Stratification of selected neighborhoods was based upon objective walkability and neighborhood income. Participants wore an accelerometer during seven consecutive days to obtain objective levels of moderate-to-vigorous physical activity (MVPA). Self-reported levels of transportation walking/cycling and recreational walking/cycling were assessed using the International Physical Activity Questionnaire (long, last 7 days version) adapted for the elderly. Multi-level regression analyses were conducted. RESULTS: Findings showed a positive relationship between neighborhood walkability and weekly minutes of older adults’ self-reported walking for transportation (B = 4.63 ± 1.05;p < 0.001) and a negative relationship between walkability and accelerometer-derived low-light PA (B = −1.38 ± 0.62;p = 0.025). Walkability was not related to any measure of recreational PA. A walkability x income interaction was found for accelerometer-derived MVPA (B = -1.826 ± 1.03;p = 0.075), showing only a positive association between walkability and MVPA in low-income neighborhood residents. CONCLUSIONS: This was the first European study to examine walkability-PA relationships in older adults. These Belgian findings suggest that a high neighborhood walkability relates to higher levels of older adults’ transport-related walking. As transport-related walking is an accessible activity for older adults and easy to integrate in their daily routine, policy makers and health promoters are advised to provide sufficient destinations and pedestrian-friendly facilities in the close vicinity of older adults’ residences, so short trips can be made by foot. Neighborhood income moderated the relationship between walkability and objectively-measured MVPA. Increasing total MVPA levels in older adults should be a key topic in development of promotion initiatives and special attention should be paid to low-income neighborhood residents.</description><identifier>ISSN: 1479-5868</identifier><identifier>EISSN: 1479-5868</identifier><identifier>DOI: 10.1186/s12966-014-0110-3</identifier><identifier>PMID: 25148845</identifier><language>eng</language><publisher>England: BioMed Central</publisher><subject>Age ; Aged ; Aged, 80 and over ; Analysis ; Belgium ; Cross-Sectional Studies ; elderly ; Environment Design ; Female ; geographic information systems ; Health aspects ; Health Behavior ; Health Promotion ; Humans ; income ; issues and policy ; low-income neighborhoods ; Male ; Motor Activity ; Neighborhoods ; Older people ; Physical fitness ; questionnaires ; regression analysis ; Residence Characteristics ; Socioeconomic Factors ; Studies ; Surveys and Questionnaires ; transportation ; Transportation - methods ; Walking</subject><ispartof>The international journal of behavioral nutrition and physical activity, 2014-08, Vol.11 (1), p.110-110, Article 110</ispartof><rights>COPYRIGHT 2014 BioMed Central Ltd.</rights><rights>2014 Van Holle et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.</rights><rights>Van Holle et al.; licensee BioMed Central Ltd. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c651t-65453fa235def69399fe6349ad7b9724af03938b5f2675107c9d13647660e5713</citedby><cites>FETCH-LOGICAL-c651t-65453fa235def69399fe6349ad7b9724af03938b5f2675107c9d13647660e5713</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145228/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145228/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25148845$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Van Holle, Veerle</creatorcontrib><creatorcontrib>Van Cauwenberg, Jelle</creatorcontrib><creatorcontrib>Van Dyck, Delfien</creatorcontrib><creatorcontrib>Deforche, Benedicte</creatorcontrib><creatorcontrib>Van de Weghe, Nico</creatorcontrib><creatorcontrib>De Bourdeaudhuij, Ilse</creatorcontrib><title>Relationship between neighborhood walkability and older adults’ physical activity: results from the Belgian Environmental Physical Activity Study in Seniors (BEPAS Seniors)</title><title>The international journal of behavioral nutrition and physical activity</title><addtitle>Int J Behav Nutr Phys Act</addtitle><description>BACKGROUND: Adequate knowledge on environmental correlates of physical activity (PA) in older adults is needed to develop effective health promotion initiatives. However, research in this age group is scarce and most existing studies were conducted in North America. The present study aimed to examine relationships between GIS-based neighborhood walkability and objective and self-reported PA in community-dwelling Belgian older adults. Furthermore, moderating effects of neighborhood income levels were investigated. METHODS: The Belgian Environmental Physical Activity Study (BEPAS) for Seniors is a cross-sectional study in older adults (≥65 yrs) and was conducted between October 2010 and September 2012. Data from 438 older adults living in 20 neighborhoods across Ghent (Belgium) were analyzed. Stratification of selected neighborhoods was based upon objective walkability and neighborhood income. Participants wore an accelerometer during seven consecutive days to obtain objective levels of moderate-to-vigorous physical activity (MVPA). Self-reported levels of transportation walking/cycling and recreational walking/cycling were assessed using the International Physical Activity Questionnaire (long, last 7 days version) adapted for the elderly. Multi-level regression analyses were conducted. RESULTS: Findings showed a positive relationship between neighborhood walkability and weekly minutes of older adults’ self-reported walking for transportation (B = 4.63 ± 1.05;p < 0.001) and a negative relationship between walkability and accelerometer-derived low-light PA (B = −1.38 ± 0.62;p = 0.025). Walkability was not related to any measure of recreational PA. A walkability x income interaction was found for accelerometer-derived MVPA (B = -1.826 ± 1.03;p = 0.075), showing only a positive association between walkability and MVPA in low-income neighborhood residents. CONCLUSIONS: This was the first European study to examine walkability-PA relationships in older adults. These Belgian findings suggest that a high neighborhood walkability relates to higher levels of older adults’ transport-related walking. As transport-related walking is an accessible activity for older adults and easy to integrate in their daily routine, policy makers and health promoters are advised to provide sufficient destinations and pedestrian-friendly facilities in the close vicinity of older adults’ residences, so short trips can be made by foot. Neighborhood income moderated the relationship between walkability and objectively-measured MVPA. Increasing total MVPA levels in older adults should be a key topic in development of promotion initiatives and special attention should be paid to low-income neighborhood residents.</description><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis</subject><subject>Belgium</subject><subject>Cross-Sectional Studies</subject><subject>elderly</subject><subject>Environment Design</subject><subject>Female</subject><subject>geographic information systems</subject><subject>Health aspects</subject><subject>Health Behavior</subject><subject>Health Promotion</subject><subject>Humans</subject><subject>income</subject><subject>issues and policy</subject><subject>low-income neighborhoods</subject><subject>Male</subject><subject>Motor Activity</subject><subject>Neighborhoods</subject><subject>Older people</subject><subject>Physical fitness</subject><subject>questionnaires</subject><subject>regression analysis</subject><subject>Residence Characteristics</subject><subject>Socioeconomic Factors</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>transportation</subject><subject>Transportation - 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methods</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Van Holle, Veerle</creatorcontrib><creatorcontrib>Van Cauwenberg, Jelle</creatorcontrib><creatorcontrib>Van Dyck, Delfien</creatorcontrib><creatorcontrib>Deforche, Benedicte</creatorcontrib><creatorcontrib>Van de Weghe, Nico</creatorcontrib><creatorcontrib>De Bourdeaudhuij, Ilse</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The international journal of behavioral nutrition and physical activity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Van Holle, Veerle</au><au>Van Cauwenberg, Jelle</au><au>Van Dyck, Delfien</au><au>Deforche, Benedicte</au><au>Van de Weghe, Nico</au><au>De Bourdeaudhuij, Ilse</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship between neighborhood walkability and older adults’ physical activity: results from the Belgian Environmental Physical Activity Study in Seniors (BEPAS Seniors)</atitle><jtitle>The international journal of behavioral nutrition and physical activity</jtitle><addtitle>Int J Behav Nutr Phys Act</addtitle><date>2014-08-23</date><risdate>2014</risdate><volume>11</volume><issue>1</issue><spage>110</spage><epage>110</epage><pages>110-110</pages><artnum>110</artnum><issn>1479-5868</issn><eissn>1479-5868</eissn><abstract>BACKGROUND: Adequate knowledge on environmental correlates of physical activity (PA) in older adults is needed to develop effective health promotion initiatives. However, research in this age group is scarce and most existing studies were conducted in North America. The present study aimed to examine relationships between GIS-based neighborhood walkability and objective and self-reported PA in community-dwelling Belgian older adults. Furthermore, moderating effects of neighborhood income levels were investigated. METHODS: The Belgian Environmental Physical Activity Study (BEPAS) for Seniors is a cross-sectional study in older adults (≥65 yrs) and was conducted between October 2010 and September 2012. Data from 438 older adults living in 20 neighborhoods across Ghent (Belgium) were analyzed. Stratification of selected neighborhoods was based upon objective walkability and neighborhood income. Participants wore an accelerometer during seven consecutive days to obtain objective levels of moderate-to-vigorous physical activity (MVPA). Self-reported levels of transportation walking/cycling and recreational walking/cycling were assessed using the International Physical Activity Questionnaire (long, last 7 days version) adapted for the elderly. Multi-level regression analyses were conducted. RESULTS: Findings showed a positive relationship between neighborhood walkability and weekly minutes of older adults’ self-reported walking for transportation (B = 4.63 ± 1.05;p < 0.001) and a negative relationship between walkability and accelerometer-derived low-light PA (B = −1.38 ± 0.62;p = 0.025). Walkability was not related to any measure of recreational PA. A walkability x income interaction was found for accelerometer-derived MVPA (B = -1.826 ± 1.03;p = 0.075), showing only a positive association between walkability and MVPA in low-income neighborhood residents. CONCLUSIONS: This was the first European study to examine walkability-PA relationships in older adults. These Belgian findings suggest that a high neighborhood walkability relates to higher levels of older adults’ transport-related walking. As transport-related walking is an accessible activity for older adults and easy to integrate in their daily routine, policy makers and health promoters are advised to provide sufficient destinations and pedestrian-friendly facilities in the close vicinity of older adults’ residences, so short trips can be made by foot. Neighborhood income moderated the relationship between walkability and objectively-measured MVPA. Increasing total MVPA levels in older adults should be a key topic in development of promotion initiatives and special attention should be paid to low-income neighborhood residents.</abstract><cop>England</cop><pub>BioMed Central</pub><pmid>25148845</pmid><doi>10.1186/s12966-014-0110-3</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Age Aged Aged, 80 and over Analysis Belgium Cross-Sectional Studies elderly Environment Design Female geographic information systems Health aspects Health Behavior Health Promotion Humans income issues and policy low-income neighborhoods Male Motor Activity Neighborhoods Older people Physical fitness questionnaires regression analysis Residence Characteristics Socioeconomic Factors Studies Surveys and Questionnaires transportation Transportation - methods Walking |
| title | Relationship between neighborhood walkability and older adults’ physical activity: results from the Belgian Environmental Physical Activity Study in Seniors (BEPAS Seniors) |
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