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Maddock JE, Frumkin H. Physical Activity in Natural Settings: An Opportunity for Lifestyle Medicine. Am J Lifestyle Med 2025; 19:73-87. [PMID: 39554918 PMCID: PMC11562474 DOI: 10.1177/15598276241253211] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2024] Open
Abstract
Physical activity is a well-known behavior for promoting health and preventing a variety of chronic diseases. Despite widespread knowledge of the benefits of physical activity, most Americans do not engage in sufficient physical activity. Over the past decade, there has been increasing recognition of the health benefits of spending time in nature, mediated in part through physical activity. This has led to new partnerships across health, parks and recreation, public lands, and environmental organizations to increase time spent, and physical activity, in natural settings. This review assesses the current evidence around physical activity in natural settings (PANS), strategies for promoting PANS including health professional engagement, and current gaps in the research literature.
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Affiliation(s)
- Jay E. Maddock
- Department of Environmental and Occupational Health, Texas A&M University School of Public Health, College Station, TX, USA (JM, HF)
| | - Howard Frumkin
- Department of Environmental and Occupational Health, Texas A&M University School of Public Health, College Station, TX, USA (JM, HF)
- Trust for Public Land, Bainbridge Island, WA, USA (HF)
- Department of Environmental and Occupational Health Sciences, University of Washington School of Public Health, Seattle, WA, USA (HF)
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Bielinis E, Janeczko E, Korcz N, Janeczko K, Bielinis L. Effect of an illegal open dump in an urban forest on landscape appreciation. PLoS One 2022; 17:e0277795. [PMID: 36413524 PMCID: PMC9681078 DOI: 10.1371/journal.pone.0277795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Accepted: 11/03/2022] [Indexed: 11/23/2022] Open
Abstract
Rubbish in a forest environment is a great threat to this ecosystem, but this threat may also apply to the lost benefits for visitors to the forest. Previous studies proved that forest areas have a positive effect on obtaining psychological relaxation in the people visiting them. However, it was not known whether this restorative experience could be disturbed in any way by the presence of an open dump in the forest. To check how the presence of a landfill affects the visitors, an experiment was planned in which the respondents observed a forest area with a landfill and a forest landscape without a landfill for 15 minutes (control). The respondents then assessed the landscape using the semantic differential method and the Perceived Restorativeness Scale (PRS). An analysis of these observations showed that the presence of a landfill in the forest significantly changed the appreciation of the landscape by the respondents, the values of positive experiences decreased, and the negative experiences increased. Restorativeness was also reduced. Based on the results, it can be concluded that the presence of garbage in the forest may interrupt the restorative experience of its visitors.
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Affiliation(s)
- Ernest Bielinis
- Faculty of Agriculture and Forestry, Department of Forestry and Forest Ecology, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland
- * E-mail:
| | - Emilia Janeczko
- Department of Forest Utilization, Institute of Forest Sciences, University of Life Sciences in Warsaw, Warsaw, Poland
| | - Natalia Korcz
- Department of Natural Foundations of Forestry, Institute of Soil Science and Environment Management, University of Life Sciences in Lublin, Lublin, Poland
| | - Krzysztof Janeczko
- Department of Forest Management Planning, Dendrometry and Forest Economics, Institute of Forest Sciences, Warsaw University of Life Sciences, Warsaw, Poland
| | - Lidia Bielinis
- Faculty of Social Sciences, Department of Social Pedagogy and Methodology of Educational Research, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland
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Li W, Wu J, Xu W, Zhong Y, Wang Z. How Thermal Perceptual Schema Mediates Landscape Quality Evaluation and Activity Willingness. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13681. [PMID: 36294258 PMCID: PMC9602471 DOI: 10.3390/ijerph192013681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 10/17/2022] [Accepted: 10/19/2022] [Indexed: 06/16/2023]
Abstract
The use of outdoor space is closely related to local microclimate conditions. Some studies have shown that people form perceptual schemata based on their perceptual experience of microclimate conditions, which leads to perceptual bias, so it is necessary to further investigate how the thermal schemata formed by the accumulation of thermal experience affect the willingness to engage in activities, which will be beneficial to improve the use of urban space. Studies have not explored the relationship between the thermal perceptual schema (TPS), landscape quality evaluation (LQE), and activity willingness. Therefore, it is necessary to further investigate how thermal schemas formed by the accumulation of thermal experience affect activity willingness. A total of 3435 volunteers were surveyed online and divided into two groups, the first group for comfortable weather (N = 1773) and the second group for hot weather (N = 1662), and voted for each of the four dimensions of the five scenarios according to the TPS. This study found that socioeconomic status (SES) and age were the main factors contributing to TPS bias when perceiving the same destination according to TPS, and this difference was consistent in both groups, which affects the willingness to be active at the destination. The study also found that LQE may be a major factor in residents' willingness to be active in more pleasant weather, while TPS plays a more important role in hot weather conditions. In addition, we investigated the relationship between TPS and residents' activity willingness mediated by different landscape features and parameter configurations. These results indicate that the TPS formed by thermal experience accumulation affects people's LQE and activity willingness, and that landscape configuration parameters play an important role.
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De Silva Weliange S, Perera M, Gunatilake J. Perceived social and built environment associations of leisure-time physical activity among adults in Sri Lanka. BMC Res Notes 2021; 14:391. [PMID: 34670605 PMCID: PMC8527713 DOI: 10.1186/s13104-021-05810-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Accepted: 10/12/2021] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE Although perceived neighbourhood environment is considered a predictor of leisure-time physical activity (LTPA), evidence for this is limited in South Asia. Thus, the aim was to determine the association between neighbourhood social and built environment features in carrying out LTPA among adults in Colombo District, Sri Lanka. A cross-sectional study among 1320 adults was carried out using validated questionnaires for physical activity (PA) and built environment data collection. Multiple logistic regression analysis was conducted to assess the associations between environment characteristics and LTPA after adjusting for gender, age, employment status, income level and sector of residence. RESULTS A total of 21.7% of adults participated in some LTPA. The commonest type of LTPA was walking; carried out by 14.5%. Moderate and vigorous activity at leisure was carried out by 10.3% and 3.9% respectively. Perceived social acceptance for PA was positively associated with LTPA. Out of the built environment characteristics perceived infrastructure for walking, and recreational facilities for PA were negatively associated with LTPA. Self-efficacy emerged as an important positive correlate of LTPA. The participants were positively influenced by the self-efficacy and perceived social environment which should be addressed when promoting LTPA.
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Affiliation(s)
| | - Madhawa Perera
- Department of Gynaecology and Obstetrics, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Anuradhapura, Sri Lanka
| | - Jagath Gunatilake
- Postgraduate Institute of Science, University of Peradeniya, Peradeniya, Sri Lanka.,Department of Geology, University of Peradeniya, Peradeniya, Sri Lanka
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Trail Conditions and Community Use: Utilizing Geospatial Video to Guide the Adoption of a Spatial-Temporal Trail Audit Tool (STAT). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18168741. [PMID: 34444490 PMCID: PMC8391724 DOI: 10.3390/ijerph18168741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Revised: 08/07/2021] [Accepted: 08/17/2021] [Indexed: 11/17/2022]
Abstract
Physical activity (PA), associated with all-cause mortality, morbidity, and healthcare costs, improves vitamin D absorption, immune response, and stress when completed outdoors. Rural communities, which experience PA inequities, rely on trails to meet PA guidelines. However, current trail audit methods could be more efficient and accurate, which geospatial video may support. Therefore, the study purpose was (1) to identify and adopt validated instruments for trail audit evaluations using geospatial video and a composite score and (2) to determine if geospatial video and a composite score motivate (influence the decision to use) specific trail selection among current trail users. Phase 1 used a mixed-method exploratory sequential core design using qualitative data, then quantitative data for the development of the Spatial-temporal Trail Audit Tool (STAT). Geospatial videos of two Northeast Ohio trails were collected using a bicycle-mounted spatial video camera and video analysis software. The creation of STAT was integrated from Neighborhood Environment Walkability Scale (NEWS), Walk Score, and Path Environment Audit Tool (PEAT) audit tools based on four constructs: trail accessibility, conditions, amenities, and safety. Scoring was determined by three independent reviewers. Phase 2 included a mixed-method convergent core design to test the applicability of STAT for trail participant motivation. STAT has 20 items in 4 content areas computing a composite score and was found to increase trail quality and motivation for use. STAT can evaluate trails for PA using geospatial video and a composite score which may spur PA through increased motivation to select and use trails.
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Riverside Greenway in Urban Environment: Residents' Perception and Use of Greenways along the Huangpu River in Shanghai, China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18031120. [PMID: 33513964 PMCID: PMC7908429 DOI: 10.3390/ijerph18031120] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Revised: 01/22/2021] [Accepted: 01/25/2021] [Indexed: 11/17/2022]
Abstract
Urban greenways improve green coverage rates in urban environments and transform these environments in a people-oriented manner. This study adopted semantic differential (SD) methods and an importance-performance analysis (IPA) model to evaluate resident perceptions and preferences of riverside greenways. A survey of 588 residents was conducted on typical natural greenways, built greenways, and mixed greenways along the Huangpu River in Shanghai. The results showed that resident perceptions of style, space, and distance differed markedly, whereas their perceptions of environmental and psychological characteristics were relatively similar. There were strong correlations between residents' characteristics and their perceptions, especially for their perceptions of greenway style, sense of order, and distance from the river. By comparison, most residents preferred mixed greenways. Additionally, respondents from areas with natural and mixed greenways believed that they benefited, whereas those from areas with built greenways displayed a potential sense of deprivation. The results of IPA analysis provide further support for the above conclusions. As a whole, the relatively simple methods demonstrated here could be useful to quantitatively analyze the subjective perceptions of urban residents.
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Forest Tourism and Recreation Management in the Polish Bieszczady Mountains in the Opinion of Tourist Guides. SUSTAINABILITY 2020. [DOI: 10.3390/su12197967] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This article presents results of research carried out in 2018 that aimed to determine the opinions of Bieszczady mountain guides on the scope of development of tourism and recreational infrastructure in the Bieszczady forests, Poland. The online survey included questions regarding nature protection in the Bieszczady region, factors limiting opportunities for tourism and recreation development in the Bieszczady forests, and the needs regarding new elements of tourism and recreation management of the area. Our research results indicate that the greatest impediments to the recreational use of the forest result from temporary restrictions on forest access, which are related to hunting or forest-management works. Most the interviewed guides were against further development of the tourist and recreational infrastructure in the Bieszczady forests. They were also in favor of extending the nature protection area in Bieszczady. Statistical analyses using the Kruskal–Wallis test showed that persons who are against, in favor of and neutral on extending the nature protection area in the Bieszczady forests varied significantly in their views on issues such as hunting or restrictions on forest access related to forest-management works. Compared to the other respondents, the supporters of extending the range of protected areas were more frequently against designating new recreation spaces or bonfire places in the Bieszczady forests.
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Orstad SL, Szuhany K, Tamura K, Thorpe LE, Jay M. Park Proximity and Use for Physical Activity among Urban Residents: Associations with Mental Health. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E4885. [PMID: 32645844 PMCID: PMC7369687 DOI: 10.3390/ijerph17134885] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 06/06/2020] [Accepted: 06/08/2020] [Indexed: 01/04/2023]
Abstract
Increasing global urbanization limits interaction between people and natural environments, which may negatively impact population health and wellbeing. Urban residents who live near parks report better mental health. Physical activity (PA) reduces depression and improves quality of life. Despite PA's protective effects on mental health, the added benefit of urban park use for PA is unclear. Thus, we examined whether park-based PA mediated associations between park proximity and mental distress among 3652 New York City residents (61.4% 45 + years, 58.9% female, 56.3% non-white) who completed the 2010-2011 Physical Activity and Transit (PAT) random-digit-dial survey. Measures included number of poor mental health days in the previous month (outcome), self-reported time to walk to the nearest park from home (exposure), and frequency of park use for sports, exercise or PA (mediator). We used multiple regression with bootstrap-generated 95% bias-corrected confidence intervals (BC CIs) to test for mediation by park-based PA and moderation by gender, dog ownership, PA with others, and perceived park crime. Park proximity was indirectly associated with fewer days of poor mental health via park-based PA, but only among those not concerned about park crime (index of moderated mediation = 0.04; SE = 0.02; 95% BC CI = 0.01, 0.10). Investment in park safety and park-based PA promotion in urban neighborhoods may help to maximize the mental health benefits of nearby parks.
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Affiliation(s)
- Stephanie L. Orstad
- Department of Medicine, Division of General Internal Medicine and Clinical Innovation, New York University (NYU) Grossman School of Medicine, New York, NY 10016, USA
| | - Kristin Szuhany
- Department of Psychiatry, NYU Grossman School of Medicine, New York, NY 10016, USA;
| | - Kosuke Tamura
- Social Determinants of Obesity and Cardiovascular Risk Laboratory, Cardiovascular Branch, Division of Intramural Research, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD 20892, USA;
| | - Lorna E. Thorpe
- Department of Population Health, Division of Epidemiology, NYU Grossman School of Medicine, New York, NY 10016, USA;
| | - Melanie Jay
- Departments of Medicine and Population Health, NYU Grossman School of Medicine, New York, NY 10016, USA;
- Comprehensive Program on Obesity, NYU Langone Health, New York, NY 10016, USA
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Johansen C, Reynolds KD, Wolch J, Byrne J, Chou CP, Boyle S, Spruijt-Metz D, Lienemann BA, Weaver S, Jerrett M. The Association of Trail Features With Self-Report Trail Use by Neighborhood Residents. J Phys Act Health 2020; 17:715-722. [PMID: 32464596 PMCID: PMC8274481 DOI: 10.1123/jpah.2019-0347] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Revised: 02/11/2020] [Accepted: 04/21/2020] [Indexed: 11/18/2022]
Abstract
BACKGROUND Urban trails are a useful resource to promote physical activity. This study identified features of urban trails that correlated with trail use. METHODS Multiuse urban trails were selected in Chicago, Dallas, and Los Angeles. An audit of each trail was completed using the Systematic Pedestrian and Cyclist Environmental Scan for Trails instrument, identifying built environmental features. A self-report of trail use was obtained from trailside residents (N = 331) living within 1 mile of each trail. Univariate and multivariate Poisson regressions controlled for trail time from home and motivation for physical activity. RESULTS Positive associations with the past month's hours on the trail were observed for the presence of distance signs, vegetation height, vegetation maintenance, and trail crowding, and a negative association was observed for the presence of crossings on the trail. Positive associations with dichotomous trail use were observed for the presence of distance signs, vegetation height, and vegetation maintenance, and a negative association was observed for the presence of crossings on the trail. CONCLUSIONS These correlates should be confirmed in other studies and, if supported, should be considered in the promotion and design of urban trails.
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Affiliation(s)
| | - Kim D. Reynolds
- School of Community and Global Health, Claremont Graduate University
| | - Jennifer Wolch
- College of Environmental Design, University of California Berkeley
| | - Jason Byrne
- School of Technology, Environments and Design, University of Tasmania
| | | | - Sarah Boyle
- School of Community and Global Health, Claremont Graduate University
| | - Donna Spruijt-Metz
- Dornsife College of Letters, Arts and Sciences, University of Southern California
| | | | | | - Michael Jerrett
- Fielding School of Public Health, University of California Los Angeles
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The Relationship between User Perception and Preference of Greenway Trail Characteristics in Urban Areas. SUSTAINABILITY 2019. [DOI: 10.3390/su11164438] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Greenways provide multiple benefits for trail users’ individual experiences based on users’ background environment and their perceptions of characteristics such as the trail width, vegetation, water, and facilities. Although greenway trail characteristics are important factors that affect users’ preferences, only a few studies have examined individuals’ experiences of greenways based on their perceptions and preferences. The purpose of this study is to examine how greenway trails can be designed to improve users’ experiences in relation to their perceptions and preferences by considering trail characteristics. We examine the relationship between greenway trail characteristics and likability using t-tests as well as correlation and multiple regression analyses. In the current study, virtual tour surveys of greenway users were conducted, with two urban greenway trails as the study sites: Town Lake Trail in Austin, Texas, and Buffalo Bayou Trail in Houston, Texas. Perceptions of all eight greenway trail characteristics, except for background buildings, were significantly different between the trails, and a significant difference in likability was found for five characteristics (the presence of water, trail facilities, trail width, adjacent automobile traffic, and built structures on the trail). In addition, the results of the correlation and multiple regression analyses revealed that the presence of water, amount of vegetation, automobile traffic, and built structures were correlated with likability. These findings suggest that designing appropriate types of greenway trails can help increase users’ likeability ratings of urban greenways. This study contributes to the enhancement of trail environments by providing strategies for practitioners to effectively design and manage greenways.
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Analyzing Visitors’ Preferences and Evaluation of Satisfaction Based on Different Attributes, with Forest Trails in the Akasawa National Recreational Forest, Central Japan. FORESTS 2019. [DOI: 10.3390/f10050431] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
For forest park managers and designers, it is very important to provide forest trails and high–quality forest landscapes that meet visitor’s needs. In this study, based on demographic characteristics, our main purpose is to analyze whether the preferences of visitors for different trails differ, and to discuss whether forest park visitors’ satisfaction is affected when preferences for choosing trails change, mainly in order to improve knowledge about visitors’ needs for forest walking spaces. Through this analysis, we can aid in the planning and management of forest parks to improve visitors’ experiences. We mainly consider five attributes, namely, sex, age, number of visitors, number of visits and duration of stay in the park, in a questionnaire, and use the Kruskal–Wallis Test and Mann–Whitney U Test to analyze multigroup data in “SPSS for Windows”. The results are as follows: (1) Visitors with different attributes exhibit significant differences in terms of their choices of forest trails and the evaluation of visitor satisfaction in the duration of stay. (2) The correlation analysis showed that trail condition factors, such as the degree of difficulty and facility status, affect the satisfaction evaluation of tourists on many levels. In addition, the number of visits by visitors is negatively correlated with the preference for a forest trail based on recreational indicators. (3) Compared to visitors who stay in the forest for a short amount of time, visitors who remain in the forest for longer have a higher satisfaction level. Based on these results, we recommend that parks consider the number of visits (visiting experience) and the duration of stays in the forest when planning walking routes to more effectively plan forest park trails.
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Garrett JK, White MP, Huang J, Ng S, Hui Z, Leung C, Tse LA, Fung F, Elliott LR, Depledge MH, Wong MC. Urban blue space and health and wellbeing in Hong Kong: Results from a survey of older adults. Health Place 2019; 55:100-110. [DOI: 10.1016/j.healthplace.2018.11.003] [Citation(s) in RCA: 72] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2018] [Revised: 10/22/2018] [Accepted: 11/06/2018] [Indexed: 12/22/2022]
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Sander HA, Ghosh D, Hodson CB. Varying age-gender associations between body mass index and urban greenspace. URBAN FORESTRY & URBAN GREENING 2017; 26:1-10. [PMID: 29225562 PMCID: PMC5716478 DOI: 10.1016/j.ufug.2017.05.016] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Urban greenspace benefits urbanites in numerous ways ranging from regulating flooding, air quality, and local climate to providing opportunities for exercise and relaxation. These benefits may influence human health. Greenspace, for example, may facilitate exercise, thereby helping to reduce body mass index (BMI) and combat obesity, a current epidemic of great public health concern. Little evidence exists to support this assertion, however, and we lack a full understanding of the mechanisms whereby this relationship operates, the populations for whom greenspace is linked to weight status, and the aspects of urban greenspace that are linked to weight status. This study seeks to identify relationships among the composition and arrangement of greenspace and BMI for different populations using regression models for eight age and gender groups in Cleveland, Ohio, US. We find that several greenspace variables are related to BMI for women under 65 years and males under 51 years, but not for older groups, and that the aspects and types of greenspace that are significantly related to BMI vary among groups. Relationships between greenspace attributes and BMI are generally stronger for female groups and for younger groups. Providing access to greenspace with particular attributes such as greenspaces with water, canopy cover, or connected greenspaces could support a healthy weight status for some populations, but these attributes are not consistent across age and gender groups. These results could help to inform policy aimed at designing urban greenspace to benefit the health of different population subgroups.
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Affiliation(s)
- Heather A Sander
- Department of Geographical and Sustainability Sciences, 316 Jessup Hall, University of Iowa, Iowa City, IA 52246 USA
| | - Debarchana Ghosh
- Department of Geography, 215 Glenbrook Road, U-4148, University of Connecticut, Storrs, CT 06269 USA
| | - Cody B Hodson
- Department of Geographical and Sustainability Sciences, 316 Jessup Hall, University of Iowa, Iowa City, IA 52246 USA
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Tsai WL, Floyd MF, Leung YF, McHale MR, Reich BJ. Urban Vegetative Cover Fragmentation in the U.S.: Associations With Physical Activity and BMI. Am J Prev Med 2016; 50:509-517. [PMID: 26597506 DOI: 10.1016/j.amepre.2015.09.022] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2015] [Revised: 09/03/2015] [Accepted: 09/03/2015] [Indexed: 12/14/2022]
Abstract
INTRODUCTION Urban vegetative cover provides a range of ecosystem services including contributions to human health and well-being. Urbanization exerts tremendous pressure on this natural resource, causing fragmentation and loss of urban greenspace. This study aimed to examine associations between vegetative cover fragmentation and physical activity and BMI at the county scale in the U.S. metropolitan statistical areas greater than 1 million in population. METHODS National Land Cover Database 2006 and Behavioral Risk Factor Surveillance System 2008 provided land cover and human health data, respectively. Analyses were performed in 2013 at the county scale where the health data were reported. Spearman rank correlation and stepwise and hierarchical regression models were applied to estimate relationships between land cover and health variables. RESULTS After controlling for median household income and race, greater forest edge density (β=0.272, p<0.05) and larger size of herbaceous patches (β=0.261, p<0.01) were associated with a higher percentage of participation in physical activity within counties. More connections between forest and developed area (β=0.37, p<0.01) and greater edge density of shrubland (β=0.646, p<0.001) were positively associated with a higher percentage of normal BMI (<25) within counties. CONCLUSIONS Forest land cover and some degree of fragmentation are associated with population physical activity. Future studies should examine how built environments and varying land cover configurations influence physical activity and weight status.
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Affiliation(s)
- Wei-Lun Tsai
- Department of Parks, Recreation and Tourism Management, North Carolina State University, Raleigh, North Carolina.
| | - Myron F Floyd
- Department of Parks, Recreation and Tourism Management, North Carolina State University, Raleigh, North Carolina
| | - Yu-Fai Leung
- Department of Parks, Recreation and Tourism Management, North Carolina State University, Raleigh, North Carolina
| | - Melissa R McHale
- Department of Forestry and Environmental Resources, North Carolina State University, Raleigh, North Carolina
| | - Brian J Reich
- Department of Statistics, North Carolina State University, Raleigh, North Carolina
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Price AE, Reed JA. Use and Nonuse of a Rail Trail Conversion for Physical Activity: Implications for Promoting Trail Use. AMERICAN JOURNAL OF HEALTH EDUCATION 2014. [DOI: 10.1080/19325037.2014.917060] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Adamus HJ, Mama SK, Sahnoune I, Lee RE. Evaluating the quality and accessibility of physical activity resources in two southern cities. Am J Health Promot 2013; 27:52-4. [PMID: 22950926 DOI: 10.4278/ajhp.110617-arb-257] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE Access and quality of physical activity resources (PARs) influence physical activity (PA) participation. This study examined the type, size, accessibility, features, amenities, and incivilities of PARs in two cities. DESIGN Researchers identified all PARs within an 800-meter radius of the homes of participants from a larger study. Each PAR was evaluated by a trained assessor. SETTING PARs were evaluated in Houston and Austin, Texas. PATIENTS The final sample included 1326 PARs in Houston and 297 in Austin, Texas. MEASURES The 2010 Physical Activity Resource Assessment (PARA), a direct-observation audit tool, was used to assess the type, size, accessibility, features, amenities, and incivilities of a PAR. ANALYSIS Both t-tests and analyses of variance were used to determine differences in features, amenities, and incivilities by city, type, and accessibility. RESULTS Houston PARs had greater amenities (t[421] = 4.445; p < .001) and fewer incivilities (t[371] = -6.89; p < .001) than Austin PARs. Combination resources had the highest score for features (M = 9.94; standard deviation [SD] = 5.62); fitness clubs had the highest score for amenities (M = 17.06; SD = 5.27); and trails had the most incivilities (M = 4.23; SD = 4.88). Free PARs had greater features (F[3, 1509] = 16.87; p < .001), amenities (F[3, 1500] = 3.13; p = .025), and incivilities (F[3, 1540] = 21.97; p < .001) than pay for use PARs. CONCLUSION Improvements to quality and maintenance of existing free PARs may be an economical strategy to increase PA.
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Affiliation(s)
- Heather J Adamus
- Department of Health and Human Performance, University of Houston, Houston, Texas 77204-6015, USA
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Sandy R, Tchernis R, Wilson J, Liu G, Zhou X. Effects of the built environment on childhood obesity: the case of urban recreational trails and crime. ECONOMICS AND HUMAN BIOLOGY 2013; 11:18-29. [PMID: 22459489 PMCID: PMC3405198 DOI: 10.1016/j.ehb.2012.02.005] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/11/2011] [Revised: 02/17/2012] [Accepted: 02/17/2012] [Indexed: 05/22/2023]
Abstract
We study the effects of urban environment on childhood obesity by concentrating on the effects of walking trails and crime close to children's homes on their BMI and obesity status. We use a unique dataset, which combines information on recreational trails in Indianapolis with data on violent crimes and anthropomorphic and diagnostic data from children's clinic visits between 1996 and 2005. We find that having a trail near a home reduces children's weight. However, the effect depends on the amount of nearby violent crimes. Significant reductions occur only in low crime areas and trails could have opposite effects on weight in high crime areas. These effects are primarily among boys, older children, and children who live in higher income neighborhoods. Evaluated at the mean length of trails this effect for older children in no crime areas would be a reduction of 2 lb of the body weight. Falsification tests using planned trails instead of existing trails, show that trails are more likely to be located in areas with heavier children, suggesting that our results on effects of trails represent a lower bound.
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Affiliation(s)
- Robert Sandy
- Department of Economics, Indiana University Purdue University Indianapolis (IUPUI), USA
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Hochmair HH, Cucinella J, Stein TV. Identification of environmental, managerial, and sociodemographic correlates of hiker volume on the Florida National Scenic Trail. Am J Health Promot 2012; 27:e37-46. [PMID: 22950933 DOI: 10.4278/ajhp.110401-quan-142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE The purpose of this study was to identify the association of environmental, managerial, and sociodemographic variables with hiker volume on the Florida National Scenic Trail. DESIGN Monthly hiker count data from 43 count stations along the Florida National Scenic Trail were used. For each station the characteristics of the built and natural environment as well as sociodemographic variables were computed within a Geographic Information System based on census, land use, and land cover data, together with managerial data. SETTING Counts were performed on access points of the Florida National Scenic Trail located between the panhandle area in the northwest and the Everglades in the south. SUBJECTS A total of 34,734 hikers were counted across the 43 stations over 12-month periods for years 2003-2004 and 2008-2009. MEASURES Hiker volume was measured through infrared counters and registration cards at trail access points. ANALYSIS A negative binomial regression with monthly hiker counts as response variable. RESULTS Positive associations with hiker volume were observed for (population density per hectare) 2 (β = .207, p < .02), residential areas (β = .041, p < .0003), household income between $25,000 and $49,999 (β = .266, p < .0001), household income between $50,000 and $99,999 (β = .135, p < .0001), open water (β = .135, p < .0001), and station kilometers north (β = .003, p < .0001). Negative associations with hiker volume were observed for age <18 (β = -.305, p < .0001) and presence of trail fees (β = -.583, p < .0001). Positive and negative associations were observed for different categories in categorical variables including prominent vegetation type (p < .0001), trail management agency (p < .0001), and month (p < .0001). CONCLUSIONS The correlates should be considered for the design, planning, and promotion of hiking trails in publicly managed areas to increase hiker volume.
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Affiliation(s)
- Hartwig H Hochmair
- Fort Lauderdale Research and Education Center, University of Florida, 3205 College Avenue, Fort Lauderdale, FL 33314-7799, USA.
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Abstract
In industrialized nations like the United States and Sweden, the vast majority of adults do not meet the physical activity guidelines of 150 minutes per week.1 Inactive lifestyles put most adults at risk of cardiovascular diseases (CVD), diabetes, obesity, some cancers, osteoporosis, and psychological disorders.2 Physical activity can be effective at all phases of chronic disease management, from primordial prevention (prevention of risk factors) through treatment and rehabilitation.2 There is particular interest in the potential for physical activity to prevent chronic diseases, thereby improving quality of life and reducing health care costs.3 In the past decade, limitations of prevention approaches that target mainly individuals with educational and motivational programs have been recognized, triggering a trend to consider influences on behavior that are outside the person, such as the built environment.4 ,5 The purposes of the present paper are to describe multilevel ecological models of behavior as they apply to physical activity, describe key concepts, summarize evidence on the relation of built environment attributes to physical activity and obesity, and provide recommendations for built environment changes that could increase physical activity. The intent of this non-systematic review is to present conclusions from previous reviews then illustrate results by highlighting selected studies.
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Affiliation(s)
- James F Sallis
- Department of Family & Preventive Medicine, University of California-San Diego, 3900 Fifth Avenue, San Diego, CA 92109, USA.
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20
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de Nazelle A, Nieuwenhuijsen MJ, Antó JM, Brauer M, Briggs D, Braun-Fahrlander C, Cavill N, Cooper AR, Desqueyroux H, Fruin S, Hoek G, Panis LI, Janssen N, Jerrett M, Joffe M, Andersen ZJ, van Kempen E, Kingham S, Kubesch N, Leyden KM, Marshall JD, Matamala J, Mellios G, Mendez M, Nassif H, Ogilvie D, Peiró R, Pérez K, Rabl A, Ragettli M, Rodríguez D, Rojas D, Ruiz P, Sallis JF, Terwoert J, Toussaint JF, Tuomisto J, Zuurbier M, Lebret E. Improving health through policies that promote active travel: a review of evidence to support integrated health impact assessment. ENVIRONMENT INTERNATIONAL 2011; 37:766-77. [PMID: 21419493 DOI: 10.1016/j.envint.2011.02.003] [Citation(s) in RCA: 240] [Impact Index Per Article: 17.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/17/2010] [Revised: 02/01/2011] [Accepted: 02/05/2011] [Indexed: 05/21/2023]
Abstract
BACKGROUND Substantial policy changes to control obesity, limit chronic disease, and reduce air pollution emissions, including greenhouse gasses, have been recommended. Transportation and planning policies that promote active travel by walking and cycling can contribute to these goals, potentially yielding further co-benefits. Little is known, however, about the interconnections among effects of policies considered, including potential unintended consequences. OBJECTIVES AND METHODS We review available literature regarding health impacts from policies that encourage active travel in the context of developing health impact assessment (HIA) models to help decision-makers propose better solutions for healthy environments. We identify important components of HIA models of modal shifts in active travel in response to transport policies and interventions. RESULTS AND DISCUSSION Policies that increase active travel are likely to generate large individual health benefits through increases in physical activity for active travelers. Smaller, but population-wide benefits could accrue through reductions in air and noise pollution. Depending on conditions of policy implementations, risk tradeoffs are possible for some individuals who shift to active travel and consequently increase inhalation of air pollutants and exposure to traffic injuries. Well-designed policies may enhance health benefits through indirect outcomes such as improved social capital and diet, but these synergies are not sufficiently well understood to allow quantification at this time. CONCLUSION Evaluating impacts of active travel policies is highly complex; however, many associations can be quantified. Identifying health-maximizing policies and conditions requires integrated HIAs.
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Affiliation(s)
- Audrey de Nazelle
- Center for Research in Environmental Epidemiology (CREAL), Barcelona, Spain.
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King DK, Glasgow RE, Leeman-Castillo B. Reaiming RE-AIM: using the model to plan, implement, and evaluate the effects of environmental change approaches to enhancing population health. Am J Public Health 2010; 100:2076-84. [PMID: 20864705 DOI: 10.2105/ajph.2009.190959] [Citation(s) in RCA: 98] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
The RE-AIM (reach, effectiveness, adoption, implementation, maintenance) framework, which provides a practical means of evaluating health interventions, has primarily been used in studies focused on changing individual behaviors. Given the importance of the built environment in promoting health, using RE-AIM to evaluate environmental approaches is logical. We discussed the benefits and challenges of applying RE-AIM to evaluate built environment strategies and recommended modest adaptations to the model. We then applied the revised model to 2 prototypical built environment strategies aimed at promoting healthful eating and active living. We offered recommendations for using RE-AIM to plan and implement strategies that maximize reach and sustainability, and provided summary measures that public health professionals, communities, and researchers can use in evaluating built environment interventions.
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Affiliation(s)
- Diane K King
- Institute for Health Research, Kaiser Permanente Colorado, Denver, CO 80237-8066, USA.
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Spruijt-Metz D, Wolch J, Jerrett M, Byrne J, Hsieh S, Myles R, Xie B, Wang L, Chou CP, Reynolds KD. Development, Reliability, and Validity of an Urban Trail Use Survey. Am J Health Promot 2010; 25:2-11. [PMID: 20809825 DOI: 10.4278/ajhp.071105119] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose. To evaluate the psychometric characteristics of the Research on Urban Trail Environments (ROUTES) Trail Use Questionnaire. Design. Test-retest reliability was assessed by repeated measures (study 1); validity was assessed by comparing reported trail use to self-reported and objectively measured physical activity (PA) levels (study 2). Setting. Study 1: a religious institution situated near a Los Angeles trail. Study 2: 1-mile buffer zones surrounding three urban trails (Chicago, Dallas, and Los Angeles). Subjects. Thirty-four adults between 40 and 60 years of age (10 men and 24 women) completed the ROUTES questionnaire twice (study 1). Study 2 participants were 490 adults (48% female and 73% white), mean age 48 years. Measures. Trail use for recreation and transportation purposes, time and distance spent on trails, and characteristics of the trail and other trail users. PA was measured using the International Physical Activity Questionnaire and accelerometry. Analyses. Pearson correlation coefficients and κ statistics were used for test-retest reliability for continuous and categorical variables, respectively. Generalized linear models were used to evaluate hypotheses on PA comparing trail users and nonusers. Results. Test-retest statistics were acceptable (κ = .57, r 5 .66). Validity was supported by correlations between indices of trail use with self-reported PA and accelerometry, and significant group differences between trail users and nonusers in PA levels. Conclusions. The ROUTES Trail Use Questionnaire demonstrated good reliability and validity.
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Affiliation(s)
- Donna Spruijt-Metz
- Donna Spruijt-Metz, PhD; Chih-Ping Chou, PhD; and Kim D. Reynolds, PhD, are with the Institute of Health Promotion and Disease Prevention, University of Southern California, Alhambra, California. Jennifer Wolch, PhD, is a Professor of Geography and Director, Center for Sustainable Cities, University of Southern California, Los Angeles, California. Michael Jerrett, PhD, is with the Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, California. Jason
| | - Jennifer Wolch
- Donna Spruijt-Metz, PhD; Chih-Ping Chou, PhD; and Kim D. Reynolds, PhD, are with the Institute of Health Promotion and Disease Prevention, University of Southern California, Alhambra, California. Jennifer Wolch, PhD, is a Professor of Geography and Director, Center for Sustainable Cities, University of Southern California, Los Angeles, California. Michael Jerrett, PhD, is with the Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, California. Jason
| | - Michael Jerrett
- Donna Spruijt-Metz, PhD; Chih-Ping Chou, PhD; and Kim D. Reynolds, PhD, are with the Institute of Health Promotion and Disease Prevention, University of Southern California, Alhambra, California. Jennifer Wolch, PhD, is a Professor of Geography and Director, Center for Sustainable Cities, University of Southern California, Los Angeles, California. Michael Jerrett, PhD, is with the Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, California. Jason
| | - Jason Byrne
- Donna Spruijt-Metz, PhD; Chih-Ping Chou, PhD; and Kim D. Reynolds, PhD, are with the Institute of Health Promotion and Disease Prevention, University of Southern California, Alhambra, California. Jennifer Wolch, PhD, is a Professor of Geography and Director, Center for Sustainable Cities, University of Southern California, Los Angeles, California. Michael Jerrett, PhD, is with the Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, California. Jason
| | - Stephanie Hsieh
- Donna Spruijt-Metz, PhD; Chih-Ping Chou, PhD; and Kim D. Reynolds, PhD, are with the Institute of Health Promotion and Disease Prevention, University of Southern California, Alhambra, California. Jennifer Wolch, PhD, is a Professor of Geography and Director, Center for Sustainable Cities, University of Southern California, Los Angeles, California. Michael Jerrett, PhD, is with the Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, California. Jason
| | - Ranell Myles
- Donna Spruijt-Metz, PhD; Chih-Ping Chou, PhD; and Kim D. Reynolds, PhD, are with the Institute of Health Promotion and Disease Prevention, University of Southern California, Alhambra, California. Jennifer Wolch, PhD, is a Professor of Geography and Director, Center for Sustainable Cities, University of Southern California, Los Angeles, California. Michael Jerrett, PhD, is with the Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, California. Jason
| | - Bin Xie
- Donna Spruijt-Metz, PhD; Chih-Ping Chou, PhD; and Kim D. Reynolds, PhD, are with the Institute of Health Promotion and Disease Prevention, University of Southern California, Alhambra, California. Jennifer Wolch, PhD, is a Professor of Geography and Director, Center for Sustainable Cities, University of Southern California, Los Angeles, California. Michael Jerrett, PhD, is with the Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, California. Jason
| | - Lili Wang
- Donna Spruijt-Metz, PhD; Chih-Ping Chou, PhD; and Kim D. Reynolds, PhD, are with the Institute of Health Promotion and Disease Prevention, University of Southern California, Alhambra, California. Jennifer Wolch, PhD, is a Professor of Geography and Director, Center for Sustainable Cities, University of Southern California, Los Angeles, California. Michael Jerrett, PhD, is with the Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, California. Jason
| | - Chih-Ping Chou
- Donna Spruijt-Metz, PhD; Chih-Ping Chou, PhD; and Kim D. Reynolds, PhD, are with the Institute of Health Promotion and Disease Prevention, University of Southern California, Alhambra, California. Jennifer Wolch, PhD, is a Professor of Geography and Director, Center for Sustainable Cities, University of Southern California, Los Angeles, California. Michael Jerrett, PhD, is with the Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, California. Jason
| | - Kim D. Reynolds
- Donna Spruijt-Metz, PhD; Chih-Ping Chou, PhD; and Kim D. Reynolds, PhD, are with the Institute of Health Promotion and Disease Prevention, University of Southern California, Alhambra, California. Jennifer Wolch, PhD, is a Professor of Geography and Director, Center for Sustainable Cities, University of Southern California, Los Angeles, California. Michael Jerrett, PhD, is with the Division of Environmental Health Sciences, School of Public Health, University of California, Berkeley, California. Jason
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Dunton GF, Berrigan D, Ballard-Barbash R, Perna FM, Graubard BI, Atienza AA. Adolescents' sports and exercise environments in a U.S. time use survey. Am J Prev Med 2010; 39:122-9. [PMID: 20621259 DOI: 10.1016/j.amepre.2010.03.022] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2009] [Revised: 02/16/2010] [Accepted: 03/30/2010] [Indexed: 11/19/2022]
Abstract
BACKGROUND Studies examining environmental influences on adolescent physical activity largely measure the presence and availability of social resources and built environment facilities. Unfortunately, this research approach provides limited information about adolescents' social company during exercise or the extent to which adolescents actually use physical settings for physical activity. PURPOSE The current study used data from the nationally representative American Time Use Survey (2003-2006) to describe demographic and temporal patterns in the social and physical contexts of physical activity among adolescents. METHODS The sample consisted of high school students (aged 15-18 years) reporting at least one bout of sports or exercise (N=867). During the interview, participants reported where (e.g., outdoors, home, work) and with whom (e.g., alone, family, friends) each bout occurred. Sample-weighted multinomial logistic regression analyses compared the proportion of bouts occurring in each environment by age, gender, family income, season, weekend/weekday, and time of day, controlling for race/ethnicity. Data were analyzed in 2009. RESULTS Girls were more likely to exercise with family (22% vs 16%), and less likely to exercise with friends/acquaintances/others (47% vs 52%) and outdoors (18% vs 24%) than boys. Compared with those aged 15 years, a larger proportion of exercise bouts among those aged 18 years occurred alone (23% vs 18%); and a smaller proportion occurred at home (14% vs 20%), at someone else's house (5% vs 12%), and at school (14% vs 27%) (p's<0.001). CONCLUSIONS Information about the social and physical contexts of adolescents' sports and exercise can help guide the selection of future environmental targets for investigation and intervention.
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Gallagher NA, Gretebeck KA, Robinson JC, Torres ER, Murphy SL, Martyn KK. Neighborhood factors relevant for walking in older, urban, African American adults. J Aging Phys Act 2010; 18:99-115. [PMID: 20181997 PMCID: PMC2843394 DOI: 10.1123/japa.18.1.99] [Citation(s) in RCA: 113] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Focus-group and photo-voice methodology were used to identify the salient factors of the neighborhood environment that encourage or discourage walking in older, urban African Americans. Twenty-one male (n = 2) and female (n = 19) African Americans age 60 years and older (M = 70 +/- 8.7, range = 61-85) were recruited from a large urban senior center. Photographs taken by the participants were used to facilitate focus-group discussions. The most salient factors that emerged included the presence of other people, neighborhood surroundings, and safety from crime, followed by sidewalk and traffic conditions, animals, public walking tracks and trails, and weather. Future walking interventions for older African Americans should include factors that encourage walking, such as the presence of other friendly or active people, attractive or peaceful surroundings, and a sense of safety from crime.
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Dunton GF, Berrigan D, Ballard-Barbash R, Graubard BI, Atienza AA. Social and physical environments of sports and exercise reported among adults in the American Time Use Survey. Prev Med 2008; 47:519-24. [PMID: 18675293 DOI: 10.1016/j.ypmed.2008.07.001] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2008] [Revised: 06/13/2008] [Accepted: 07/03/2008] [Indexed: 10/21/2022]
Abstract
OBJECTIVE Demographic and temporal patterns in the social and physical environments of sports and exercise in the American Time Use Survey (years 2003-2006) are described. METHOD The sample consisted of adult respondents (ages 21+) reporting at least one bout of sports or exercise (N=8844). During the interview, participants reported where (e.g., outdoors, home, work) and with whom (e.g., alone, family, coworkers) each bout occurred. Sample-weighted multinomial logistic regression analyses estimated the adjusted proportion of bouts occurring in each environment by gender, age, education, race/ethnicity, season, weekend/weekday, and time of day. RESULTS Among members of the oldest age group (ages 60+), more exercise bouts occurred alone and outdoors compared to younger age groups. Among college graduates, more exercise bouts occurred at a gym/health club compared to groups with lower levels of education. Exercise bouts occurring alone were most likely to happen in the winter, on weekdays, and in the morning. Exercise bouts occurring outdoors were most likely to happen in the summer, on weekend days, and in the morning. CONCLUSION Future research and intervention efforts exploring where, when and with whom exercise bouts occur may prove beneficial to addressing public health concerns about physical inactivity.
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Affiliation(s)
- Genevieve Fridlund Dunton
- Health Promotion Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences National Cancer Institute, 6130 Executive Blvd/EPN 4051C, MSC 7365, Bethesda, MD 20892-7365, USA.
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Affiliation(s)
- Kristen Day
- Department of Planning, Policy, and Design, University of California, Irvine, California, USA
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