Characteristics of residential areas and transportational walking among frail and non-frail Dutch elderly: does the size of the area matter?

International Journal of Health Geographics

Frank J van Lenthe²  Frank H Pierik¹  Alex Burdorf²  Richard G Prins²  Carlijn BM Kamphuis²  Astrid Etman² 

[1] Department of Urban Environment and Safety, TNO, P.O. Box 80015, Utrecht, TA 3508, The Netherlands;Department of Public Health, Erasmus University MC, P.O. Box 2040, Rotterdam, CA 3000, The Netherlands

关键词: Transport-related PA;    Walking;    Elderly;    Neighbourhood;    Physical environment;   

Others  :  806053
DOI  :  10.1186/1476-072X-13-7

 received in 2013-11-01, accepted in 2014-02-25,  发布年份 2014

【 摘 要 】

Background

A residential area supportive for walking may facilitate elderly to live longer independently. However, current evidence on area characteristics potentially important for walking among older persons is mixed. This study hypothesized that the importance of area characteristics for transportational walking depends on the size of the area characteristics measured, and older person’s frailty level.

Methods

The study population consisted of 408 Dutch community-dwelling persons aged 65 years and older participating in the Elderly And their Neighborhood (ELANE) study in 2011–2012. Characteristics (aesthetics, functional features, safety, and destinations) of areas surrounding participants’ residences ranging from a buffer of 400 meters up to 1600 meters (based on walking path networks) were linked with self-reported transportational walking using linear regression analyses. In addition, interaction effects between frailty level and area characteristics were tested.

Results

An increase in functional features (e.g. presence of sidewalks and benches) within a 400 meter buffer, in aesthetics (e.g. absence of litter and graffiti) within 800 and 1200 meter buffers, and an increase of one destination per buffer of 400 and 800 meters were associated with more transportational walking, up to 2.89 minutes per two weeks (CI 1.07-7.32; p < 0.05). No differences were found between frail and non-frail elderly.

Conclusions

Better functional and aesthetic features, and more destinations in the residential area of community-dwelling older persons were associated with more transportational walking. The importance of area characteristics for transportational walking differs by area size, but not by frailty level. Neighbourhood improvements may increase transportational walking among older persons, thereby contributing to living longer independently.

【 授权许可】

   
2014 Etman et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Cheek P, Nikpour L, Nowlin HD: Aging well with smart technology. Nurs Adm Q 2005, 29:329-338.
• [2]Sun F, Norman IJ, While AE: Physical activity in older people: a systematic review. BMC Public Health 2003, 13:449.
• [3]Wen CP, Wai JP, Tsai MK, Yang YC, Cheng TY, Lee MC, Chan HT, Tsao CK, Tsai SP, Wu X: Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study. Lancet 2011, 378:1244-1253.
• [4]Spinney JE, Millward H, Scott D: Walking for transport versus recreation: a comparison of participants, timing, and locations. J Phys Act Health 2012, 9:153-162.
• [5]Davison KK, Lawson CT: Do attributes in the physical environment influence children’s physical activity? A review of the literature. Int J Behav Nutr Phys Act 2006, 3:19. BioMed Central Full Text
• [6]Van Cauwenberg J, De Bourdeaudhuij I, De Meester F, Van Dyck D, Salmon J, Clarys P, Deforche B: Relationship between the physical environment and physical activity in older adults: a systematic review. Health Place 2011, 17:458-469.
• [7]Kwan MP: From place-based to people-based exposure measures. Soc Sci Med 2009, 69:1311-1313.
• [8]Riva M, Gauvin L, Apparicio P, Brodeur JM: Disentangling the relative influence of built and socioeconomic environments on walking: the contribution of areas homogenous along exposures of interest. Soc Sci Med 2009, 69:1296-1305.
• [9]Perchoux C, Chaix B, Cummins S, Kestens Y: Conceptualization and measurement of environmental exposure in epidemiology: accounting for activity space related to daily mobility. Health Place 2013, 21:86-93.
• [10]Diez Roux AV, Evenson KR, McGinn AP, Brown DG, Moore L, Brines S, Jacobs DR Jr: Availability of recreational resources and physical activity in adults. Am J Public Health 2007, 97:493-499.
• [11]Clegg A, Young J, Lliffe S, Rikkert MO, Rockwood K: Frailty in elderly people. Lancet 2013, 381:752-762.
• [12]Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA: Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001, 56:146-156.
• [13]Daniels R, van Rossum E, de Witte L, Kempen GI, van den Heuvel W: Interventions to prevent disability in frail community-dwelling elderly: a systematic review. BMC Health Serv Res 2008, 8:278. BioMed Central Full Text
• [14]Liu CK, Fielding RA: Exercise as an intervention for frailty. Clin Geriatr Med 2011, 27:101-110.
• [15]Borst HC, de Vries SI, Graham JMA, van Dongen JEF, Bakker I, Miedema HME: Influence of environmental street characteristics on walking route choice of elderly people. J Environ Psychol 2009, 29:477-484.
• [16]Shigematsu R, Sallis JF, Conway TL, Saelens BE, Frank LD, Cain KL, Chapman JE, King AC: Age differences in the relation of perceived neighborhood environment to walking. Med Sci Sports Exerc 2009, 41:314-321.
• [17]Nagel CL, Carlson NE, Bosworth M, Michael YL: The relation between neighborhood built environment and walking activity among older adults. Am J Epidemiol 2008, 168:461-468.
• [18]Berke EM, Koepsell TD, Moudon AV, Hoskins RE, Larson EB: Association of the built environment with physical activity and obesity in older persons. Am J Public Health 2007, 97:486-492.
• [19]Villanueva K, Knuiman M, Nathan A, Giles-Corti B, Christian H, Foster S, Bull F: The impact of neighborhood walkability on walking: does it differ across adult life stage and does neighborhood buffer size matter? Health Place 2014, 25:43-46.
• [20]Prins RG, Pierik F, Etman A, Sterkenburg R, Kamphuis CBM, van Lenthe FJ: How many walking and cycling trips made by elderly are beyond commonly used buffer sizes: results from a GPS study. Health Place 2014. in press
• [21]Troped PJ, Wilson JS, Matthews CE, Cromley EK, Melly SJ: The built environment and location-based physical activity. Am J Prev Med 2010, 38:429-438.
• [22]Rantakokko M, Iwarsson S, Hirvensalo M, Leinonen R, Heikkinen E, Rantanen T: Unmet physical activity need in old age. J Am Geriatr Soc 2010, 58:707-712.
• [23]Gobbens RJ, van Assen MA, Luijkx KG, Wijnen-Sponselee MT, Schols JM: The Tilburg frailty indicator: psychometric properties. J Am Med Dir Assoc 2010, 11:344-355.
• [24]De Vos AJ, Asmus-Szepesi KJ, Bakker TJ, De Vreede PL, Van Wijngaarden JD, Steyerberg EW, Mackenbach JP, Nieboer AP: Integrated approach to prevent functional decline in hospitalized elderly: the prevention and reactivation care program (PReCaP). BMC Geriatr 2012, 12:7. BioMed Central Full Text
• [25]Stel VS, Smit JH, Pluijm SM, Visser M, Deeg DJ, Lips P: Comparison of the LASA physical activity questionnaire with a 7-day diary and pedometer. J Clin Epidemiol 2004, 57:252-258.
• [26]Buurman B, Parlevliet J, van Deelen B, de Haan R, de Rooij S: A randomised clinical trial on a comprehensive geriatric assessment and intensive home follow-up after hospital discharge: the transitional care bridge. BMC Health Serv Res 2010, 10:296. BioMed Central Full Text
• [27]Hoogerduijn JG, Buurman BM, Korevaar JC, Grobbee DE, de Rooij SE, Schuurmans MJ: The prediction of functional decline in older hospitalised patients. Age Ageing 2012, 41:381-387.
• [28]Asmus-Szepesi KJ, de Vreede PL, Flinterman LE, Nieboer AP, Bakker TJ, Borsboom GJ, Mackenbach JP, Steyerberg EW: Prognosis of hospitalised older people with different levels of functioning: a prospective cohort study. Age Ageing 2013, 42:803-809.
• [29]Pikora T, Giles-Corti B, Bull F, Jamrozik K, Donovan R: Developing a framework for assessment of the environmental determinants of walking and cycling. Soc Sci Med 2003, 56:1693-1703.