Association of Perceived Built Environment Attributes with Objectively Measured Physical Activity in Community-Dwelling Ambulatory Patients with Stroke

International Journal of Environmental Research and Public Health

Koichiro Oka¹  Kyoshi Mase²  Masafumi Nozoe²  KazuhiroP. Izawa³  Shinichi Shimada³  Hiroki Kubo⁴  Masashi Kanai⁴  MohammadJavad Koohsari⁵ 

[1] Cardiovascular Stroke Renal Project (CRP), Kobe 654-0142, Japan;Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women’s University, Kobe 658-0001, Japan;Department of Public Health, Kobe University Graduate School of Health Sciences, Kobe 654-0142, Japan;Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami 664-0028, Japan;Faculty of Sport Sciences, Waseda University, Tokorozawa 359-1192, Japan;

关键词: physical activity;    urban design;    cerebrovascular disease;    stroke rehabilitation;   

DOI  :  10.3390/ijerph16203908

来源: DOAJ

【 摘 要 】

There is little evidence on how perceptions of the built environment may influence physical activity among post-stroke patients. This study aimed to explore the associations between perceived built environment attributes and objectively measured physical activity outcomes in community-dwelling ambulatory patients with stroke. This cross-sectional study recruited patients who could walk outside without assistance. We assessed both objectively measured physical activity outcomes such as number of steps and duration of moderate-to-vigorous physical activity (MVPA) with an accelerometer and the patients’ perceived surrounding built environment with the International Physical Activity Questionnaire Environmental Module. Sixty-one patients (67.0 years old) were included. The multiple linear regression analysis showed significant associations of the presence of sidewalks (β = 0.274, p = 0.016) and access to recreational facilities (β = 0.284, p = 0.010) with the number of steps taken (adjusted R² = 0.33). In contrast, no significant associations were found between perceived built environment attributes and MVPA. These findings may help to suggest an approach to promote appropriate physical activity in patients with stroke depending on their surrounding built environment.

【 授权许可】

Unknown