scholarly journals Association between Perceived Built Environment and Prevalent Hypertension among South African Adults

2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Pasmore Malambo ◽  
Andre P. Kengne ◽  
Estelle V. Lambert ◽  
Anniza De Villers ◽  
Thandi Puoane
Keyword(s):  
Land Use ◽  
Built Environment ◽  
South African ◽  
Population Based ◽  
Cross Sectional Study ◽  
Neighborhood Environment ◽  
Cross Sectional ◽  
Land Use Mix ◽  
Urban Rural ◽  
Logistic Regressions

Introduction. The association between perceived built environmental attributes and hypertension among adults has received little attention in an African context. We investigated the association between the perceived built environment and prevalent hypertension in adult South Africans. Method. A cross-sectional study was conducted using 2008-2009 Prospective Urban Rural Epidemiology data among South African (n=671) adults aged ≥35 years. Perceived built environment was assessed using the neighborhood environment walkability scale questionnaire. Prevalent hypertension was defined as previously diagnosed by a physician, screen-detected hypertension as ≥140/90 mmHg, and a combination of both as any hypertension. Logistic regressions were applied for analyses. Results. In crude logistic regressions, self-reported hypertension was associated with land use mix-diversity, street connectivity, infrastructure for walking/cycling, aesthetics, traffic, and crime. In adjusted model, land use mix-diversity was significantly associated with self-reported hypertension. In similar multivariable models, the direction and magnitude of the effects were mostly similar to the outcomes of “screen-detected hypertension” which was further predicted by perceived lack of safety from traffic. Conclusion. Perceived built environment attributes were significantly associated with hypertension. This has relevance to population-based approaches to hypertension prevention and control.

scholarly journals What is the impact of the built environment on leisure moderate-to-vigorous physical activity and sedentary time among the elderly: A cross-sectional study

2019 ◽  
Author(s):  
Yue LIU ◽  
Lin WANG ◽  
Zhu-Ying WANG ◽  
Zhi-Jian WU ◽  
Hou-Lei WANG ◽  
...  
Keyword(s):  
Physical Activity ◽  
Land Use ◽  
Built Environment ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Urban Elderly ◽  
Cross Sectional ◽  
Land Use Mix

Abstract BackgroundAlthough many studies have reported the association between moderate-to-vigorous physical activity (MVPA), sedentary time (ST), and the built environment (BE) among older adults, little is known about these associations in the Chinese older adult population. The purpose of this study was to investigate how various factors in the built environment of Nanjing’s communities influence leisure moderate-to-vigorous physical activity and sedentary time among the elderly.MethodsA multilevel cross-sectional study was conducted from November 2016 to April 2017. Altogether, thirty neighborhoods were selected and 586 individuals aged 60 years or older living in the urban zone of NanJing in Southern China were surveyed. Physical activity was measured using Actigraph GT3 Accelerometer. Built environment variables were measured using ArcGIS software. A multivariate linear regression method was used to analyze the factors influencing leisure moderate-to-vigorous physical activity and sedentary time among the elderly.ResultsThe percentage of moderate-to-vigorous physical activity of urban elderly within a 1000-m distance reached 76.12%, indicating this zone as appropriate for the study of urban elderly moderate-to-vigorous physical activity. We found that land-use mix (β=8.800, p=0.001) and distance to fitness venue (β=-5.876, p=0.004) influenced moderate-to-vigorous physical activity. Population density (β=13.998, p=0.004) and land-use mix (β=-21.62, p=0.033) use influenced sedentary time.ConclusionsOur findings provide support for the association between the built environment and physical activity among the Chinese elderly. Some characteristics of the built environment including land-use mix and distance to fitness venue may affect MVPA, while other characteristics including population density and land-use mix may impact ST. In formulating urban planning policies, the above factors should be taken into account to promote physical activity in older people, encouraging them to modify their sedentary lifestyle and improving their overall health.

Neighborhood Perceptions and Active Commuting to School Among Adolescent Boys and Girls

2010 ◽  
Vol 7 (2) ◽  
pp. 257-266 ◽  
Author(s):  
Norah M. Nelson ◽  
Catherine B. Woods
Keyword(s):  
Land Use ◽  
Sociodemographic Factors ◽  
Neighborhood Environment ◽  
Walking Distance ◽  
Active Commuting ◽  
Public Parks ◽  
Cross Sectional ◽  
The Road ◽  
Active Commuting To School ◽  
Land Use Mix

Background:Active commuting (AC) to school can increase daily minutes of physical activity yet research is lacking on its determinants. This study examined perceptions of the physical environment as a correlate of AC among adolescents.Methods:Cross-sectional data were collected from 1143 males and 1016 females (mean age 16.04 ± 0.66) who lived within 2.5 miles of their school. Participants’ self-reported active (walk or cycle) or inactive (car, bus, or train) mode of travel to school and perceptions of their neighborhood environment. Bivariate logistic regression examined perceived environmental features associated with active versus inactive modes, adjusted for sociodemographic factors. Significant variables were examined in multivariate models, adjusted for population density and distance.Results:Positive correlates of AC included well-lit streets, land-use-mix diversity, access to shops/public transport, the presence of public parks/bike lanes, and accessible well-maintained paths. Connectivity was unrelated to mode choice. In multivariate analyses, land-use-mix diversity, and the perceived presence of public parks remained significant among males, whereas excess traffic speed, shops within walking distance, and paths separate from the road remained significant among females.Conclusions:Environmental characteristics were associated with active commuting to school, however research must address methodological issues before making recommendations for intervention.

Physical Activity Levels According to Physical and Social Environmental Factors in a Sample of Adults Living in South Brazil

2010 ◽  
Vol 7 (s2) ◽  
pp. S204-S212 ◽  
Author(s):  
Tales C. Amorim ◽  
Mario R. Azevedo ◽  
Pedro C. Hallal
Keyword(s):  
Physical Activity ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Population Level ◽  
Population Based ◽  
Cross Sectional Study ◽  
Neighborhood Environment ◽  
Activity Levels ◽  
Cross Sectional ◽  
Social Environmental

Objective:To evaluate the association between the physical and social environment and physical activity (leisure-time and transport-related) in a population-based sample of adults.Methods:Cross-sectional study including 972 adults (20−69 years) living in the urban area of Pelotas, Brazil. Physical activity was measured using the long International Physical Activity Questionnaire. Environmental variables were assessed using a modified version of the Neighborhood Environment Walkability Scale.Results:69.8% (95% CI = 66.9−72.7) and 51.9% (95% CI = 48.8−55.1) of the subjects did not reach 150 min/wk on leisure-time and transport-related physical activity, respectively. Subjects living near green areas were more likely to be active in leisure-time, as well as those who reported to live in safe neighborhoods. Transport-related physical activity was higher among individuals living in areas with garbage accumulation, and was lower among those living in neighborhoods which are difficult to walk or cycle due to traffic. Social support was strongly associated with leisure-time physical activity.Conclusions:Safety investments, which are urgently required in Brazil, are likely to have a desirable side effect at increasing physical activity at the population level. Building enjoyable and safe public spaces for physical activity practice must be prioritized.

scholarly journals Association between Perceived Neighborhood Built Environment and Walking and Cycling for Transport among Inhabitants from Latin America: The ELANS Study

2020 ◽  
Vol 17 (18) ◽  
pp. 6858
Author(s):  
Gerson Ferrari ◽  
André Oliveira Werneck ◽  
Danilo Rodrigues da Silva ◽  
Irina Kovalskys ◽  
Georgina Gómez ◽  
...  
Keyword(s):  
Latin America ◽  
Built Environment ◽  
Latin American ◽  
Cross Sectional Study ◽  
Neighborhood Environment ◽  
Cross Sectional ◽  
Nationally Representative ◽  
Alternative Routes ◽  
Neighborhood Built Environment ◽  
Latin American Countries

Purpose: This study aimed to examine the associations of the perceived neighborhood built environment with walking and cycling for transport in inhabitants from Latin American countries. Methods: This cross-sectional study involved 9218 participants (15–65 years) from the Latin American Study of Nutrition and Health, which included a nationally representative sample of eight countries. All participants completed the International Physical Activity Questionnaire-Long Form for measure walking and cycling for transport and the Neighborhood Environment Walkability Scale-Abbreviated. Furthermore, perceived proximity from home to public open spaces and shopping centers was assessed. Results: Perceived land use mix-access (OR: 1.32; 95%CI: 1.16,1.50) and the existence of many alternative routes in the neighbourhood (1.09 1.01,1.17) were associated with higher odds of reporting any walking for transport (≥10 min/week). Perceived slow speed of traffic (1.88 1.82,1.93) and few drivers exceeding the speed limits (1.92; 1.86,1.98) were also related to higher odds of reporting any walking for transport. The odds of reporting any cycling for transport (≥10 min/week) were higher in participants perceiving more walking/cycling facilities (1.87 1.76,1.99), and better aesthetics (1.22 1.09,1.38). Conclusions: Dissimilar perceived neighborhood built environment characteristics were associated with walking and cycling for transport among inhabitants from Latin America.

Built Environment and Frailty: Neighborhood Perceptions and Associations With Frailty, Experience From the Nagoya Longitudinal Study

2020 ◽  
pp. 073346482091266
Author(s):  
Beatriz A. Martins ◽  
Renuka Visvanathan ◽  
Helen R. Barrie ◽  
Chi Hsien Huang ◽  
Eiji Matsushita ◽  
...  
Keyword(s):  
Older Adults ◽  
Land Use ◽  
Frailty Index ◽  
Composite Index ◽  
Community Dwelling ◽  
Neighborhood Environment ◽  
Cross Sectional ◽  
Frailty Status ◽  
Land Use Mix ◽  
Sectional Analysis

Neighborhood physical characteristics have been consistently associated with the health of older adults. This article investigates links between frailty and perceptions of the neighborhood environment. Using a cross-sectional analysis of 370 community-dwelling older adults from Nagoya, Japan, neighborhood perceptions were assessed using the Neighborhood Environmental Walkability Scale (NEWS) in addition to frailty, using a frailty index. Frailty was associated with the NEWS composite index, land use mix diversity, land use mix access, street connectivity, walking infrastructure, aesthetics, and crime safety, after adjustment for covariates. Older adults with increasing frailty have poorer perceptions of their neighborhoods, which could lead to further constriction of the life-space, less social and physical engagement, and worsening of frailty status.

scholarly journals Overweight and obesity among adolescents in Poland: gender and regional differences

2010 ◽  
Vol 13 (10A) ◽  
pp. 1688-1692 ◽  
Author(s):  
Maria Jodkowska ◽  
Anna Oblacinska ◽  
Izabela Tabak
Keyword(s):  
Regional Differences ◽  
Task Force ◽  
Population Based ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Future Research ◽  
Cross Sectional ◽  
Population Based Study ◽  
Urban Rural ◽  
Overweight Or Obesity

AbstractObjectiveTo examine the prevalence of overweight and obesity in Polish adolescents in 2005 using both the International Obesity Task Force (IOTF) cut-offs and a national reference; to compare this to data collected in 1995; and to assess whether there were differences in overweight or obesity by gender and place of residence in 1995–2005.DesignBMI was calculated from measured height and weight, collected in a cross-sectional study in five regions of Poland in 2005. Adolescents were categorised as normal, overweight or obese based on IOTF cut-off values, and by national weight for stature tables, where the 90th and 97th percentiles were used as cut-off values for overweight and obesity.SettingPopulation-based study set in Poland.SubjectsA two-stage sampling method was used to recruit 8065 pupils (3980 boys and 4085 girls) aged 13–15 years.ResultsThe prevalence of overweight and obesity was 12·5 % and 1·9 %, respectively. No significant gender differences were found, either in overweight or obesity. The prevalence of overweight and obesity in 2005 had increased 2 % compared to 1995. Overweight and obesity among adolescents were not related to urban–rural residence, but there were significant regional differences.ConclusionsMonitoring trends in overweight and obesity among adolescents in all regions of Poland using the same reference criteria is important. Since regional differences in overweight and obesity rates among adolescents were observed both in 1995 and 2005, future research should investigate the potential causes of these differences.

Minerals Intake Distributions in a Large Sample of Iranian at-Risk Population Using the National Cancer Institute Method: Do They Meet Their Requirements?

2015 ◽  
Vol 85 (3-4) ◽  
pp. 129-144 ◽  
Author(s):  
Zahra Heidari ◽  
Awat Feizi ◽  
Leila Azadbakht ◽  
Nizal Sarrafzadegan
Keyword(s):  
At Risk ◽  
National Cancer Institute ◽  
Population Based ◽  
Cross Sectional Study ◽  
Normal Function ◽  
Dietary Intakes ◽  
Middle Aged ◽  
Cross Sectional ◽  
Nutritional Interventions ◽  
High Prevalence

Abstract. Background: Minerals are required for the body’s normal function. Aim: The current study assessed the intake distribution of minerals and estimated the prevalence of inadequacy and excess among a representative sample of healthy middle aged and elderly Iranian people. Methods: In this cross-sectional study, the second follow up to the Isfahan Cohort Study (ICS), 1922 generally healthy people aged 40 and older were investigated. Dietary intakes were collected using 24 hour recalls and two or more consecutive food records. Distribution of minerals intake was estimated using traditional (averaging dietary intake days) and National Cancer Institute (NCI) methods, and the results obtained from the two methods, were compared. The prevalence of minerals intake inadequacy or excess was estimated using the estimated average requirement (EAR) cut-point method, the probability approach and the tolerable upper intake levels (UL). Results: There were remarkable differences between values obtained using traditional and NCI methods, particularly in the lower and upper percentiles of the estimated intake distributions. A high prevalence of inadequacy of magnesium (50 - 100 %), calcium (21 - 93 %) and zinc (30 - 55 % for males > 50 years) was observed. Significant gender differences were found regarding inadequate intakes of calcium (21 - 76 % for males vs. 45 - 93 % for females), magnesium (92 % vs. 100 %), iron (0 vs. 15 % for age group 40 - 50 years) and zinc (29 - 55 % vs. 0 %) (all; p < 0.05). Conclusion: Severely imbalanced intakes of magnesium, calcium and zinc were observed among the middle-aged and elderly Iranian population. Nutritional interventions and population-based education to improve healthy diets among the studied population at risk are needed.

scholarly journals Prevalence of disabilities and non-communicable diseases in an elderly population in the Telangana state, India: a population-based cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041755
Author(s):  
Srinivas Marmamula ◽  
Satya Brahmanandam Modepalli ◽  
Thirupathi Reddy Kumbham ◽  
Rajesh Challa ◽  
Jill E Keeffe
Keyword(s):  
Elderly Population ◽  
Self Care ◽  
The Elderly ◽  
Population Based ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
Self Report ◽  
Sectional Study ◽  
Cross Sectional ◽  
Non Communicable Diseases

ObjectivesTo assess the prevalence of disabilities (vision, hearing, mobility, cognitive, self-care and communication) and non-communicable diseases (NCDs) among the elderly population in two districts in Telangana, India.DesignPopulation-based cross-sectional study using a cluster random sampling method to select the study clusters.SettingElderly population in Khammam and Warangal districts were recruited. Detailed interviews were conducted by trained community health workers. Personal and demographic information such as age, gender, level of education and a self-report of NCDs was collected. The Washington Disability Questionnaire was administered to assess the presence of disabilities.Participants1821 participants aged ≥60 years, 54.5% were women, and 73.3% had no education.Primary outcome measurePrevalence of disabilities and NCDs.ResultsOverall, the prevalence of at least disability was 20.3% (95% CI 16.3 to 24.9). The prevalence of self- reported disabilities were: seeing (5.9%; 95% CI 4.4 to 7.8), mobility (12.8%; 95% CI 9.7 to 16.8), hearing (3.6%; 95% CI 2.7 to 4.8), cognition (4.8%; 95% CI 3.5 to 6.7), self-care (3.3%; 95% CI 2.3 to 4.7) and communication (1.8%; 95% CI 1.2 to 2.6). Overall, the prevalence of at least one NCD was 34.2% (95% CI 30.9 to 37.7). Hypertension was the most common systemic condition (25.4%; 95% CI 22.4 to 28.7), followed by diabetes (9.0%; 95% CI 7.3 to 11.0), and body pains (muscle-skeletal) (9.9%; 95% CI 8.1 to 12.2).ConclusionEvery fifth elderly person in the districts of Khammam and Warangal in Telangana had at least one self-reported disability. Besides, a third of the elderly had at least one NCD. There is a definite need to develop comprehensive public health strategies to address disabilities and NCDs in Telangana.

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