Neighbourhood walkability and physical activity: moderating role of a physical activity intervention in overweight and obese older adults with metabolic syndrome

Background: While urban built environments might promote active ageing, an infrequently studied question is how the neighbourhood walkability modulates physical activity changes during a physical activity intervention programme in older adults. We assessed the influence of objectively assessed neigh...

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Autores: Colom, Antoni, Mavoa, Suzanne, Ruiz, Maurici, Wärnberg, Julia, Muncunill, Josep, Konieczna, Jadwiga, Vich, Guillem, Barón-López, Francisco Javier, Fitó Colomer, Montserrat, Salas-Salvadó, Jordi, Romaguera Bosch, Dora
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Recursos:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/47570
Acesso em linha:http://hdl.handle.net/10230/47570
http://dx.doi.org/10.1093/ageing/afaa246
Access Level:acceso abierto
Palavra-chave:PREDIMED-Plus trial
Built environment
Longitudinal study
Older people
Physical activity intervention
Walkability index
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spelling Neighbourhood walkability and physical activity: moderating role of a physical activity intervention in overweight and obese older adults with metabolic syndromeColom, AntoniMavoa, SuzanneRuiz, MauriciWärnberg, JuliaMuncunill, JosepKonieczna, JadwigaVich, GuillemBarón-López, Francisco JavierFitó Colomer, MontserratSalas-Salvadó, JordiRomaguera Bosch, DoraPREDIMED-Plus trialBuilt environmentLongitudinal studyOlder peoplePhysical activity interventionWalkability indexBackground: While urban built environments might promote active ageing, an infrequently studied question is how the neighbourhood walkability modulates physical activity changes during a physical activity intervention programme in older adults. We assessed the influence of objectively assessed neighbourhood walkability on the change in physical activity during the intervention programme used in the ongoing PREvención con DIeta MEDiterránea (PREDIMED)-Plus trial. Method: The present study involved 228 PREDIMED-Plus senior participants aged between 55 and 75, recruited in Palma de Mallorca (Spain). Overweight/obese older adults with metabolic syndrome were randomised to an intensive weight-loss lifestyle intervention or a control group. A walkability index (residential density, land use mix, intersections density) was calculated using geographic information systems (1 km sausage-network buffer). Physical activity was assessed using accelerometer and a validated questionnaire, at baseline and two follow-up visits (6-months and 1-year later). Generalised additive mixed models were fitted to estimate the association between the neighbourhood walkability index and changes in physical activity during follow-up. Results: Higher neighbourhood walkability (1 z-score increment) was associated with moderate-to-vigorous accelerometer assessed physical activity duration, (β = 3.44; 95% CI = 0.52; 6.36 min/day). When analyses were stratified by intervention arm, the association was only observed in the intervention group (β = 6.357; 95% CI = 2.07;10.64 min/day) (P for interaction = 0.055). Conclusions: The results indicate that the walkability of the neighbourhood could support a physical activity intervention, helping to maintain or increase older adults' physical activity.Oxford University Press202120212021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/47570http://dx.doi.org/10.1093/ageing/afaa246reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglés© The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.comhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/475702026-06-12T07:21:37Z
dc.title.none.fl_str_mv Neighbourhood walkability and physical activity: moderating role of a physical activity intervention in overweight and obese older adults with metabolic syndrome
title Neighbourhood walkability and physical activity: moderating role of a physical activity intervention in overweight and obese older adults with metabolic syndrome
spellingShingle Neighbourhood walkability and physical activity: moderating role of a physical activity intervention in overweight and obese older adults with metabolic syndrome
Colom, Antoni
PREDIMED-Plus trial
Built environment
Longitudinal study
Older people
Physical activity intervention
Walkability index
title_short Neighbourhood walkability and physical activity: moderating role of a physical activity intervention in overweight and obese older adults with metabolic syndrome
title_full Neighbourhood walkability and physical activity: moderating role of a physical activity intervention in overweight and obese older adults with metabolic syndrome
title_fullStr Neighbourhood walkability and physical activity: moderating role of a physical activity intervention in overweight and obese older adults with metabolic syndrome
title_full_unstemmed Neighbourhood walkability and physical activity: moderating role of a physical activity intervention in overweight and obese older adults with metabolic syndrome
title_sort Neighbourhood walkability and physical activity: moderating role of a physical activity intervention in overweight and obese older adults with metabolic syndrome
dc.creator.none.fl_str_mv Colom, Antoni
Mavoa, Suzanne
Ruiz, Maurici
Wärnberg, Julia
Muncunill, Josep
Konieczna, Jadwiga
Vich, Guillem
Barón-López, Francisco Javier
Fitó Colomer, Montserrat
Salas-Salvadó, Jordi
Romaguera Bosch, Dora
author Colom, Antoni
author_facet Colom, Antoni
Mavoa, Suzanne
Ruiz, Maurici
Wärnberg, Julia
Muncunill, Josep
Konieczna, Jadwiga
Vich, Guillem
Barón-López, Francisco Javier
Fitó Colomer, Montserrat
Salas-Salvadó, Jordi
Romaguera Bosch, Dora
author_role author
author2 Mavoa, Suzanne
Ruiz, Maurici
Wärnberg, Julia
Muncunill, Josep
Konieczna, Jadwiga
Vich, Guillem
Barón-López, Francisco Javier
Fitó Colomer, Montserrat
Salas-Salvadó, Jordi
Romaguera Bosch, Dora
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv PREDIMED-Plus trial
Built environment
Longitudinal study
Older people
Physical activity intervention
Walkability index
topic PREDIMED-Plus trial
Built environment
Longitudinal study
Older people
Physical activity intervention
Walkability index
description Background: While urban built environments might promote active ageing, an infrequently studied question is how the neighbourhood walkability modulates physical activity changes during a physical activity intervention programme in older adults. We assessed the influence of objectively assessed neighbourhood walkability on the change in physical activity during the intervention programme used in the ongoing PREvención con DIeta MEDiterránea (PREDIMED)-Plus trial. Method: The present study involved 228 PREDIMED-Plus senior participants aged between 55 and 75, recruited in Palma de Mallorca (Spain). Overweight/obese older adults with metabolic syndrome were randomised to an intensive weight-loss lifestyle intervention or a control group. A walkability index (residential density, land use mix, intersections density) was calculated using geographic information systems (1 km sausage-network buffer). Physical activity was assessed using accelerometer and a validated questionnaire, at baseline and two follow-up visits (6-months and 1-year later). Generalised additive mixed models were fitted to estimate the association between the neighbourhood walkability index and changes in physical activity during follow-up. Results: Higher neighbourhood walkability (1 z-score increment) was associated with moderate-to-vigorous accelerometer assessed physical activity duration, (β = 3.44; 95% CI = 0.52; 6.36 min/day). When analyses were stratified by intervention arm, the association was only observed in the intervention group (β = 6.357; 95% CI = 2.07;10.64 min/day) (P for interaction = 0.055). Conclusions: The results indicate that the walkability of the neighbourhood could support a physical activity intervention, helping to maintain or increase older adults' physical activity.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021
2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/47570
http://dx.doi.org/10.1093/ageing/afaa246
url http://hdl.handle.net/10230/47570
http://dx.doi.org/10.1093/ageing/afaa246
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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