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Hilly environment and physical activity among community-dwelling older adults in Japan: a cross-sectional study
OBJECTIVES: We investigated whether a moderate-to-vigorous physical activity (MVPA) level and walking time were associated with a hilly environment in rural Japanese older adults. DESIGN: Cross-sectional study. SETTING: Unnan city, Ohnan and Okinoshima towns in Shimane, Japan. PARTICIPANTS: Data wer...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7170569/ https://www.ncbi.nlm.nih.gov/pubmed/32220911 http://dx.doi.org/10.1136/bmjopen-2019-033338 |
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author | Abe, Takafumi Okuyama, Kenta Hamano, Tsuyoshi Takeda, Miwako Isomura, Minoru Nabika, Toru |
author_facet | Abe, Takafumi Okuyama, Kenta Hamano, Tsuyoshi Takeda, Miwako Isomura, Minoru Nabika, Toru |
author_sort | Abe, Takafumi |
collection | PubMed |
description | OBJECTIVES: We investigated whether a moderate-to-vigorous physical activity (MVPA) level and walking time were associated with a hilly environment in rural Japanese older adults. DESIGN: Cross-sectional study. SETTING: Unnan city, Ohnan and Okinoshima towns in Shimane, Japan. PARTICIPANTS: Data were collected from 1115 adults from the Shimane CoHRE study, who were aged 60 years and older and living in rural Japan in 2012. MEASURES: We measured the total time spent on MVPA and walking using a Japanese short version of the International Physical Activity Questionnaire. The land slope in 400 or 800 m network buffers was assessed using the geographic information system. A multivariable Poisson regression model examined the prevalence ratios (PR) and 95% CIs of walking time or MVPA levels meeting the WHO guideline (>150 min/week) in the land slope categories (low, middle and high), adjusted for confounders. RESULTS: Engaging in the recommended level of MVPA was significantly associated with middle land slope (PR=1.07; p=0.03) and high land slope (PR=1.06; p=0.07) compared with low land slope in the 400 m network buffer, as well as with middle land slope (PR=1.02; p=0.48) and high land slope (PR=1.04; p=0.25) compared with the low land slope in the 800 m network buffer. Walking time was significantly associated with middle land slope (PR=1.13; p=0.04) and high land slope (PR=1.17; p=0.01) compared with low land slope in the 400 m network buffer, and with middle land slope (PR=1.09; p=0.16) and high land slope (PR=1.17; p<0.01) compared with low land slope in the 800 m network buffer. The sensitivity analysis found only a positive association between walking time and land slope in the 400 and 800 m network buffers. CONCLUSIONS: This study showed that a hilly environment was positively associated with walking time among older adults living in rural Japan. |
format | Online Article Text |
id | pubmed-7170569 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-71705692020-04-24 Hilly environment and physical activity among community-dwelling older adults in Japan: a cross-sectional study Abe, Takafumi Okuyama, Kenta Hamano, Tsuyoshi Takeda, Miwako Isomura, Minoru Nabika, Toru BMJ Open Public Health OBJECTIVES: We investigated whether a moderate-to-vigorous physical activity (MVPA) level and walking time were associated with a hilly environment in rural Japanese older adults. DESIGN: Cross-sectional study. SETTING: Unnan city, Ohnan and Okinoshima towns in Shimane, Japan. PARTICIPANTS: Data were collected from 1115 adults from the Shimane CoHRE study, who were aged 60 years and older and living in rural Japan in 2012. MEASURES: We measured the total time spent on MVPA and walking using a Japanese short version of the International Physical Activity Questionnaire. The land slope in 400 or 800 m network buffers was assessed using the geographic information system. A multivariable Poisson regression model examined the prevalence ratios (PR) and 95% CIs of walking time or MVPA levels meeting the WHO guideline (>150 min/week) in the land slope categories (low, middle and high), adjusted for confounders. RESULTS: Engaging in the recommended level of MVPA was significantly associated with middle land slope (PR=1.07; p=0.03) and high land slope (PR=1.06; p=0.07) compared with low land slope in the 400 m network buffer, as well as with middle land slope (PR=1.02; p=0.48) and high land slope (PR=1.04; p=0.25) compared with the low land slope in the 800 m network buffer. Walking time was significantly associated with middle land slope (PR=1.13; p=0.04) and high land slope (PR=1.17; p=0.01) compared with low land slope in the 400 m network buffer, and with middle land slope (PR=1.09; p=0.16) and high land slope (PR=1.17; p<0.01) compared with low land slope in the 800 m network buffer. The sensitivity analysis found only a positive association between walking time and land slope in the 400 and 800 m network buffers. CONCLUSIONS: This study showed that a hilly environment was positively associated with walking time among older adults living in rural Japan. BMJ Publishing Group 2020-03-26 /pmc/articles/PMC7170569/ /pubmed/32220911 http://dx.doi.org/10.1136/bmjopen-2019-033338 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Public Health Abe, Takafumi Okuyama, Kenta Hamano, Tsuyoshi Takeda, Miwako Isomura, Minoru Nabika, Toru Hilly environment and physical activity among community-dwelling older adults in Japan: a cross-sectional study |
title | Hilly environment and physical activity among community-dwelling older adults in Japan: a cross-sectional study |
title_full | Hilly environment and physical activity among community-dwelling older adults in Japan: a cross-sectional study |
title_fullStr | Hilly environment and physical activity among community-dwelling older adults in Japan: a cross-sectional study |
title_full_unstemmed | Hilly environment and physical activity among community-dwelling older adults in Japan: a cross-sectional study |
title_short | Hilly environment and physical activity among community-dwelling older adults in Japan: a cross-sectional study |
title_sort | hilly environment and physical activity among community-dwelling older adults in japan: a cross-sectional study |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7170569/ https://www.ncbi.nlm.nih.gov/pubmed/32220911 http://dx.doi.org/10.1136/bmjopen-2019-033338 |
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