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Associations between Neighborhood Walkability, Physical Activity, and Chronic Disease in Nova Scotian Adults: An Atlantic PATH Cohort Study

Background: While neighborhood walkability has been shown to positively influence health behaviors, less is known about its impact on chronic disease. Our aim was to examine the association between walkability and self-reported physical activity in relation to chronic health conditions in an Atlanti...

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Autores principales: Keats, Melanie R., Cui, Yunsong, DeClercq, Vanessa, Grandy, Scott A., Sweeney, Ellen, Dummer, Trevor J. B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7699929/
https://www.ncbi.nlm.nih.gov/pubmed/33233809
http://dx.doi.org/10.3390/ijerph17228643
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author Keats, Melanie R.
Cui, Yunsong
DeClercq, Vanessa
Grandy, Scott A.
Sweeney, Ellen
Dummer, Trevor J. B.
author_facet Keats, Melanie R.
Cui, Yunsong
DeClercq, Vanessa
Grandy, Scott A.
Sweeney, Ellen
Dummer, Trevor J. B.
author_sort Keats, Melanie R.
collection PubMed
description Background: While neighborhood walkability has been shown to positively influence health behaviors, less is known about its impact on chronic disease. Our aim was to examine the association between walkability and self-reported physical activity in relation to chronic health conditions in an Atlantic Canadian population. Methods: Using data from the Atlantic Partnership for Tomorrow’s Health, a prospective cohort study, we employed both a cross-sectional and a prospective analytical approach to investigate associations of walkability and physical activity with five prevalent chronic diseases and multimorbidity. Results: The cross-sectional data show that participants with the lowest neighborhood walkability were more likely to have reported a pre-existing history of cancer and depression and least likely to report chronic respiratory conditions. Participants with low physical activity were more likely to have a pre-existing history of diabetes, chronic respiratory disease, and multimorbidity. Follow-up analyses showed no significant associations between walkability and chronic disease incidence. Low levels of physical activity were significantly associated with diabetes, cancer and multimorbidity. Conclusions: Our data provides evidence for the health protective benefits of higher levels of physical activity, and a reduction in prevalence of some chronic diseases in more walkable communities.
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spelling pubmed-76999292020-11-29 Associations between Neighborhood Walkability, Physical Activity, and Chronic Disease in Nova Scotian Adults: An Atlantic PATH Cohort Study Keats, Melanie R. Cui, Yunsong DeClercq, Vanessa Grandy, Scott A. Sweeney, Ellen Dummer, Trevor J. B. Int J Environ Res Public Health Article Background: While neighborhood walkability has been shown to positively influence health behaviors, less is known about its impact on chronic disease. Our aim was to examine the association between walkability and self-reported physical activity in relation to chronic health conditions in an Atlantic Canadian population. Methods: Using data from the Atlantic Partnership for Tomorrow’s Health, a prospective cohort study, we employed both a cross-sectional and a prospective analytical approach to investigate associations of walkability and physical activity with five prevalent chronic diseases and multimorbidity. Results: The cross-sectional data show that participants with the lowest neighborhood walkability were more likely to have reported a pre-existing history of cancer and depression and least likely to report chronic respiratory conditions. Participants with low physical activity were more likely to have a pre-existing history of diabetes, chronic respiratory disease, and multimorbidity. Follow-up analyses showed no significant associations between walkability and chronic disease incidence. Low levels of physical activity were significantly associated with diabetes, cancer and multimorbidity. Conclusions: Our data provides evidence for the health protective benefits of higher levels of physical activity, and a reduction in prevalence of some chronic diseases in more walkable communities. MDPI 2020-11-20 2020-11 /pmc/articles/PMC7699929/ /pubmed/33233809 http://dx.doi.org/10.3390/ijerph17228643 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Keats, Melanie R.
Cui, Yunsong
DeClercq, Vanessa
Grandy, Scott A.
Sweeney, Ellen
Dummer, Trevor J. B.
Associations between Neighborhood Walkability, Physical Activity, and Chronic Disease in Nova Scotian Adults: An Atlantic PATH Cohort Study
title Associations between Neighborhood Walkability, Physical Activity, and Chronic Disease in Nova Scotian Adults: An Atlantic PATH Cohort Study
title_full Associations between Neighborhood Walkability, Physical Activity, and Chronic Disease in Nova Scotian Adults: An Atlantic PATH Cohort Study
title_fullStr Associations between Neighborhood Walkability, Physical Activity, and Chronic Disease in Nova Scotian Adults: An Atlantic PATH Cohort Study
title_full_unstemmed Associations between Neighborhood Walkability, Physical Activity, and Chronic Disease in Nova Scotian Adults: An Atlantic PATH Cohort Study
title_short Associations between Neighborhood Walkability, Physical Activity, and Chronic Disease in Nova Scotian Adults: An Atlantic PATH Cohort Study
title_sort associations between neighborhood walkability, physical activity, and chronic disease in nova scotian adults: an atlantic path cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7699929/
https://www.ncbi.nlm.nih.gov/pubmed/33233809
http://dx.doi.org/10.3390/ijerph17228643
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