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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 principales: Colom, Antoni, Mavoa, Suzanne, Ruiz, Maurici, Wärnberg, Julia, Muncunill, Josep, Konieczna, Jadwiga, Vich, Guillem, Barón-López, Francisco Javier, Fitó, Montserrat, Salas-Salvadó, Jordi, Romaguera, Dora
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8248320/
https://www.ncbi.nlm.nih.gov/pubmed/33219673
http://dx.doi.org/10.1093/ageing/afaa246
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author Colom, Antoni
Mavoa, Suzanne
Ruiz, Maurici
Wärnberg, Julia
Muncunill, Josep
Konieczna, Jadwiga
Vich, Guillem
Barón-López, Francisco Javier
Fitó, Montserrat
Salas-Salvadó, Jordi
Romaguera, Dora
author_facet Colom, Antoni
Mavoa, Suzanne
Ruiz, Maurici
Wärnberg, Julia
Muncunill, Josep
Konieczna, Jadwiga
Vich, Guillem
Barón-López, Francisco Javier
Fitó, Montserrat
Salas-Salvadó, Jordi
Romaguera, Dora
author_sort Colom, Antoni
collection PubMed
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.
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spelling pubmed-82483202021-07-02 Neighbourhood walkability and physical activity: moderating role of a physical activity intervention in overweight and obese older adults with metabolic syndrome Colom, Antoni Mavoa, Suzanne Ruiz, Maurici Wärnberg, Julia Muncunill, Josep Konieczna, Jadwiga Vich, Guillem Barón-López, Francisco Javier Fitó, Montserrat Salas-Salvadó, Jordi Romaguera, Dora Age Ageing Short Report 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. Oxford University Press 2020-11-20 /pmc/articles/PMC8248320/ /pubmed/33219673 http://dx.doi.org/10.1093/ageing/afaa246 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com https://creativecommons.org/licenses/by-nc/4.0/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/ (https://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.com
spellingShingle Short Report
Colom, Antoni
Mavoa, Suzanne
Ruiz, Maurici
Wärnberg, Julia
Muncunill, Josep
Konieczna, Jadwiga
Vich, Guillem
Barón-López, Francisco Javier
Fitó, Montserrat
Salas-Salvadó, Jordi
Romaguera, Dora
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
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_short 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
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8248320/
https://www.ncbi.nlm.nih.gov/pubmed/33219673
http://dx.doi.org/10.1093/ageing/afaa246
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