Hilly environment and physical activity among community-dwelling older adults in Japan : a cross-sectional study
(2020) In BMJ Open 10(3). p.033338-033338- Abstract
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... (More)
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.
(Less)
- author
- Abe, Takafumi ; Okuyama, Kenta LU ; Hamano, Tsuyoshi ; Takeda, Miwako ; Isomura, Minoru and Nabika, Toru
- organization
- publishing date
- 2020-03-26
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- elderly, neighbourhood environment, physical activity, public health, rural community
- in
- BMJ Open
- volume
- 10
- issue
- 3
- pages
- 033338 - 033338
- publisher
- BMJ Publishing Group
- external identifiers
-
- pmid:32220911
- scopus:85082515491
- ISSN
- 2044-6055
- DOI
- 10.1136/bmjopen-2019-033338
- project
- Neighborhood environment and cardiovascular-related diseases in diverse populations
- language
- English
- LU publication?
- yes
- id
- aaac77e9-bac8-40c5-9d8b-f4971cb15485
- date added to LUP
- 2020-04-20 16:19:34
- date last changed
- 2024-04-17 07:19:42
@article{aaac77e9-bac8-40c5-9d8b-f4971cb15485,
abstract = {{<p>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.</p>}},
author = {{Abe, Takafumi and Okuyama, Kenta and Hamano, Tsuyoshi and Takeda, Miwako and Isomura, Minoru and Nabika, Toru}},
issn = {{2044-6055}},
keywords = {{elderly; neighbourhood environment; physical activity; public health; rural community}},
language = {{eng}},
month = {{03}},
number = {{3}},
pages = {{033338--033338}},
publisher = {{BMJ Publishing Group}},
series = {{BMJ Open}},
title = {{Hilly environment and physical activity among community-dwelling older adults in Japan : a cross-sectional study}},
url = {{http://dx.doi.org/10.1136/bmjopen-2019-033338}},
doi = {{10.1136/bmjopen-2019-033338}},
volume = {{10}},
year = {{2020}},
}