Author, as appears in the article.: Colom, Antoni; Mavoa, Suzanne; Ruiz, Maurici; Warnberg, Julia; Muncunill, Josep; Konieczna, Jadwiga; Vich, Guillem; Javier Baron-Lopez, Francisco; Fito, Montserrat; Salas-Salvado, Jordi; Romaguera, Dora;
Department: Bioquímica i Biotecnologia
URV's Author/s: Salas Salvadó, Jorge
Keywords: Walking Walkability index Spain Residence characteristics Randomized controlled trial Predimed-plus trial Physical activity intervention People Overweight Older people Obesity Metabolic syndrome x Metabolic syndrome Longitudinal study Humans Human Exercise Environmental planning Environment design Demography Cross-sectional study Cross-sectional studies Controlled study Built environment Aged
Abstract: 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 PREvencion con DIeta MEDiterranea (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, (beta = 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 (beta = 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.
Thematic Areas: Sociologia i política Saúde coletiva Medicine (miscellaneous) Medicina iii Medicina ii Medicina i Interdisciplinar Geriatrics and gerontology Geriatrics & gerontology General medicine Educação física Aging
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: jordi.salas@urv.cat
Author identifier: 0000-0003-2700-7459
Record's date: 2024-07-27
Papper version: info:eu-repo/semantics/publishedVersion
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Age And Ageing. 50 (3): 963-968
APA: Colom, Antoni; Mavoa, Suzanne; Ruiz, Maurici; Warnberg, Julia; Muncunill, Josep; Konieczna, Jadwiga; Vich, Guillem; Javier Baron-Lopez, Francisco; Fit (2021). Neighbourhood walkability and physical activity: moderating role of a physical activity intervention in overweight and obese older adults with metabolic syndrome. Age And Ageing, 50(3), 963-968. DOI: 10.1093/ageing/afaa246
Entity: Universitat Rovira i Virgili
Journal publication year: 2021
Publication Type: Journal Publications
Repositori URV