Abstract
Abstract
Purpose
Improving the physical and social conditions of residential neighbourhoods may increase walking, especially among older people. Evidence on the effects of physical and social environmental interventions, and particularly the combination of both, on walking behaviour is scarce. We evaluated the effects of a small-scale physical environmental intervention (designated walking route), a social environmental intervention (neighbourhood walking group) and the combination of both on walking behaviour of older adults living in deprived neighbourhoods.
Methods
Survey data of 644 older adults residing in four deprived neighbourhoods of Rotterdam, the Netherlands, were used to compare changes in walking behaviour over time (weekly minutes spent recreational walking, utilitarian walking and total walking) of those exposed to 1) a designated walking route (physical condition), 2) walking groups (social condition), 3) walking routes and walking groups (combined condition), and 4) no intervention (control condition). Measurements took place at baseline (T0), and 3 months (T1) and 9 months (T2) after the intervention. Data were analysed on a multiple imputed dataset, using multi-level negative binomial regression models, adjusting for clustering of observations within individuals. All models were adjusted for demographic covariates.
Results
Total time spent walking per week increased between T0 and T1 for all conditions. The Incidence Rate Ratio (IRR) for the physical condition was 1.46 (95% CI:1.06;2.05) and for the social intervention 1.52 (95%CI:1.07;2.16). At T2, these differences remained significant for the physical condition, but not for the social condition and the combined condition. These findings were mirrored for utilitarian walking. No evidence was found for an effect on recreational walking.
Conclusion
Implementing small scale, feasible, interventions in a residential neighbourhood may increase total and utilitarian walking behaviour among older adults.
Publisher
Springer Science and Business Media LLC
Subject
Nutrition and Dietetics,Physical Therapy, Sports Therapy and Rehabilitation,Medicine (miscellaneous)
Reference50 articles.
1. Ball K. People, places...and other people? Integrating understanding of intrapersonal, social and environmental determinants of physical activity. J Sci Med Sport. 2006;9:367–70. https://doi.org/10.1016/j.jsams.2006.06.010.
2. Buffel T, De Donder L, Phillipson C, Dury S, De Witte N, Verté D. Social participation among older adults living in medium-sized cities in Belgium: the role of neighbourhood perceptions. Health Promot Int. 2014;29:655–68. https://doi.org/10.1093/heapro/dat009.
3. Burdorf A, van Hooijdonk C, Mackenbach J, Veerman L. Schatting van de potentiële effecten van primaire preventieve interventies op de gezondheid van de Rotterdamse bevolking. Rotterdam: Department of Public Health, Erasmus MC; 2008.
4. Van Cauwenberg J, De Donder L, Clarys P, De Bourdeaudhuij I, Buffel T, De Witte N, Dury S, Verté D, Deforche B. Social Science & Medicine Relationships between the perceived neighborhood social environment and walking for transportation among older adults. Soc Sci Med. 2014;104:23–30. https://doi.org/10.1016/j.socscimed.2013.12.016.
5. Chaudhury H, Mahmood A, Michael YL, Campo M, Hay K. The influence of neighborhood residential density, physical and social environments on older adults’ physical activity: an exploratory study in two metropolitan areas. J Aging Stud. 2012;26:35–43. https://doi.org/10.1016/j.jaging.2011.07.001.
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