Abstract

More than 60% of older Americans have sedentary lifestyles1 and are recommended more physical activities for health benefit. Nearby outdoor environments on residential sites may impact older inhabitants׳ physical activities there (defined as walking, gardening, yard work, and other outdoor physical activities on residential sites). This study surveyed 110 assisted-living residents in Houston, Texas, regarding their previous residential sites before moving to a retirement community and physical activities there. Twelve environmental features were studied under four categories (typology, motivators, function, and safety). Based on data availability, a subset of 57 sample sites was analyzed in Geographic Information Systems. Hierarchical linear modeling was applied to estimate physical activities as a function of the environments. Higher levels of physical activity were found to be positively related with four environmental features (transitional-areas, connecting-paths, walk-ability, and less paving).

Abstract

Prevailing city design in many countries has created sedentary societies that depend on automobile use. Consequently, architects, urban designers, and land planners have developed new urban design theories, which have been incorporated into the Leadership in Energy and Environmental Design for Neighborhood Development (LEED-ND) certification system. The LEED-ND includes design elements that improve human well-being by facilitating walking and biking, a concept known as walkability. Despite these positive developments, relevant research findings from other fields of study have not been fully integrated into the LEED-ND. According to Zuniga-Teran (2015), relevant walkability research findings from multiple disciplines were organized into a walkability framework (WF) that organizes design elements related to physical activity into nine categories, namely, connectivity, land use, density, traffic safety, surveillance, parking, experience, greenspace, and community. In this study, we analyze walkability in the LEED-ND through the lens of the nine WF categories. Through quantitative and qualitative analyses, we identify gaps and strengths in the LEED-ND and propose potential enhancements to this certification system that reflects what is known about enhancing walkability more comprehensively through neighborhood design analysis. This work seeks to facilitate the translation of research into practice, which can ultimately lead to more active and healthier societies.

Abstract

Research from multiple domains has provided insights into how neighborhood design can be improved to have a more favorable effect on physical activity, a concept known as walkability. The relevant research findings/hypotheses have been integrated into a Walkability Framework, which organizes the design elements into nine walkability categories. The purpose of this study was to test whether this conceptual framework can be used as a model to measure the interactions between the built environment and physical activity. We explored correlations between the walkability categories and physical activity reported through a survey of residents of Tucson, Arizona (n =486). The results include significant correlations between the walkability categories and physical activity as well as between the walkability categories and the two motivations for walking (recreation and transportation). To our knowledge, this is the first study that reports links between walkability and walking for recreation. Additionally, the use of the Walkability Framework allowed us to identify the walkability categories most strongly correlated with the two motivations for walking. The results of this study support the use of the Walkability Framework as a model to measure the built environment in relation to its ability to promote physical activity.

Abstract

Transportation decisions have health consequences that are often not incorporated into policy-making processes. Health Impact Assessment (HIA) is a process that can be used to evaluate health effects of transportation policy. We present a rapid HIA, conducted over eight weeks, evaluating health and economic effects of proposed fare increases and service cuts to Boston, Massachusetts’ public transportation system. We used transportation modeling in concert with tools allowing for quantification and monetization of multiple pathways. We estimated health and economic costs of proposed public transportation system changes to be hundreds of millions of dollars per year, exceeding the budget gap the public transportation authority was required to close. Significant health pathways included crashes, air pollution, and physical activity. The HIA enabled stakeholders to advocate for more modest fare increases and service cuts, which were eventually adopted by decision makers. This HIA was among the first to quantify and monetize multiple pathways linking transportation decisions with health and economic outcomes, using approaches that could be applied in different settings. Including health costs in transportation decisions can lead to policy choices with both economic and public health benefits. Document type: Article

Abstract

Introduction: Walking and cycling bring health and environmental benefits, but there is little robust evidence that changing the built environment promotes these activities in populations. This study evaluated the effects of new transport infrastructure on active commuting and physical activity. Study design: Quasi-experimental analysis nested within a cohort study. Setting/participants: Four hundred and sixty-nine adult commuters, recruited through a predominantly workplace-based strategy, who lived within 30 kilometers of Cambridge, United Kingdom and worked in areas of the city to be served by the new transport infrastructure. Intervention: The Cambridgeshire Guided Busway opened in 2011 and comprised a new bus network and a traffic-free walking and cycling route. Exposure to the intervention was defined using the shortest distance from each participant’s home to the busway. Main outcome measures: Change in weekly time spent in active commuting between 2009 and 2012, measured by validated 7-day recall instrument. Secondary outcomes were changes in total weekly time spent walking and cycling and in recreational and overall physical activity, measured using the validated Recent Physical Activity Questionnaire. Data were analyzed in 2014. Results: In multivariable multinomial regression models—adjusted for potential sociodemographic, geographic, health, and workplace confounders; baseline active commuting; and home or work relocation—exposure to the busway was associated with a significantly greater likelihood of an increase in weekly cycle commuting time (relative risk ratio=1.34, 95% CI=1.03, 1.76) and with an increase in overall time spent in active commuting among the least active commuters at baseline (relative risk ratio=1.76, 95% CI=1.16, 2.67). The study found no evidence of changes in recreational or overall physical activity. Conclusions: Providing new sustainable transport infrastructure was effective in promoting an increase in active commuting. These findings provide new evidence to support reconfiguring transport systems as part of public health improvement strategies. JP is supported by a National Institute for Health Research (NIHR) post-doctoral fellowship (PDF- 2012-05-157). EH is supported by an NIHR Public Health Research project grant (see below) and DO is supported by the Medical Research Council [Unit Programme number MC_UP_12015/6]. RM is funded by the Higher Education Funding Council for England. The Commuting and Health in Cambridge Study was initially funded under the auspices of the Centre for Diet and Activity Research (CEDAR), a UKCRC Public Health Research Centre of Excellence. Funding from the British Heart Foundation, Economic and Social Research Council, Medical Research Council, National Institute for Health Research and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged. The study is now funded by the National Institute for Health Research Public Health Research programme (project number 09/3001/06). The views and opinions expressed herein are those of the authors and do not necessarily reflect those of the NIHR PHR programme or the Department of Health This is the final version of the article. It was first available from Elsevier via http://dx.doi.org/10.1016/j.amepre.2015.09.021 Document type: Article

Abstract

Background The number of trips of the average urban inhabitant per year has grown steadily in recent years – but we are actually moving (our bodies) less. Every day, millions of trips are made by car (where 50% of these are less than 5 km) or other motorised private vehicles as well as with public transport, while only a small percentage of trips are made by active modes, such as cycling and walking. This lack of physical activity causes major health problems for individuals and great economic costs for society as a whole. To reverse these negative impacts the World Health Organisation (WHO) recommends a minimum of 150 minutes of moderate physical activity per week (e.g. 30 minutes 5 times per week). Replacing short motorized trips can feasibly increase physical activity in everyday life. Methods PASTA “Physical Activity trough sustainable transport approaches” collected data in a longitudinal web-based survey with a cohort design to study the effects of active mobility on overall physical activity and health. The target population for the survey was the entire adult population in 7 European Cities. In total, more than 12.000 people participated in the survey with half of them filling in valid travel diaries on actual trips on a regular basis. Results Differences in sociodemographics and travel behaviour of cyclists in the seven cities will be shown in the paper. Preliminary results reveal that more than 2.000 participants from the total sample can be identified as regular cyclists (reported in their trip diaries) with an average age of 40 years. Most of them are highly educated and full time employed. In comparison to non-regular cyclists, the share of female is lower; however the share of people who have a driving licence and who have at least sometimes access to a car is higher within the group of cyclists. About 85% of regular cyclists reach at least 30 cycling-minutes per reported day. This indicates that a high share of regular cyclists can reach the WHO´s recommended level only by routine cycling trips. Further the threshold of reaching the minimum recommendation by cycling will be analysed between the cities. Conclusions In this study, we compare cyclists and their travel behaviour in seven European cities. Our first results indicate, that cycling as a mean of transport can help reach the WHO’s physical activity recommendations and including physical activity into daily life without much of extra effort. Document type: Article