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Tytuł:
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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.
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Autorzy:
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Colom A; Research Group on Nutritional Epidemiology & Cardiovascular Physiopathology, Health Research Institute of the Balearic Islands (IdISBa). University Hospital Son Espases, 07120 Palma, Spain.; Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.
Mavoa S; Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia.; Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
Ruiz M; Research Group on Nutritional Epidemiology & Cardiovascular Physiopathology, Health Research Institute of the Balearic Islands (IdISBa). University Hospital Son Espases, 07120 Palma, Spain.; Servicio de SIG y Teledetección, Vicerectorat d'Innovació i Transferència, Universitat de les Illes Balears, Palma, Spain.
Wärnberg J; Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.; Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Málaga - Instituto de Investigación en Biomedicina (IBIMA), Málaga, Spain.
Muncunill J; Genomics and Bioinformatics Platform, Balearic Islands Health Research Institute (IdISBa), University Hospital Son Espases, Palma, Spain.
Konieczna J; Research Group on Nutritional Epidemiology & Cardiovascular Physiopathology, Health Research Institute of the Balearic Islands (IdISBa). University Hospital Son Espases, 07120 Palma, Spain.; Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.
Vich G; Geography Department, Autonomous University of Barcelona, Bellaterra, Spain.
Barón-López FJ; Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.; Departamento de Salud Pública, Facultad de Medicina, Universidad de Málaga - Instituto de Investigación en Biomedicina (IBIMA), Málaga, Spain.
Fitó M; Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.; Unit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de Investigaciones Médicas Municipal d'Investigació Mèdica (IMIM), Barcelona, Spain.
Salas-Salvadó J; Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.; Universitat Rovira i Virgili, Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana. Hospital Universitari San Joan de Reus, Reus, Spain.; Institut d'Investigació Pere Virgili (IISPV), Human Nutrition Unit: Prevention and Epigenetics, Reus, Spain.
Romaguera D; Research Group on Nutritional Epidemiology & Cardiovascular Physiopathology, Health Research Institute of the Balearic Islands (IdISBa). University Hospital Son Espases, 07120 Palma, Spain.; Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.
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Źródło:
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Age and ageing [Age Ageing] 2021 May 05; Vol. 50 (3), pp. 963-968.
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Typ publikacji:
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Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Publication: Oxford : Oxford University Press
Original Publication: London, Baillière, Tindall.
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MeSH Terms:
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Metabolic Syndrome*/diagnosis
Metabolic Syndrome*/epidemiology
Metabolic Syndrome*/therapy
Aged ; Cross-Sectional Studies ; Environment Design ; Exercise ; Humans ; Obesity/diagnosis ; Obesity/epidemiology ; Obesity/therapy ; Overweight ; Residence Characteristics ; Spain/epidemiology ; Walking
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Contributed Indexing:
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Keywords: PREDIMED-Plus trial; built environment; longitudinal study; older people; physical activity intervention; walkability index
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Entry Date(s):
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Date Created: 20201121 Date Completed: 20210806 Latest Revision: 20231107
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Update Code:
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20240105
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PubMed Central ID:
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PMC8248320
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DOI:
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10.1093/ageing/afaa246
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PMID:
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33219673
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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.
(© 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.)
