Associations among neighborhood socioeconomic deprivation, physical activity facilities, and physical activity in youth during the transition from childhood to adolescence

BACKGROUND: This study aims to examine the longitudinal association of neighborhood socioeconomic deprivation (SED) with physical activity in youth during the transition from elementary to middle school, and to determine if access to physical activity facilities moderates this relationship. METHODS: Data were obtained from the Transitions and Activity Changes in Kids (TRACK) study, which was a multilevel, longitudinal study designed to identify the factors that influence changes in physical activity as youth transition from elementary to middle school. The analytic sample for the current study included 660 youth with complete data in grades 5 (baseline) and 7 (follow-up). A repeated measures multilevel framework was employed to examine the relationship between SED and physical activity over time and the potential moderating role of elements of the built environment. RESULTS: Decreases in physical activity varied by the degree of neighborhood SED with youth residing in the most deprived neighborhoods experiencing the greatest declines in physical activity. Access to supportive physical activity facilities did not moderate this relationship. CONCLUSION: Future research studies are needed to better understand how neighborhood SED influences youth physical activity over time

The Associations Between Park Environments and Park Use in Southern US Communities

Purpose To document park use and park and neighborhood environment characteristics in rural communities, and to examine the relationship between park characteristics and park use. Methods The System for Observing Play and Recreation in Communities measured use in 42 target areas across 6 community parks in May 2010 and October 2010. Direct observation instruments were used to assess park and neighborhood environment characteristics. Logistic regression was used to determine the relationship between the condition, number of amenities, and number of incivilities in a target area with target area use. Findings Ninety‐seven people were observed across all parks during May 2010 data collection and 116 people during October 2010 data collection. Low park quality index scores and unfavorable neighborhood environment characteristics were observed. There was a significant positive association between number of incivilities in a target area and target area use (OR = 1.91; 95% CI: 1.09‐3.38; P = .03). Conclusions The number of people observed using the parks in this study was low, and it was considerably less than the number observed in other studies. The objective park and neighborhood environment characteristics documented in this study provide a more comprehensive understanding of parks than other studies. Further examining the complex relationship between park and neighborhood environment characteristics and park use is important, as it can inform park administrators and city planners of characteristics that are best able to attract visitors.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/108592/1/jrh12071.pd

Physical Activity Environment and Japanese Adults’ Body Mass Index

Evidence about the impacts of the physical activity environment on adults’ weight in the context of Asian countries is scarce. Likewise, no study exists in Asia examining whether Walk Score®—a free online walkability tool—is related to obesity. This study aimed to examine associations between multiple physical activity environment measures and Walk Score® ratings with Japanese adults’ body mass index (BMI). Data from 1073 adults in the Healthy Built Environment in Japan study were used. In 2011, participants reported their height and weight. Environmental attributes, including population density, intersection density, density of physical activity facilities, access to public transportation, and availability of sidewalks, were calculated using Geographic Information Systems. Walk Scores® ratings were obtained from the website. Multiple linear regression analysis was conducted to examine the association between each environmental attribute and BMI. Adjusting for covariates, all physical activity environmental attributes were negatively associated with BMI. Similarly, an increase of one standard deviation of Walk Score® was associated with a 0.29 (95% confidence interval (CI) of −0.49–−0.09) decrease in BMI. An activity-friendly built environment was associated with lower adults’ BMI in Japan. Investing in healthy community design may positively impact weight status in non-Western contexts

A Walk in the Park: Exploring the Impact of Parks and Recreation Amenities as Activity-Promoting Features of the Built Environment

Social ecological models of physical activity (PA) promotion embrace a wide range of factors and disciplines that may contribute to active living. Parks, trails, and recreation facilities have been acknowledged as important components of the built environment for promoting PA and overall health, but little research has investigated these community resources in detail. Therefore, the purpose of this study was to examine the association between the presence and characteristics of parks and recreation amenities and PA levels of community members. The study involved four integrated components: i) a written questionnaire with 585 adult residents from four Waterloo planning districts that addressed a variety of personal, psychosocial, and environmental correlates of PA, ii) a detailed seven-day log booklet of recreational, transportation, household and job-related PA episodes, iii) objective assessment of PA via accelerometers, and iv) observation and rating of parks for their features that may be related to PA. Ratings of psychosocial characteristics (e.g., self-efficacy, social support) and perceptions of neighbourhood walkability attributes (e.g., land use diversity, street connectivity) were significantly different between those who engaged in some PA versus those who engaged in no PA, but neighbourhood perceptions did not moderate the relationship between psychosocial variables and PA, nor did psychosocial variables mediate the relationship between neighbourhood perceptions and PA. Parks and trails were used in approximately 8% and 3% of total PA episodes, respectively, with an average duration per episode of 49 minutes and 38 minutes, respectively. Parks with more facilities for PA and supporting amenities were more likely to be used for PA than parks with fewer facilities and amenities, and trails were the park feature most strongly related to park-based PA. The number of municipal parks within 1 km from participants’ homes the and total parkland area within 1 km were associated with higher odds of neighbourhood PA and neighbourhood park PA, while distance to the closest park from home was not related to either outcome. Although subject to several limitations, these results provide guidance for municipal and park planners in designing communities and the resources within them to promote increased levels of PA and active living. Suggestions for future research include studying environmental correlates of PA among youth and older adults, direct observation of PA in parks, and development of a comprehensive surveillance system to track both changes in the built environment and associated changes in residents’ PA participation

Correspondence of perceived vs. objective proximity to parks and their relationship to park-based physical activity

<p>Abstract</p> <p>Background</p> <p>Parks are key environmental resources for encouraging population-level physical activity (PA). In measuring availability of parks, studies have employed both self-reported and objective indicators of proximity, with little correspondence observed between these two types of measures. However, little research has examined how the degree of correspondence between self-reported and objectively-measured distance to parks is influenced by individual, neighborhood, and park-related variables, or which type of measure is more strongly related to physical activity outcomes.</p> <p>Methods</p> <p>We used data from 574 respondents who reported the distance to their closest park and compared this with objective measurements of proximity to the closest park. Both indicators were dichotomized as having or not having a park within 750 m. Audits of all park features within this distance were also conducted and other personal characteristics and neighborhood context variables (safety, connectedness, aesthetics) were gleaned from participants' survey responses. Participants also completed detailed seven-day PA log booklets from which measures of neighborhood-based and park-based PA were derived.</p> <p>Results</p> <p>Agreement was poor in that only 18% of respondents achieved a match between perceived and objective proximity to the closest park (kappa = 0.01). Agreement was higher among certain subgroups, especially those who reported engaging in at least some park-based PA. As well, respondents with a greater number of parks nearby, whose closest park had more features, and whose closest park contained a playground or wooded area were more likely to achieve a match. Having a ball diamond or soccer field in the closest park was negatively related to achieving a match between perceived and objective proximity. Finally, engaging in at least some park-based PA was not related to either perceived or objective proximity to a park, but was more likely when a match between and perceived and objective proximity occurred.</p> <p>Conclusion</p> <p>Poor levels of correspondence were observed between self-reported and objective proximity to parks, but certain individual, neighborhood, and park variables increased the likelihood of a participant being aware of local parks. Future research should examine how people conceptualize parks and what urban and park planners can do to increase awareness and use of these community assets.</p

Deconstructing Williamsburg: Using focus groups to examine residents' perceptions of the building of a walkable community

<p>Abstract</p> <p>Background</p> <p>Components of the built environment are associated with active living behaviors, but research in this area has employed surveys and other quantitative methods almost exclusively. Qualitative approaches can provide additional detail about how neighborhoods influence physical activity, including informing the extent to which such relationships are causal in nature. The purpose of this study was to gain an in-depth understanding of residents' attitudinal and behavioral responses to living in a neighborhood designed to be walkable.</p> <p>Methods</p> <p>Focus groups were conducted with residents of a planned retail and residential development that was designed to embody many attributes of walkability and was located within a large city in southwestern Ontario. In total, 31 participants provided qualitative data about neighborhood resources and dynamics, use of local services, physical activity behavior, and other related issues. The data were transcribed and coded for themes relevant to the study purpose.</p> <p>Results</p> <p>Salient themes that emerged emphasized the importance of land use diversity, safety, parks and trails, aesthetics, and a sense of community, with the latter theme cutting across all others. The data also revealed mechanisms that explain relationships between the built environment and behavior and how sidewalks in the neighborhood facilitated diverse health behaviors and outcomes. Finally, residents recited several examples of changes in behavior, both positive and negative, since moving to their current neighborhood.</p> <p>Conclusions</p> <p>The results of this study confirmed and expanded upon current knowledge about built and social environment influences on physical activity and health. That many residents reported changes in their behaviors since moving to the neighborhood permitted tentative inferences about the causal impact of built and social environments. Future research should exploit diverse methods to more fully understand how neighborhood contexts influence active living.</p

A multi-dimensional scale for repositioning public park and recreation services

The goal of this study was to develop an instrument to assist public park and recreation agencies in successfully repositioning their offerings in order to garner increased allocations of tax dollars. To achieve this, an agency must be perceived as providing public benefits, those that accrue to all members of its constituency. The scale sought to identify the importance of various community issues and perceptions of the agency's performance in contributing to those issues. A valid and reliable 36-item instrument was developed that encompasses nine distinct dimensions: Preventing Youth Crime, Environmental Stewardship, Enhancing Real Estate Values, Attracting and Retaining Businesses, Attracting and Retaining Retirees, Improving Community Health, Stimulating Urban Rejuvenation, Attracting Tourists, and Addressing the Needs of People who are Underemployed. These dimensions represent community issues that a park and recreation agency can contribute towards, and can therefore use as a basis for its repositioning efforts. Using a screening process by expert judges, a pretest sample of undergraduate students, and a sample of municipal residents, each of the importance and performance dimensions in the scale was judged to possess content validity, internal consistency, construct validity, and split-half reliability. A shortened version of the instrument was also demonstrated to possess internal consistency and construct validity. In a practical application, the scale proved useful in identifying repositioning options for the park and recreation department, both in isolation and relative to a public agency'competitor'. Limitations of the study and suggestions for future research are offered

The Relationship Between Park Access and Quality and Various Health Metrics in a Metropolitan Area in South Carolina Using the CDC PLACES Dataset

Objectives Limited access to high-quality green spaces could contribute to growing rates of chronic diseases and unhealthy behaviors. Public parks provide numerous benefits for population well-being. However, past research has shown mixed results regarding the association between proximal parks and residents’ physical and mental health. This study examined the relationship between diverse elements of park access and quality and multiple health outcomes. Methods Seventy-three unique parks within 70 census tracts in 4 cities in South Carolina were analyzed. Data about 7 aspects of park quality (transportation access, facility availability, facility quality, amenity availability, park aesthetics, park quality concerns, neighborhood quality concerns) were collected via on-site observations using the Community Park Audit Tool. Health data for each tract (obesity, no leisure time physical activity, high blood pressure, coronary heart disease, high cholesterol, diabetes, depression, poor mental health) were collected from the CDC PLACES dataset. Linear regression analyses examined the association between 10 park access and quality metrics and 8 health metrics, controlling for socio-demographic characteristics. Results All associations were in the unexpected direction except 1 relationship involving mental health. Specifically, positive associations were found between the number of parks and obesity, the number of parks and no leisure time physical activity, transportation access and obesity, and transportation access and high blood pressure. As concerns about neighborhood quality increased, poor mental health status worsened. Conclusions This study provides valuable information for public health professionals and researchers. Further research is needed to expand on and elucidate these findings

Health-Related Factors Associated with Mode of Travel to Work

Active commuting (AC) to the workplace is a potential strategy for incorporating physical activity into daily life and is associated with health benefits. This study examined the association between health-related factors and mode of travel to the workplace. Methods. A volunteer convenience sample of employed adults completed an online survey regarding demographics, health-related factors, and the number of times/week walking, biking, driving, and using public transit to work (dichotomized as no walk/bike/drive/PT and walk/bike/drive/PT 1 + x/week). Logistic regression was used to predict the likelihood of each mode of transport and meeting PA recommendations from AC according to demographics and health-related factors. Results. The sample was aged 43.5 11.4 years and was primarily White (92.7%) and female (67.9%). Respondents reported walking (7.3%), biking (14.4%), taking public transit (20.3%), and driving (78.3%) to work at least one time/week. Among those reporting AC, 9.6% met PA recommendations from AC alone. Mode of travel to work was associated with several demographic and health-related factors, including age, number of chronic diseases, weight status, and AC beliefs. Discussion. Mode of transportation to the workplace and health-related factors such as disease or weight status should be considered in future interventions targeting AC