Are accessibility and characteristics of public open spaces associated with a better cardiometabolic health?

Catherine Paquet, Thomas Orschulok, Neil COFFEE, Natasha Howard, Graeme Hugo, Anne Taylor, Robert Adams, Mark DANIEL

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

This study investigated the associations between the accessibility, greenness, size, and type (active vs. passive) of public open spaces (POS) and clinical risk markers for cardiometabolic diseases and whether such associations could be explained (mediated) by physical activity and psychological well-being. Adult participants (n = 3754) provided clinical, self-reported, and residential location data. Cardiometabolic risk was defined as the sum of six anthropometric and biochemical risk markers. POS accessibility was defined as the number and proportion of POS within a 1000-m road distance from participants’ residences. Greenness, size and type were respectively defined as the median Normalised Difference Vegetation Index, median size, and proportion of POS with a sporting land use for all accessible POS. Physical activity and psychological well-being were self-reported. Associations were tested using Poisson regression models accounting for spatial clustering of observations and participants’ age, gender, education, income and area-level socioeconomic disadvantage. The number and proportion of POS were not found to be statistically significantly related to cardiometabolic health; however, greenness, size, and type (active) of available POS were inversely related to cardiometabolic risk. The association between POS and cardiometabolic health was partially mediated by physical activity. Psychological well-being was not implicated in the associations tested. These results suggest that the characteristics, not the number or proportion, of locally accessible POS are related to cardiometabolic health and, to some degree, physical activity. Maintaining or improving the quality of locally available POS might be a more effective urban design strategy to support cardiometabolic health than efforts to increase the accessibility of POS
Original languageEnglish
Pages (from-to)70-78
Number of pages9
JournalLandscape and Urban Planning
Volume118
DOIs
Publication statusPublished - 2013
Externally publishedYes

Fingerprint

public space
open space
accessibility
physical activity
health
residential location
urban design
NDVI
gender
income
education
road
land use

Cite this

Paquet, Catherine ; Orschulok, Thomas ; COFFEE, Neil ; Howard, Natasha ; Hugo, Graeme ; Taylor, Anne ; Adams, Robert ; DANIEL, Mark. / Are accessibility and characteristics of public open spaces associated with a better cardiometabolic health?. In: Landscape and Urban Planning. 2013 ; Vol. 118. pp. 70-78.
@article{bf3694f7776549749833d9c1c43cf306,
title = "Are accessibility and characteristics of public open spaces associated with a better cardiometabolic health?",
abstract = "This study investigated the associations between the accessibility, greenness, size, and type (active vs. passive) of public open spaces (POS) and clinical risk markers for cardiometabolic diseases and whether such associations could be explained (mediated) by physical activity and psychological well-being. Adult participants (n = 3754) provided clinical, self-reported, and residential location data. Cardiometabolic risk was defined as the sum of six anthropometric and biochemical risk markers. POS accessibility was defined as the number and proportion of POS within a 1000-m road distance from participants’ residences. Greenness, size and type were respectively defined as the median Normalised Difference Vegetation Index, median size, and proportion of POS with a sporting land use for all accessible POS. Physical activity and psychological well-being were self-reported. Associations were tested using Poisson regression models accounting for spatial clustering of observations and participants’ age, gender, education, income and area-level socioeconomic disadvantage. The number and proportion of POS were not found to be statistically significantly related to cardiometabolic health; however, greenness, size, and type (active) of available POS were inversely related to cardiometabolic risk. The association between POS and cardiometabolic health was partially mediated by physical activity. Psychological well-being was not implicated in the associations tested. These results suggest that the characteristics, not the number or proportion, of locally accessible POS are related to cardiometabolic health and, to some degree, physical activity. Maintaining or improving the quality of locally available POS might be a more effective urban design strategy to support cardiometabolic health than efforts to increase the accessibility of POS",
author = "Catherine Paquet and Thomas Orschulok and Neil COFFEE and Natasha Howard and Graeme Hugo and Anne Taylor and Robert Adams and Mark DANIEL",
year = "2013",
doi = "10.1016/j.landurbplan.2012.11.011",
language = "English",
volume = "118",
pages = "70--78",
journal = "Landscape Planning",
issn = "0169-2046",
publisher = "Elsevier",

}

Are accessibility and characteristics of public open spaces associated with a better cardiometabolic health? / Paquet, Catherine; Orschulok, Thomas; COFFEE, Neil; Howard, Natasha; Hugo, Graeme; Taylor, Anne; Adams, Robert; DANIEL, Mark.

In: Landscape and Urban Planning, Vol. 118, 2013, p. 70-78.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Are accessibility and characteristics of public open spaces associated with a better cardiometabolic health?

AU - Paquet, Catherine

AU - Orschulok, Thomas

AU - COFFEE, Neil

AU - Howard, Natasha

AU - Hugo, Graeme

AU - Taylor, Anne

AU - Adams, Robert

AU - DANIEL, Mark

PY - 2013

Y1 - 2013

N2 - This study investigated the associations between the accessibility, greenness, size, and type (active vs. passive) of public open spaces (POS) and clinical risk markers for cardiometabolic diseases and whether such associations could be explained (mediated) by physical activity and psychological well-being. Adult participants (n = 3754) provided clinical, self-reported, and residential location data. Cardiometabolic risk was defined as the sum of six anthropometric and biochemical risk markers. POS accessibility was defined as the number and proportion of POS within a 1000-m road distance from participants’ residences. Greenness, size and type were respectively defined as the median Normalised Difference Vegetation Index, median size, and proportion of POS with a sporting land use for all accessible POS. Physical activity and psychological well-being were self-reported. Associations were tested using Poisson regression models accounting for spatial clustering of observations and participants’ age, gender, education, income and area-level socioeconomic disadvantage. The number and proportion of POS were not found to be statistically significantly related to cardiometabolic health; however, greenness, size, and type (active) of available POS were inversely related to cardiometabolic risk. The association between POS and cardiometabolic health was partially mediated by physical activity. Psychological well-being was not implicated in the associations tested. These results suggest that the characteristics, not the number or proportion, of locally accessible POS are related to cardiometabolic health and, to some degree, physical activity. Maintaining or improving the quality of locally available POS might be a more effective urban design strategy to support cardiometabolic health than efforts to increase the accessibility of POS

AB - This study investigated the associations between the accessibility, greenness, size, and type (active vs. passive) of public open spaces (POS) and clinical risk markers for cardiometabolic diseases and whether such associations could be explained (mediated) by physical activity and psychological well-being. Adult participants (n = 3754) provided clinical, self-reported, and residential location data. Cardiometabolic risk was defined as the sum of six anthropometric and biochemical risk markers. POS accessibility was defined as the number and proportion of POS within a 1000-m road distance from participants’ residences. Greenness, size and type were respectively defined as the median Normalised Difference Vegetation Index, median size, and proportion of POS with a sporting land use for all accessible POS. Physical activity and psychological well-being were self-reported. Associations were tested using Poisson regression models accounting for spatial clustering of observations and participants’ age, gender, education, income and area-level socioeconomic disadvantage. The number and proportion of POS were not found to be statistically significantly related to cardiometabolic health; however, greenness, size, and type (active) of available POS were inversely related to cardiometabolic risk. The association between POS and cardiometabolic health was partially mediated by physical activity. Psychological well-being was not implicated in the associations tested. These results suggest that the characteristics, not the number or proportion, of locally accessible POS are related to cardiometabolic health and, to some degree, physical activity. Maintaining or improving the quality of locally available POS might be a more effective urban design strategy to support cardiometabolic health than efforts to increase the accessibility of POS

U2 - 10.1016/j.landurbplan.2012.11.011

DO - 10.1016/j.landurbplan.2012.11.011

M3 - Article

VL - 118

SP - 70

EP - 78

JO - Landscape Planning

JF - Landscape Planning

SN - 0169-2046

ER -