Neighborhood environments and objectively measured physical activity in 11 countries

Ester Cerin, Kelli L. Cain, Terry L. Conway, Delfien Van Dyck, Erica A. Hinckson, Jasper Schipperijin, Ilse De Bourdeaudhuij, Neville Owen, Rachel DAVEY, Adriano Hino, Josef Mitas, Rosario Orzanco-Garralda, Deborah Salvo, Olga L. Sarmiento, Lars B. Christiansen, Duncan J. MacFarlane, Grant Schofield, James F. Sallis

    Research output: Contribution to journalArticle

    51 Citations (Scopus)

    Abstract

    Purpose: Environmental changes are potentially effective population-level physical activity (PA) promotion strategies. However, robust multisite evidence to guide international action for developing activity-supportive environments is lacking. We estimated pooled associations of perceived environmental attributes with objectively measured PA outcomes, between-site differences in such associations, and the extent to which perceived environmental attributes explain between-site differences in PA.

    Methods: This was a cross-sectional study conducted in 16 cities located in Belgium, Brazil, Colombia, Czech Republic, Denmark, China, Mexico, New Zealand, Spain, United Kingdom, and United States of America. Participants were 6968 adults residing in administrative units stratified by socioeconomic status and transport-related walkability. Predictors were 10 perceived neighborhood environmental attributes. Outcome measures were accelerometry-assessed weekly minutes of moderate-tovigorous PA (MVPA) and meeting the PA guidelines for cancer/weight gain prevention (420 minIwk -1 of MVPA).

    Results: Most perceived neighborhood attributes were positively associated with the PA outcomes in the pooled, site-adjusted, single-predictor models. Associations were generalizable across geographical locations. Aesthetics and land use mix-access were significant predictors of both PA outcomes in the fully adjusted models. Environmental attributes accounted for within-site variability in MVPA, corresponding to an SD of 3 minId -1 or 21 minIwk -1. Large between-site differences in PA outcomes were observed; 15.9%-16.8% of these differences were explained by perceived environmental attributes. All neighborhood attributes were associated with between-site differences in the total effects of the perceived environment on PA outcomes.

    Conclusions: Residents' perceptions of neighborhood attributes that facilitate walking were positively associated with objectively measured MVPA and meeting the guidelines for cancer/weight gain prevention at the within- and between-site levels. Associations were similar across study sites, lending support for international recommendations for designing PA-friendly built environments.

    Original languageEnglish
    Pages (from-to)2253-2264
    Number of pages12
    JournalMedicine and Science in Sports and Exercise
    Volume46
    Issue number12
    DOIs
    Publication statusPublished - 2014

    Fingerprint

    Weight Gain
    Guidelines
    Accelerometry
    Colombia
    Czech Republic
    Belgium
    Denmark
    Mexico
    Taiwan
    New Zealand
    Esthetics
    Social Class
    Spain
    Walking
    Brazil
    Neoplasms
    Cross-Sectional Studies
    Outcome Assessment (Health Care)
    Population
    United Kingdom

    Cite this

    Cerin, E., Cain, K. L., Conway, T. L., Van Dyck, D., Hinckson, E. A., Schipperijin, J., ... Sallis, J. F. (2014). Neighborhood environments and objectively measured physical activity in 11 countries. Medicine and Science in Sports and Exercise, 46(12), 2253-2264. https://doi.org/10.1249/MSS.0000000000000367
    Cerin, Ester ; Cain, Kelli L. ; Conway, Terry L. ; Van Dyck, Delfien ; Hinckson, Erica A. ; Schipperijin, Jasper ; De Bourdeaudhuij, Ilse ; Owen, Neville ; DAVEY, Rachel ; Hino, Adriano ; Mitas, Josef ; Orzanco-Garralda, Rosario ; Salvo, Deborah ; Sarmiento, Olga L. ; Christiansen, Lars B. ; MacFarlane, Duncan J. ; Schofield, Grant ; Sallis, James F. / Neighborhood environments and objectively measured physical activity in 11 countries. In: Medicine and Science in Sports and Exercise. 2014 ; Vol. 46, No. 12. pp. 2253-2264.
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    title = "Neighborhood environments and objectively measured physical activity in 11 countries",
    abstract = "Purpose: Environmental changes are potentially effective population-level physical activity (PA) promotion strategies. However, robust multisite evidence to guide international action for developing activity-supportive environments is lacking. We estimated pooled associations of perceived environmental attributes with objectively measured PA outcomes, between-site differences in such associations, and the extent to which perceived environmental attributes explain between-site differences in PA.Methods: This was a cross-sectional study conducted in 16 cities located in Belgium, Brazil, Colombia, Czech Republic, Denmark, China, Mexico, New Zealand, Spain, United Kingdom, and United States of America. Participants were 6968 adults residing in administrative units stratified by socioeconomic status and transport-related walkability. Predictors were 10 perceived neighborhood environmental attributes. Outcome measures were accelerometry-assessed weekly minutes of moderate-tovigorous PA (MVPA) and meeting the PA guidelines for cancer/weight gain prevention (420 minIwk -1 of MVPA). Results: Most perceived neighborhood attributes were positively associated with the PA outcomes in the pooled, site-adjusted, single-predictor models. Associations were generalizable across geographical locations. Aesthetics and land use mix-access were significant predictors of both PA outcomes in the fully adjusted models. Environmental attributes accounted for within-site variability in MVPA, corresponding to an SD of 3 minId -1 or 21 minIwk -1. Large between-site differences in PA outcomes were observed; 15.9{\%}-16.8{\%} of these differences were explained by perceived environmental attributes. All neighborhood attributes were associated with between-site differences in the total effects of the perceived environment on PA outcomes. Conclusions: Residents' perceptions of neighborhood attributes that facilitate walking were positively associated with objectively measured MVPA and meeting the guidelines for cancer/weight gain prevention at the within- and between-site levels. Associations were similar across study sites, lending support for international recommendations for designing PA-friendly built environments.",
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    author = "Ester Cerin and Cain, {Kelli L.} and Conway, {Terry L.} and {Van Dyck}, Delfien and Hinckson, {Erica A.} and Jasper Schipperijin and {De Bourdeaudhuij}, Ilse and Neville Owen and Rachel DAVEY and Adriano Hino and Josef Mitas and Rosario Orzanco-Garralda and Deborah Salvo and Sarmiento, {Olga L.} and Christiansen, {Lars B.} and MacFarlane, {Duncan J.} and Grant Schofield and Sallis, {James F.}",
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    Cerin, E, Cain, KL, Conway, TL, Van Dyck, D, Hinckson, EA, Schipperijin, J, De Bourdeaudhuij, I, Owen, N, DAVEY, R, Hino, A, Mitas, J, Orzanco-Garralda, R, Salvo, D, Sarmiento, OL, Christiansen, LB, MacFarlane, DJ, Schofield, G & Sallis, JF 2014, 'Neighborhood environments and objectively measured physical activity in 11 countries', Medicine and Science in Sports and Exercise, vol. 46, no. 12, pp. 2253-2264. https://doi.org/10.1249/MSS.0000000000000367

    Neighborhood environments and objectively measured physical activity in 11 countries. / Cerin, Ester; Cain, Kelli L.; Conway, Terry L.; Van Dyck, Delfien; Hinckson, Erica A.; Schipperijin, Jasper; De Bourdeaudhuij, Ilse; Owen, Neville; DAVEY, Rachel; Hino, Adriano; Mitas, Josef; Orzanco-Garralda, Rosario; Salvo, Deborah; Sarmiento, Olga L.; Christiansen, Lars B.; MacFarlane, Duncan J.; Schofield, Grant; Sallis, James F.

    In: Medicine and Science in Sports and Exercise, Vol. 46, No. 12, 2014, p. 2253-2264.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Neighborhood environments and objectively measured physical activity in 11 countries

    AU - Cerin, Ester

    AU - Cain, Kelli L.

    AU - Conway, Terry L.

    AU - Van Dyck, Delfien

    AU - Hinckson, Erica A.

    AU - Schipperijin, Jasper

    AU - De Bourdeaudhuij, Ilse

    AU - Owen, Neville

    AU - DAVEY, Rachel

    AU - Hino, Adriano

    AU - Mitas, Josef

    AU - Orzanco-Garralda, Rosario

    AU - Salvo, Deborah

    AU - Sarmiento, Olga L.

    AU - Christiansen, Lars B.

    AU - MacFarlane, Duncan J.

    AU - Schofield, Grant

    AU - Sallis, James F.

    PY - 2014

    Y1 - 2014

    N2 - Purpose: Environmental changes are potentially effective population-level physical activity (PA) promotion strategies. However, robust multisite evidence to guide international action for developing activity-supportive environments is lacking. We estimated pooled associations of perceived environmental attributes with objectively measured PA outcomes, between-site differences in such associations, and the extent to which perceived environmental attributes explain between-site differences in PA.Methods: This was a cross-sectional study conducted in 16 cities located in Belgium, Brazil, Colombia, Czech Republic, Denmark, China, Mexico, New Zealand, Spain, United Kingdom, and United States of America. Participants were 6968 adults residing in administrative units stratified by socioeconomic status and transport-related walkability. Predictors were 10 perceived neighborhood environmental attributes. Outcome measures were accelerometry-assessed weekly minutes of moderate-tovigorous PA (MVPA) and meeting the PA guidelines for cancer/weight gain prevention (420 minIwk -1 of MVPA). Results: Most perceived neighborhood attributes were positively associated with the PA outcomes in the pooled, site-adjusted, single-predictor models. Associations were generalizable across geographical locations. Aesthetics and land use mix-access were significant predictors of both PA outcomes in the fully adjusted models. Environmental attributes accounted for within-site variability in MVPA, corresponding to an SD of 3 minId -1 or 21 minIwk -1. Large between-site differences in PA outcomes were observed; 15.9%-16.8% of these differences were explained by perceived environmental attributes. All neighborhood attributes were associated with between-site differences in the total effects of the perceived environment on PA outcomes. Conclusions: Residents' perceptions of neighborhood attributes that facilitate walking were positively associated with objectively measured MVPA and meeting the guidelines for cancer/weight gain prevention at the within- and between-site levels. Associations were similar across study sites, lending support for international recommendations for designing PA-friendly built environments.

    AB - Purpose: Environmental changes are potentially effective population-level physical activity (PA) promotion strategies. However, robust multisite evidence to guide international action for developing activity-supportive environments is lacking. We estimated pooled associations of perceived environmental attributes with objectively measured PA outcomes, between-site differences in such associations, and the extent to which perceived environmental attributes explain between-site differences in PA.Methods: This was a cross-sectional study conducted in 16 cities located in Belgium, Brazil, Colombia, Czech Republic, Denmark, China, Mexico, New Zealand, Spain, United Kingdom, and United States of America. Participants were 6968 adults residing in administrative units stratified by socioeconomic status and transport-related walkability. Predictors were 10 perceived neighborhood environmental attributes. Outcome measures were accelerometry-assessed weekly minutes of moderate-tovigorous PA (MVPA) and meeting the PA guidelines for cancer/weight gain prevention (420 minIwk -1 of MVPA). Results: Most perceived neighborhood attributes were positively associated with the PA outcomes in the pooled, site-adjusted, single-predictor models. Associations were generalizable across geographical locations. Aesthetics and land use mix-access were significant predictors of both PA outcomes in the fully adjusted models. Environmental attributes accounted for within-site variability in MVPA, corresponding to an SD of 3 minId -1 or 21 minIwk -1. Large between-site differences in PA outcomes were observed; 15.9%-16.8% of these differences were explained by perceived environmental attributes. All neighborhood attributes were associated with between-site differences in the total effects of the perceived environment on PA outcomes. Conclusions: Residents' perceptions of neighborhood attributes that facilitate walking were positively associated with objectively measured MVPA and meeting the guidelines for cancer/weight gain prevention at the within- and between-site levels. Associations were similar across study sites, lending support for international recommendations for designing PA-friendly built environments.

    KW - Adults

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    KW - Cancer prevention

    KW - Multisite study

    KW - Residence Characteristics

    KW - Cross-Sectional Studies

    KW - Humans

    KW - Middle Aged

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    KW - Exercise/physiology

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    KW - Motor Activity

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    KW - Environment Design

    KW - Female

    KW - Aged

    KW - Accelerometry

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    KW - BUILT ENVIRONMENT

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