The environment as a physical activity facilitator: for advantaged only?
ISPAH ePoster Library. Stappers N. Oct 15, 2018; 225282
Ms. Nicole Stappers
Ms. Nicole Stappers
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Abstract This study investigated associations between socio-demographic characteristics, health-related quality of life (HRQOL), perceived environment and objectively measured physical activity (PA) outcomes. Socio-demographic characteristics were assessed using a questionnaire and HRQOL was measured using the EQ-5D. The Neighborhood Environment Walkability Scale (NEWS) was used to assess the perceived environment. Sedentary behaviour (SB), light PA (LPA) and moderate-to-vigorous PA (MVPA) were measured using Actigraph GT3X+. Data of 622 Dutch adults were used in multivariate linear regression analyses to investigate associations between NEWS and PA outcomes. Analyses were controlled for socio-demographic characteristics and HRQOL. Presence of attractive buildings was associated with less SB (β=-.086, p<.01) and more MVPA (β=.118, p<.01). Presence of destinations within walking distance was also positively associated with MVPA (β=.106, p<.01). Less crime was associated with less MVPA (β=-.092, p<.05). Interactions between personal and environmental characteristics showed that the presence of PA facilitating factors was associated with less SB and more LPA and MVPA. These associations were only found for higher educated residents, residents without problems regarding usual activities, residents with a normal weight, and residents living with children. The absence of PA hindering factors was associated with less SB and more MVPA, but only for residents with problems regarding pain and usual activities. More PA-supportive environments can lead to decreased SB and increased PA, but differ in potential for advantaged and disadvantaged residents. Exploration of context-specific associations between environment and PA outcomes might help to clarify the identified associations and the differences between advantaged and disadvantaged residents.
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