151. The association of the neighbourhood built environment with objectively measured physical activity in older adults with and without lower limb osteoarthritis
- Author
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Alfred J. Wagtendonk, Marjolein Visser, Hidde P. van der Ploeg, Erik J. Timmermans, Suzan van der Pas, Laura A. Schaap, Dorly J. H. Deeg, Nutrition and Health, EMGO+ - Musculoskeletal Health, Kinesiology, Water and Climate Risk, Epidemiology and Data Science, EMGO - Musculoskeletal health, Internal medicine, and Public and occupational health
- Subjects
Male ,Gerontology ,medicine.medical_specialty ,Health Status ,Level design ,Neighbourhood built environment ,Osteoarthritis, Hip ,03 medical and health sciences ,Older population ,0302 clinical medicine ,Reference Values ,Residence Characteristics ,Epidemiology ,Health care ,Accelerometry ,Osteoarthritis ,Journal Article ,Humans ,Medicine ,030212 general & internal medicine ,Cities ,Exercise ,Neighbourhood (mathematics) ,Built environment ,Aged ,Netherlands ,Aged, 80 and over ,030203 arthritis & rheumatology ,Spatial Analysis ,business.industry ,Physical activity ,Public health ,lcsh:Public aspects of medicine ,Confounding ,Public Health, Environmental and Occupational Health ,lcsh:RA1-1270 ,Health Services ,Osteoarthritis, Knee ,SDG 11 - Sustainable Cities and Communities ,Lower Extremity ,Geographic Information Systems ,Health Resources ,Environment Design ,Female ,Biostatistics ,business ,Research Article - Abstract
BACKGROUND: This study examined the associations of objectively measured neighbourhood built environment characteristics with objectively measured physical activity (PA) in older people with and without lower limb osteoarthritis (LLOA), and assessed whether these relationships differ between both groups.METHODS: Data from the Dutch component of the European Project on OSteoArthritis were used. American College of Rheumatology classification criteria were used to diagnose LLOA (knee and/or hip osteoarthritis). Daily average time spent on total PA and separate PA intensity categories, including light PA, low-light PA, high-light PA, and moderate to vigorous PA, were measured using Actigraph GT3X accelerometers. Geographic Information Systems were used to measure street connectivity (number of street connections per km(2)) and distances (in km) to resources (health care resources, retail resources, meeting places, and public transport) within neighbourhoods. Multiple Linear Regression Analyses were used to examine the associations between measures of the neighbourhood built environment and PA, adjusted for several confounders.RESULTS: Of all 247 participants (66-85 years), 41 (16.6 %) had LLOA. The time spent on any PA did not differ significantly between participants with and without LLOA (LLOA: Mean = 268.3, SD = 83.3 versus non-LLOA: Mean = 275.8, SD = 81.2; p = 0.59). In the full sample, no measures of the neighbourhood built environment were statistically significantly associated with total PA. Larger distances to specific health care resources (general practice and physiotherapist) and retail resources (supermarket) were associated with more time spent on PA in older people with LLOA than in those without LLOA. In particular, the associations of light and high-light PA with distances to these specific resources were stronger in participants with LLOA compared to their counterparts without LLOA.CONCLUSIONS: Specific attributes of the neighbourhood built environment are more strongly associated with PA in older people with LLOA than in those without LLOA. Knowledge on the relationship between objectively measured neighbourhood characteristics and PA in older people with and without LLOA could be used to inform policymakers and city planners about adaptation of neighbourhoods and their infrastructures to appropriately facilitate PA in healthy and functionally impaired older adults.
- Published
- 2016