Longitudinal associations between perceptions of the neighbourhood environment and physical activity in adolescents: evidence from the Olympic Regeneration in East London (ORiEL) study

Abstract Background Most UK adolescents do not achieve recommended levels of physical activity. Previous studies suggested that perceptions of the neighbourhood environment could contribute to explain differences in physical activity behaviours. We aimed to examine whether five measures of perceptio...

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Main Authors: Nicolas Berger, Daniel Lewis, Matteo Quartagno, Edmund Njeru Njagi, Steven Cummins
Format: Article
Language:English
Published: BMC 2019-12-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-019-8003-7
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author Nicolas Berger
Daniel Lewis
Matteo Quartagno
Edmund Njeru Njagi
Steven Cummins
author_facet Nicolas Berger
Daniel Lewis
Matteo Quartagno
Edmund Njeru Njagi
Steven Cummins
author_sort Nicolas Berger
collection DOAJ
description Abstract Background Most UK adolescents do not achieve recommended levels of physical activity. Previous studies suggested that perceptions of the neighbourhood environment could contribute to explain differences in physical activity behaviours. We aimed to examine whether five measures of perceptions – perceived bus stop proximity, traffic safety, street connectivity, enjoyment of the neighbourhood for walking/cycling, and personal safety – were longitudinally associated with common forms of physical activity, namely walking to school, walking for leisure, and a composite measure of outdoor physical activity. We further aimed to investigate the moderating role of gender. Methods We used longitudinal data from the Olympic Regeneration in East London (ORiEL) study, a prospective cohort study. In 2012, 3106 adolescents aged 11 to 12 were recruited from 25 schools in 4 deprived boroughs of East London. Adolescents were followed-up in 2013 and 2014. The final sample includes 2260 adolescents surveyed at three occasions. We estimated logistic regression models using Generalised Estimating Equations to test the plausibility of hypotheses on the nature of the longitudinal associations (general association, cumulative effect, co-varying trajectories), adjusting for potential confounders. Item non-response was handled using multiple imputation. Results Longitudinal analyses indicate little evidence that perceptions of the neighbourhood are important predictors of younger adolescent physical activity. There was weak evidence that greater perceived proximity to bus stops is associated with a small decrease in the probability of walking for leisure. Results also indicate that poorer perception of personal safety decreases the probability of walking for leisure. There was some indication that better perception of street connectivity is associated with more outdoor physical activity. Finally, we found very little evidence that the associations between perceptions of the neighbourhood and physical activity differed by gender. Conclusions This study suggests that younger adolescents’ perceptions of their neighbourhood environment, and changes in these perceptions, did not consistently predict physical activity in a deprived and ethnically diverse urban population. Future studies should use situation-specific measures of the neighbourhood environment and physical activity to better capture the hypothesised processes and explore the relative roles of the objective environment, parental and adolescents’ perceptions in examining differences in types of physical activity.
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spelling doaj.art-31cce3bb45e3418a916309371bb34a952022-12-21T19:02:02ZengBMCBMC Public Health1471-24582019-12-0119111310.1186/s12889-019-8003-7Longitudinal associations between perceptions of the neighbourhood environment and physical activity in adolescents: evidence from the Olympic Regeneration in East London (ORiEL) studyNicolas Berger0Daniel Lewis1Matteo Quartagno2Edmund Njeru Njagi3Steven Cummins4Population Health Innovation Lab, Department of Public Health, Environments and Society, London School of Hygiene & Tropical MedicinePopulation Health Innovation Lab, Department of Public Health, Environments and Society, London School of Hygiene & Tropical MedicineMRC Clinical Trials Unit, University College LondonDepartment of Non-communicable Disease Epidemiology, London School of Hygiene & Tropical MedicinePopulation Health Innovation Lab, Department of Public Health, Environments and Society, London School of Hygiene & Tropical MedicineAbstract Background Most UK adolescents do not achieve recommended levels of physical activity. Previous studies suggested that perceptions of the neighbourhood environment could contribute to explain differences in physical activity behaviours. We aimed to examine whether five measures of perceptions – perceived bus stop proximity, traffic safety, street connectivity, enjoyment of the neighbourhood for walking/cycling, and personal safety – were longitudinally associated with common forms of physical activity, namely walking to school, walking for leisure, and a composite measure of outdoor physical activity. We further aimed to investigate the moderating role of gender. Methods We used longitudinal data from the Olympic Regeneration in East London (ORiEL) study, a prospective cohort study. In 2012, 3106 adolescents aged 11 to 12 were recruited from 25 schools in 4 deprived boroughs of East London. Adolescents were followed-up in 2013 and 2014. The final sample includes 2260 adolescents surveyed at three occasions. We estimated logistic regression models using Generalised Estimating Equations to test the plausibility of hypotheses on the nature of the longitudinal associations (general association, cumulative effect, co-varying trajectories), adjusting for potential confounders. Item non-response was handled using multiple imputation. Results Longitudinal analyses indicate little evidence that perceptions of the neighbourhood are important predictors of younger adolescent physical activity. There was weak evidence that greater perceived proximity to bus stops is associated with a small decrease in the probability of walking for leisure. Results also indicate that poorer perception of personal safety decreases the probability of walking for leisure. There was some indication that better perception of street connectivity is associated with more outdoor physical activity. Finally, we found very little evidence that the associations between perceptions of the neighbourhood and physical activity differed by gender. Conclusions This study suggests that younger adolescents’ perceptions of their neighbourhood environment, and changes in these perceptions, did not consistently predict physical activity in a deprived and ethnically diverse urban population. Future studies should use situation-specific measures of the neighbourhood environment and physical activity to better capture the hypothesised processes and explore the relative roles of the objective environment, parental and adolescents’ perceptions in examining differences in types of physical activity.https://doi.org/10.1186/s12889-019-8003-7AdolescentsEast LondonEnvironmentNeighbourhoodPerceptionPhysical activity
spellingShingle Nicolas Berger
Daniel Lewis
Matteo Quartagno
Edmund Njeru Njagi
Steven Cummins
Longitudinal associations between perceptions of the neighbourhood environment and physical activity in adolescents: evidence from the Olympic Regeneration in East London (ORiEL) study
BMC Public Health
Adolescents
East London
Environment
Neighbourhood
Perception
Physical activity
title Longitudinal associations between perceptions of the neighbourhood environment and physical activity in adolescents: evidence from the Olympic Regeneration in East London (ORiEL) study
title_full Longitudinal associations between perceptions of the neighbourhood environment and physical activity in adolescents: evidence from the Olympic Regeneration in East London (ORiEL) study
title_fullStr Longitudinal associations between perceptions of the neighbourhood environment and physical activity in adolescents: evidence from the Olympic Regeneration in East London (ORiEL) study
title_full_unstemmed Longitudinal associations between perceptions of the neighbourhood environment and physical activity in adolescents: evidence from the Olympic Regeneration in East London (ORiEL) study
title_short Longitudinal associations between perceptions of the neighbourhood environment and physical activity in adolescents: evidence from the Olympic Regeneration in East London (ORiEL) study
title_sort longitudinal associations between perceptions of the neighbourhood environment and physical activity in adolescents evidence from the olympic regeneration in east london oriel study
topic Adolescents
East London
Environment
Neighbourhood
Perception
Physical activity
url https://doi.org/10.1186/s12889-019-8003-7
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