Systematic Review of Longitudinal Evidence and Methodologies for Research on Neighborhood Characteristics and Brain Health
Objective: Synthesize longitudinal research evaluating neighborhood environments and cognition to identify methodological approaches, findings, and gaps.Methods: Included studies evaluated associations between neighborhood and cognition longitudinally among adults >45 years (or mean age of 65...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-03-01
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| Series: | Public Health Reviews |
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| Online Access: | https://www.ssph-journal.org/articles/10.3389/phrs.2024.1606677/full |
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| author | Yvonne L. Michael Araliya M. Senerat Araliya M. Senerat Channa Buxbaum Ugonwa Ezeanyagu Timothy M. Hughes Kathleen M. Hayden Julia Langmuir Lilah M. Besser Brisa Sánchez Jana A. Hirsch Jana A. Hirsch |
| author_facet | Yvonne L. Michael Araliya M. Senerat Araliya M. Senerat Channa Buxbaum Ugonwa Ezeanyagu Timothy M. Hughes Kathleen M. Hayden Julia Langmuir Lilah M. Besser Brisa Sánchez Jana A. Hirsch Jana A. Hirsch |
| author_sort | Yvonne L. Michael |
| collection | DOAJ |
| description | Objective: Synthesize longitudinal research evaluating neighborhood environments and cognition to identify methodological approaches, findings, and gaps.Methods: Included studies evaluated associations between neighborhood and cognition longitudinally among adults >45 years (or mean age of 65 years) living in developed nations. We extracted data on sample characteristics, exposures, outcomes, methods, overall findings, and assessment of disparities.Results: Forty studies met our inclusion criteria. Most (65%) measured exposure only once and a majority focused on green space and/or blue space (water), neighborhood socioeconomic status, and recreation/physical activity facilities. Similarly, over half studied incident impairment, cognitive function or decline (70%), with one examining MRI (2.5%) or Alzheimer’s disease (7.5%). While most studies used repeated measures analysis to evaluate changes in the brain health outcome (51%), many studies did not account for any type of correlation within neighborhoods (35%). Less than half evaluated effect modification by race/ethnicity, socioeconomic status, and/or sex/gender. Evidence was mixed and dependent on exposure or outcome assessed.Conclusion: Although longitudinal research evaluating neighborhood and cognitive decline has expanded, gaps remain in types of exposures, outcomes, analytic approaches, and sample diversity. |
| first_indexed | 2024-04-24T19:20:14Z |
| format | Article |
| id | doaj.art-e8e42093478c4600b01a98da3dcf558c |
| institution | Directory Open Access Journal |
| issn | 2107-6952 |
| language | English |
| last_indexed | 2024-04-24T19:20:14Z |
| publishDate | 2024-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Public Health Reviews |
| spelling | doaj.art-e8e42093478c4600b01a98da3dcf558c2024-03-26T04:11:16ZengFrontiers Media S.A.Public Health Reviews2107-69522024-03-014510.3389/phrs.2024.16066771606677Systematic Review of Longitudinal Evidence and Methodologies for Research on Neighborhood Characteristics and Brain HealthYvonne L. Michael0Araliya M. Senerat1Araliya M. Senerat2Channa Buxbaum3Ugonwa Ezeanyagu4Timothy M. Hughes5Kathleen M. Hayden6Julia Langmuir7Lilah M. Besser8Brisa Sánchez9Jana A. Hirsch10Jana A. Hirsch11Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United StatesDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United StatesUrban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United StatesDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United StatesDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United StatesDepartment of Internal Medicine, Medical Center Boulevard, Winston-Salem, NC, United StatesDepartment of Social Sciences and Health Policy, Bowman Gray Center for Medical Education, Winston-Salem, NC, United StatesDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United StatesDepartment of Neurology, Comprehensive Center for Brain Health, University of Miami Miller School of Medicine, Miami, FL, United StatesDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United StatesDepartment of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United StatesUrban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United StatesObjective: Synthesize longitudinal research evaluating neighborhood environments and cognition to identify methodological approaches, findings, and gaps.Methods: Included studies evaluated associations between neighborhood and cognition longitudinally among adults >45 years (or mean age of 65 years) living in developed nations. We extracted data on sample characteristics, exposures, outcomes, methods, overall findings, and assessment of disparities.Results: Forty studies met our inclusion criteria. Most (65%) measured exposure only once and a majority focused on green space and/or blue space (water), neighborhood socioeconomic status, and recreation/physical activity facilities. Similarly, over half studied incident impairment, cognitive function or decline (70%), with one examining MRI (2.5%) or Alzheimer’s disease (7.5%). While most studies used repeated measures analysis to evaluate changes in the brain health outcome (51%), many studies did not account for any type of correlation within neighborhoods (35%). Less than half evaluated effect modification by race/ethnicity, socioeconomic status, and/or sex/gender. Evidence was mixed and dependent on exposure or outcome assessed.Conclusion: Although longitudinal research evaluating neighborhood and cognitive decline has expanded, gaps remain in types of exposures, outcomes, analytic approaches, and sample diversity.https://www.ssph-journal.org/articles/10.3389/phrs.2024.1606677/fulllongitudinal studyneighborhoodscognitionadultsagingAlzheimer’s disease |
| spellingShingle | Yvonne L. Michael Araliya M. Senerat Araliya M. Senerat Channa Buxbaum Ugonwa Ezeanyagu Timothy M. Hughes Kathleen M. Hayden Julia Langmuir Lilah M. Besser Brisa Sánchez Jana A. Hirsch Jana A. Hirsch Systematic Review of Longitudinal Evidence and Methodologies for Research on Neighborhood Characteristics and Brain Health Public Health Reviews longitudinal study neighborhoods cognition adults aging Alzheimer’s disease |
| title | Systematic Review of Longitudinal Evidence and Methodologies for Research on Neighborhood Characteristics and Brain Health |
| title_full | Systematic Review of Longitudinal Evidence and Methodologies for Research on Neighborhood Characteristics and Brain Health |
| title_fullStr | Systematic Review of Longitudinal Evidence and Methodologies for Research on Neighborhood Characteristics and Brain Health |
| title_full_unstemmed | Systematic Review of Longitudinal Evidence and Methodologies for Research on Neighborhood Characteristics and Brain Health |
| title_short | Systematic Review of Longitudinal Evidence and Methodologies for Research on Neighborhood Characteristics and Brain Health |
| title_sort | systematic review of longitudinal evidence and methodologies for research on neighborhood characteristics and brain health |
| topic | longitudinal study neighborhoods cognition adults aging Alzheimer’s disease |
| url | https://www.ssph-journal.org/articles/10.3389/phrs.2024.1606677/full |
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