Relationships Between the Built Environment and Walking and Weight Status Among Older Women in Three U.S. States

There are few studies of built environment associations with physical activity and weight status among older women in large geographic areas that use individual residential buffers to define environmental exposures. Among 23,434 women (70.0 ± 6.9 yr; range = 57–85) in 3 states, relationships between...

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Bibliographic Details
Main Authors: Troped, Philip J., Starnes, Heather A., Puett, Robin C., Tamura, Kosuke, Cromley, Ellen K., James, Peter, Ben-Joseph, Eran, Melly, Steven J., Laden, Francine
Other Authors: Massachusetts Institute of Technology. Department of Urban Studies and Planning
Format: Article
Language:en_US
Published: Human Kinetics, Inc. 2014
Online Access:http://hdl.handle.net/1721.1/91656
https://orcid.org/0000-0003-3581-7830
Description
Summary:There are few studies of built environment associations with physical activity and weight status among older women in large geographic areas that use individual residential buffers to define environmental exposures. Among 23,434 women (70.0 ± 6.9 yr; range = 57–85) in 3 states, relationships between objective built environment variables and meeting physical activity recommendations via walking and weight status were examined. Differences in associations by population density and state were explored in stratified models. Population density (odds ratio [OR] = 1.04 [1.02, 1.07]), intersection density (ORs = 1.18–1.28), and facility density (ORs = 1.01–1.53) were positively associated with walking. Density of physical activity facilities was inversely associated with overweight/obesity (OR = 0.69 [0.49, 0.96]). The strongest associations between facility density variables and both outcomes were found among women from higher population density areas. There was no clear pattern of differences in associations across states. Among older women, relationships between accessible facilities and walking may be most important in more densely populated settings.