Int J Health Geogr - The proportion of youths' physical inactivity attributable to neighbourhood built environment features.


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JECTIVE: We investigated the independent association between several neighbourhood built environment features and physical inactivity within a national sample of Canadian youth, and estimated the proportion of inactivity within the population that was attributable to these built environment features.METHODS: This was a cross-sectional study of 6626 youth aged 11-15?years from 272 schools across Canada. Participants resided within 1?km of their school. Walkability, outdoor play areas (parks, wooded areas, yards at home, cul-de-sacs on roads), recreation facilities, and aesthetics were measured objectively within each school neighbourhood using geographic information systems. Physical inactivity (<5?days/week of 60?minutes of moderate-to-vigorous physical activity) was assessed by questionnaire. Multilevel logistic regression analyses, which controlled for several covariates, examined relationships between built environment features and physical inactivity.RESULTS: The final regression model indicated that, by comparison to youth living in the least walkable neighbourhoods, the risks for physical inactivity were 28-44% higher for youth living in neighbourhoods in the remaining three walkability quartiles. By comparison to youth living in neighbourhoods with the highest density of cul-de-sacs, risks for physical inactivity were 28-32% higher for youth living in neighbourhoods in the lowest two quartiles. By comparison to youth living in neighbourhoods with the least amount of park space, risks for physical inactivity were 28-37% higher for youth living in the neighbourhoods with a moderate to high (quartiles 2 and 3) park space. Population attributable risk estimates suggested that 23% of physical inactivity within the population was attributable to living in walkable neighbourhoods, 16% was attributable to living in neighbourhoods with a low density of cul-de-sacs, and 15% was attributable to living in neighbourhoods with a moderate to high amount of park space.CONCLUSIONS: Of the neighbourhood built environment exposure variables measured in this study, the three that were the most highly associated with inactivity were walkability, the density of cul-de-sacs, and park space. The association between some of these features and youths' activity levels were in the opposite direction to what has previously been reported in adults and younger children.

Resumo Limpo

jectiv investig independ associ sever neighbourhood built environ featur physic inact within nation sampl canadian youth estim proport inact within popul attribut built environ featuresmethod crosssect studi youth age year school across canada particip resid within km school walkabl outdoor play area park wood area yard home culdesac road recreat facil aesthet measur object within school neighbourhood use geograph inform system physic inact daysweek minut moderatetovigor physic activ assess questionnair multilevel logist regress analys control sever covari examin relationship built environ featur physic inactivityresult final regress model indic comparison youth live least walkabl neighbourhood risk physic inact higher youth live neighbourhood remain three walkabl quartil comparison youth live neighbourhood highest densiti culdesac risk physic inact higher youth live neighbourhood lowest two quartil comparison youth live neighbourhood least amount park space risk physic inact higher youth live neighbourhood moder high quartil park space popul attribut risk estim suggest physic inact within popul attribut live walkabl neighbourhood attribut live neighbourhood low densiti culdesac attribut live neighbourhood moder high amount park spaceconclus neighbourhood built environ exposur variabl measur studi three high associ inact walkabl densiti culdesac park space associ featur youth activ level opposit direct previous report adult younger children

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