Int J Health Geogr - Characteristics of residential areas and transportational walking among frail and non-frail Dutch elderly: does the size of the area matter?

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Resumo

CKGROUND: A residential area supportive for walking may facilitate elderly to live longer independently. However, current evidence on area characteristics potentially important for walking among older persons is mixed. This study hypothesized that the importance of area characteristics for transportational walking depends on the size of the area characteristics measured, and older person's frailty level.METHODS: The study population consisted of 408 Dutch community-dwelling persons aged 65 years and older participating in the Elderly And their Neighborhood (ELANE) study in 2011-2012. Characteristics (aesthetics, functional features, safety, and destinations) of areas surrounding participants' residences ranging from a buffer of 400 meters up to 1600 meters (based on walking path networks) were linked with self-reported transportational walking using linear regression analyses. In addition, interaction effects between frailty level and area characteristics were tested.RESULTS: An increase in functional features (e.g. presence of sidewalks and benches) within a 400 meter buffer, in aesthetics (e.g. absence of litter and graffiti) within 800 and 1200 meter buffers, and an increase of one destination per buffer of 400 and 800 meters were associated with more transportational walking, up to 2.89 minutes per two weeks (CI 1.07-7.32; p<0.05). No differences were found between frail and non-frail elderly.CONCLUSIONS: Better functional and aesthetic features, and more destinations in the residential area of community-dwelling older persons were associated with more transportational walking. The importance of area characteristics for transportational walking differs by area size, but not by frailty level. Neighbourhood improvements may increase transportational walking among older persons, thereby contributing to living longer independently.

Resumo Limpo

ckground residenti area support walk may facilit elder live longer independ howev current evid area characterist potenti import walk among older person mix studi hypothes import area characterist transport walk depend size area characterist measur older person frailti levelmethod studi popul consist dutch communitydwel person age year older particip elder neighborhood elan studi characterist aesthet function featur safeti destin area surround particip resid rang buffer meter meter base walk path network link selfreport transport walk use linear regress analys addit interact effect frailti level area characterist testedresult increas function featur eg presenc sidewalk bench within meter buffer aesthet eg absenc litter graffiti within meter buffer increas one destin per buffer meter associ transport walk minut per two week ci p differ found frail nonfrail elderlyconclus better function aesthet featur destin residenti area communitydwel older person associ transport walk import area characterist transport walk differ area size frailti level neighbourhood improv may increas transport walk among older person therebi contribut live longer independ

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