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Neighbourhood environment, sitting time and motorised transport in older adults: a cross-sectional study in Hong Kong

Barnett, Anthony, Cerin, Ester, Ching, Claudia S-K, Johnston, Janice M. and Lee, Ruby S.Y. 2015, Neighbourhood environment, sitting time and motorised transport in older adults: a cross-sectional study in Hong Kong, BMJ Open, vol. 5, no. 4, Article no: e007557, pp. 1-11, doi: 10.1136/bmjopen-2014-007557.

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Title Neighbourhood environment, sitting time and motorised transport in older adults: a cross-sectional study in Hong Kong
Author(s) Barnett, Anthony
Cerin, Ester
Ching, Claudia S-K
Johnston, Janice M.
Lee, Ruby S.Y.
Journal name BMJ Open
Volume number 5
Issue number 4
Season Article no: e007557
Start page 1
End page 11
Total pages 11
Publisher BMJ Journals
Place of publication London, Eng.
Publication date 2015
ISSN 2044-6055
Keyword(s) Hong Kong
Neighbourhood
Older adults
Sitting
Walkability
Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
PHYSICAL-ACTIVITY QUESTIONNAIRE
CHINESE URBAN ELDERS
SEDENTARY BEHAVIOR
UNITED-STATES
WALKING
RELIABILITY
VALIDITY
ASSOCIATIONS
HEALTH
ATTRIBUTES
Summary OBJECTIVES: Sitting time is a public health concern. This study examined associations of objectively measured neighbourhood environmental attributes with non-transport sitting time and motorised transport in 484 Hong Kong older adults. Neighbourhood attributes encouraging walking may help older adults replace some sitting time at home and on motorised transport with light-to-moderate-intensity activities such as strolling around the neighbourhood or walking to/from neighbourhood destinations. Thus, we hypothesised environmental attributes found to be related to walking would show associations with non-transport sitting time and motorised transport opposite to those seen for walking. DESIGN: Cross-sectional. SETTING: Hong Kong, an ultradense urban environment. PARTICIPANTS: 484 ethnic Chinese Hong Kong residents aged 65+ recruited from membership lists of four Hong Kong Elderly Health Centres representing catchment areas of low and high transport-related walkability stratified by socioeconomic status (response rate: 78%). PRIMARY AND SECONDARY OUTCOME MEASURES: Attributes of participants' neighbourhood environments were assessed by environmental audits, while non-transport sitting time and motorised transport were ascertained using the International Physical Activity Questionnaire-Long Form (Chinese version). RESULTS: Daily non-transport sitting minutes were 283 (SD=128) and motorised transport 23 (SD=28). Prevalence of signs of crime/disorder, streetlights, public facilities (toilets and benches) and pedestrian safety were independently negatively related, and sloping streets positively related, to sitting outcomes. Places of worship in the neighbourhood were predictive of more, and prevalence of public transit points of less, non-transport sitting. Associations of either or both sitting outcomes with prevalence of food/grocery stores and presence of parks were moderated by path obstructions and signs of crime/disorder. CONCLUSIONS: The findings suggest that access to specific destinations and relatively low-cost, minimal impact modifications to the urban form, such as street lighting, public toilets, benches and public transit points, could potentially reduce sitting time and associated negative health outcomes in Hong Kong older adults.
Language eng
DOI 10.1136/bmjopen-2014-007557
Field of Research 111712 Health Promotion
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2015, BMJ Journals
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30075012

Document type: Journal Article
Collections: School of Exercise and Nutrition Sciences
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.