@article{ref1,
title="High Neighborhood Walkability Mitigates Declines in Middle-to-Older Aged Adults' Walking for Transport",
journal="Journal of physical activity and health",
year="2013",
author="Shimura, Hiroko and Sugiyama, Takemi and Winkler, Elisabeth and Owen, Neville",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Neighborhood walkability shows significant positive relationship with residents' walking for transport in cross-sectional studies. We examined prospective relationships of neighborhood walkability with the change in walking behaviors over four years among middle-to-older aged adults (50 to 65 years) residing in Adelaide, Australia. METHODS: A baseline survey was conducted during 2003-2004, and a follow-up survey during 2007-2008. Walking for transport and walking for recreation were assessed at both times among 504 adults aged 50-65 years living in objectively-determined high- and low-walkable neighborhoods. Multi-level linear regression analyses examined the associations of neighborhood walkability with changes over four years in walking for transport and walking for recreation. RESULTS: On average, participants decreased their time spent in walking for transport (-4.1 minutes/day) and for recreation (-3.7 minutes/day) between the baseline and four-year follow-up. However, those living in high-walkable neighborhoods showed significantly smaller reduction (adjusted mean change: -1.1 minutes/day) in their time spent in walking for transport than did those living in low-walkable neighborhoods (-6.7 minutes/day). No such statistically-significant differences were found with the changes in walking for recreation. CONCLUSIONS: High-walkable neighborhoods may help middle-to-older aged adults to maintain their walking for transport.<p /> <p>Language: en</p>",
language="en",
issn="1543-3080",
doi="",
url="http://dx.doi.org/"
}