TY - JOUR PY - 2022// TI - Walkable neighborhoods and cognition: implications for the design of health promoting communities JO - Journal of aging and health A1 - Sylvers, Dominique L. A1 - Hicken, Margaret A1 - Esposito, Michael A1 - Manly, Jennifer A1 - Judd, Suzanne A1 - Clarke, Philippa SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: This study seeks to examine neighborhood characteristics, physical activity, and health status and their roles in promoting healthy cognitive aging.

METHODS: Using data from the REasons for Geographic And Racial Difference in Stroke (REGARDS) study (N=10,289, mean age=73.4 years), we used multilevel linear regression to examine the relationships between walkable neighborhoods (both objectively measured and subjective perceptions), walking behavior, physical activity, health status, and cognitive function.

RESULTS: Engaging in any moderate physical activity (β=0.47, p < 0.001), having better health status (β=0.02, p < 0.001), living in neighborhoods with greater street connectivity (β=0.15, p < 0.05), and positive perceptions of neighborhood traffic (p < 0.01) and parks (p < 0.05), were associated with higher cognitive function. Residence in socioeconomically disadvantaged neighborhoods (β=-0.01, p < 0.01) was negatively associated with cognitive function.

DISCUSSION: Both perceived and objective features of walkable environments may have consequences for cognitive health, and can inform the development of health promoting communities.

Language: en

LA - en SN - 0898-2643 UR - http://dx.doi.org/10.1177/08982643221075509 ID - ref1 ER -