Walkability and its association with walking/cycling and body mass index among adults in different regions of Germany: a cross-sectional analysis of pooled data from five German cohorts.
BMJ Open
; 10(4): e033941, 2020 04 28.
Article
em En
| MEDLINE
| ID: mdl-32350013
ABSTRACT
OBJECTIVES:
To examine three walkability measures (points of interest (POI), transit stations and impedance (restrictions to walking) within 640 m of participant's addresses) in different regions in Germany and assess the relationships between walkability, walking/cycling and body mass index (BMI) using generalised additive models.SETTING:
Five different regions and cities of Germany using data from five cohort studies.PARTICIPANTS:
For analysing walking/cycling behaviour, there were 6269 participants of a pooled sample from three cohorts with a mean age of 59.2 years (SD 14.3) and of them 48.9% were male. For analysing BMI, there were 9441 participants of a pooled sample of five cohorts with a mean age of 62.3 years (SD 12.8) and of them 48.5% were male.OUTCOMES:
(1) Self-reported walking/cycling (dichotomised into more than 30 min and 30 min and less per day; (2) BMI calculated with anthropological measures from weight and height.RESULTS:
Higher impedance was associated with lower prevalence of walking/cycling more than 30 min/day (prevalence ratio (PR) 0.95; 95% CI 0.93 to 0.97), while higher number of POI and transit stations were associated with higher prevalence (PR 1.03; 95% CI 1.02 to 1.05 for both measures). Higher impedance was associated with higher BMI (ß 0.15; 95% CI 0.04 to 0.25) and a higher number of POI with lower BMI (ß -0.14; 95% CI -0.24 to 0.04). No association was found between transit stations and BMI (ß 0.005, 95% CI -0.11 to 0.12). Stratified by cohort we observed heterogeneous associations between BMI and transit stations and impedance.CONCLUSION:
We found evidence for associations of walking/cycling with walkability measures. Associations for BMI differed across cohorts.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ciclismo
/
Índice de Massa Corporal
/
Caminhada
/
Planejamento Ambiental
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
BMJ Open
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Alemanha