Investigating the Relationship Between Accessibility of Green Space and Adult Obesity Rates: A Secondary Data Analysis in the United States.

OBJECTIVES: In spite of the importance of green space for reducing obesity-related problems, there has been little exploration of whether access to green space (e.g., parks and recreational facilities) influences the obesity rate of adults in the United States. The purpose of the study was to investigate the relationships among accessibility of green space, obesity rates, and socioeconomic and demographic variables among adults living in the State of Indiana, United States. METHODS: We conducted a secondary data analysis to investigate the relationships among accessibility to green space, obesity rates, and socio-demographic variables with employing Geographic Information System in order to measure the accessibility of green space. RESULTS: This study found that accessibility of green space served as a strong predictor of reduced obesity rates among adults (ß=-2.478; p<0.10). In addition, adults with higher education levels, as well as better access to green space, were found to have even lower obesity rates (ß=-0.188; p<0.05). Other control variables such as unemployment rates, food security, and physical inactivity are additional factors that influence obesity rates among adults. CONCLUSIONS: Accessibility of green space may play an important role in facilitating physical activity participation and reducing obesity rates.

Influence of urban green open space on residents' physical activity in China.

BACKGROUND: Urban green open space is a valuable resource for physical activities of urban inhabitants and has the potential to reduce chronic illness and improve health. Research on the relationships between green open space and physical activity is incomplete and limited in China. Thus, the study examines how the urban green open space contributes to physical activity. METHODS: A questionnaire was designed based on the social ecology theory to investigate the physical activity of 513 residents in urban green open space. We use the time and frequency of residents exercising in urban green space to measure physical activity, and use the factor analysis to synthesize a large number of original factors (i.e., infrastructure, safety, accessibility, landscape quality, and space environment) into relatively few composite indicators. Based on the collected data of the cross-sectional population, the Order Probit regression model was constructed to analyze how urban green open space affects the residents' physical activity from the perspective of social ecology. RESULTS: ① in community factors: accessibility is significantly positive correlation with residents' physical activity, and there is no significant correlation between safety and physical activity; ②in natural factors: space environment and landscape quality are not significantly correlated with residents' physical activity; ③ in built environmental factors: infrastructures, the area of green space, the size of open space, and entertainment facilities are significantly correlated to residents' activity. Basketball courts, volleyball courts, swimming pools, and sports equipment will promote physical activity; ④ apart from the attributes of green open space, other factors are significantly correlated to physical activity in the green open space, e.g. having a companion. CONCLUSIONS: Urban green open space plays an important role in promoting physical activity especially among the women and the old, and improving the attributes (such as accessibility, infrastructures, the area of green space, the size of open space and entertainment facilities) of the urban green open space and trying to set up group sports proper to play with companion (like "square dancing" and "Tai Chi") can promote Chinese residents' physical activity so as to improve public health. The results are significant to facilitate environment health.

What Characteristics of Urban Green Spaces and Recreational Activities Do Self-Reported Stressed Individuals Like? A Case Study of Baoji, China.

Several studies have revealed the positive effects of green space and certain activities on counteracting the physical and mental pressure felt by human beings. However, how self-reported stressed people perceive restorative green spaces, their preferences for specific characteristics and activities, and what characteristics of urban green space can induce various types of activities for stress recovery has not been fully examined in the high-density cities of China. Using an on-site questionnaire survey conducted in the People's Park (PP) in Baoji, China, this study is the first to consider the relationship among eight sensory dimensions, activity types and stress recovery in Chinese green space. Results showed that the highest-stressed respondents were more likely to spend their time in multi-layered woodlands adjacent to water, with more experiences of serene but less about prospect. They preferred serene dimension more, while the culture and social dimensions were least preferred. Sports and leisure activities and quiet activities were the most popular among highest-stressed respondents, which were positively related to the serene and nature dimensions, respectively. Results suggested that the most restorative environment for stress recovery can be regarded as multi-layered woodlands adjacent to water with more serene and nature, less prospect and few or no culture and social dimensions.

Cardiovascular diseases in middle aged and older adults in China: the joint effects and mediation of different types of physical exercise and neighborhood greenness and walkability.

BACKGROUND: Both physical exercise and the built environment are associated with cardiovascular diseases (CVDs). Yet, the influence of the multiple dimensions of the built environment and different types of physical exercise on CVDs is not well understood. Further, little is known about the joint effects of physical exercise and the built environment, nor whether one mediates the effect of the other on the risk of CVDs. We aim to investigate the risk of CVDs on middle aged and older Chinese adult populations by analyzing the independent effects, as well as potential interactions and mediation effects of different types of physical exercise and two dimensions of the built environment; namely, greenness and walkability. METHODS: Data were collected from a community-based cross-sectional study (n = 1944). The study participants, aged 40 years or older, came from 32 communities across urban, suburban, and rural areas in Longzihu district of Bengbu, a typical second-tier city in eastern China. Physical exercise data were obtained from the International Physical Activity Questionnaire (IPAQ) question survey. We used a satellite-based Normalized Difference Vegetation Index (NDVI) score to assess greenness exposure. We used both the Walk Score index and the Neighborhood Environment Walkability Scale (NEWS) to assess walkability. Multilevel logistic regression, also known as mixed-effects logistic regression, was used to estimate the associations between physical exercise and the built environment (greenness and walkability) on CVD outcomes while accounting for within-community and within-subdistrict correlations. We followed Baron and Kenny's framework and used bootstrapping to quantify the mediation of physical exercise between built environment and CVD outcomes. Stratified analysis was conducted by age (middle aged and older adults) and gender. RESULTS: Compared to the reference group with little to low physical activities, we found a significantly reduced risk of hypertension (about 20-45% reduction) and coronary heart disease (about 35-55% reduction) among those with moderate to high activities in walking/square dancing or morning exercising/Tai Chi, and a significantly reduced risk of stroke (about 25% reduction) among those with moderate to high activities in walking/square dancing. Compared to the reference group with low NDVI-based greenness exposure, we found a significant reduction in risk of hypertension (about 55-85% reduction), coronary heart disease (about 75% reduction) and stroke (about 45% reduction) among those with moderate to high levels of exposure. Compared to the reference groups with low walkability, we observed about 30-60% lower risk of hypertension and coronary heart disease associated with moderate to high levels of Walk score, and about 20-30% lower risk of hypertension and stroke associated with moderate to high levels of NEWS-based walkability. We found no interactions between physical exercise and the built environment. The associations of greenness and walkability with CVDs were partially explained by physical exercise (up to 55% of the total effect). CONCLUSIONS: Both physical exercise and built environment factors were associated with the risk of CVDs. Our observed association between CVDs and neighborhood greenness exposure and walkability was explained, in part, by physical exercises. Such a role, if confirmed in future studies, could have important implications for policies and programs aimed at increasing green spaces and improving walkability in both urban and rural settings as strategies to promote physical exercise in middle aged and older population.

Establishing Radiological Screening Levels for Defense-related Uranium Mine (DRUM) Sites on BLM Land Using a Recreational Future-use Scenario.

Thousands of former uranium mining sites in the United States, primarily in the southwestern states of Colorado, Arizona, New Mexico, Arizona, and Utah, are being identified and evaluated to assess their potential for causing public and environmental impacts. The common radiological contaminant of concern that characterizes these sites is naturally occurring uranium ore and associated wastes that may have been left behind postmining. The majority of these sites were abandoned and in general, are referred to as abandoned uranium mines, regardless of the government authority currently managing the land or in some cases, assigned responsibility for the oversight of assessment and remediation. The U.S. Department of Energy has identified over 4,000 defense-related uranium mine sites from which uranium ore was purchased by the U.S. government for nuclear defense programs prior to 1970. U.S. Department of Energy has established a program to inventory and perform environmental screening on defense-related uranium mine sites. The focus of this paper is the approximately 2,400 defense-related uranium mine sites located on federal land managed by the Bureau of Land Management and the U.S. Forest Service. This paper presents the results of an analysis to develop radiological screening criteria for U.S. Department of Energy's defense-related uranium mine sites that can be used as input to the overall ranking of these sites for prioritization of additional assessment, reclamation, or remedial actions. For these sites managed by Bureau of Land Management, public access is typically limited to short-term use, primarily for recreational purposes. This is a broad category that can cover a range of possible activities, including camping, hiking, hunting, biking, all-terrain vehicle use, and horseback riding. The radiological screening levels were developed by calculating the radiological dose to future recreational users of defense-related uranium mine sites assuming a future camper spends two weeks per year at the site engaged in recreational activities. Although a number of possible exposure pathways were included in this analysis (inhalation and ingestion of dust and soil, radon and progeny inhalation, and gamma radiation exposure from the soil), it is desirable as a practical matter to determine what gamma exposure rate would ensure that the annual acceptable exposure as determined by the regulatory authority will not be exceeded in the future. Because these sites are generally remote and located in semiarid environments, traditional exposure scenarios often applied in these types of analyses (e.g., subsistent farmers and ranchers), including exposure pathways for the ingestion of locally grown food products and water, were not considered relevant to short-term recreational use.

How Urban Parks Offer Opportunities for Physical Activity in Dublin, Ireland.

Parks are an important part of the urban fabric of cities. They offer people the opportunity to connect with nature, engage in physical activity, find a haven away from the city noise, or spend time alone or with family and friends. This study examines the relative importance of park and park visit characteristics for 865 survey participants in Dublin, Ireland. The data is analyzed using a multinomial logistic regression model which can distinguish the relative importance of attributes. The model results demonstrate an improvement over proportional by chance accuracy, indicating that the model is useful. The results suggest that when and why individuals go to the park along with the proximity of their residence to the park influence visit frequency more than their age and gender and more than their impression of the sound levels in the park. The contribution of the results, in terms of their potential usefulness to planners, suggest that the priority should be on the provision of park space close to residential areas, so that individuals can engage in activities such as walking and relaxation, and that the quality of that space, in the context of noise levels at least, is less important.

Environmental Determinants of Aggression in Adolescents: Role of Urban Neighborhood Greenspace.

OBJECTIVE: Neighborhood greenspace improves mental health of urban-dwelling populations, but its putative neurobehavioral benefits in adolescents remain unclear. We conducted a prospective study on urban-dwelling adolescents to examine the association between greenspace in residential neighborhood and aggressive behaviors. METHOD: Participants (n = 1,287) of the Risk Factors for Antisocial Behavior Study, a multi-ethnic cohort of twins and triplets born in 1990 to 1995 and living in Southern California, were examined in 2000 to 2012 (aged 9-18 years) with repeated assessments of their aggressive behaviors by the parent-reported Child Behavior Checklist. Normalized Difference Vegetation Index (NDVI) derived from satellite imagery was used as a proxy for residential neighborhood greenspace aggregated over various spatiotemporal scales before each assessment. Multilevel mixed-effects models were used to estimate the effects of greenspace on aggressive behaviors, adjusting for within-family/within-individual correlations and other potential confounders. RESULTS: Both short-term (1- to 6-month) and long-term (1- to 3-year) exposures to greenspace within 1,000 meters surrounding residences were associated with reduced aggressive behaviors. The benefit of increasing vegetation over the range (∼0.12 in NDVI) commonly seen in urban environments was equivalent to approximately 2 to 2.5 years of behavioral maturation. Sociodemographic factors (e.g., age, gender, race/ethnicity, and socioeconomic status) and neighborhood quality did not confound or modify these associations, and the benefits remained after accounting for temperature. CONCLUSION: Our novel findings support the benefits of neighborhood greenspace in reducing aggressive behaviors of urban-dwelling adolescents. Community-based interventions are needed to determine the efficacy of greenspace as a preemptive strategy to reduce aggressive behaviors in urban environments.