4.3 Article

Built Environment and Frailty: Neighborhood Perceptions and Associations With Frailty, Experience From the Nagoya Longitudinal Study

Journal

JOURNAL OF APPLIED GERONTOLOGY
Volume 40, Issue 6, Pages 609-619

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/0733464820912663

Keywords

built environment; frailty index; healthy aging; neighborhood environment; physical activity

Categories

Funding

  1. Beacon of Enlightenment Scholarship - University of Adelaide, Australia
  2. Hospital Research Foundation

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Research shows a strong association between frailty levels in older adults and their perceptions of the neighborhood environment. Older adults with higher frailty levels tend to have poorer perceptions of their neighborhoods.
Neighborhood physical characteristics have been consistently associated with the health of older adults. This article investigates links between frailty and perceptions of the neighborhood environment. Using a cross-sectional analysis of 370 community-dwelling older adults from Nagoya, Japan, neighborhood perceptions were assessed using the Neighborhood Environmental Walkability Scale (NEWS) in addition to frailty, using a frailty index. Frailty was associated with the NEWS composite index, land use mix diversity, land use mix access, street connectivity, walking infrastructure, aesthetics, and crime safety, after adjustment for covariates. Older adults with increasing frailty have poorer perceptions of their neighborhoods, which could lead to further constriction of the life-space, less social and physical engagement, and worsening of frailty status.

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