期刊
AMERICAN JOURNAL OF PUBLIC HEALTH
卷 104, 期 3, 页码 E49-E56出版社
AMER PUBLIC HEALTH ASSOC INC
DOI: 10.2105/AJPH.2013.301773
关键词
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资金
- National Institutes of Health (NIH), National Heart, Lung, and Blood Institute [N01-HC-95159, N01-HC-95160, N01-HC-95161, N01-HC-95162, N01-HC-95163, N01-HC-95164, N01-HC-95165, N01-HC-95166, N01-HC-95167, N01-HC-95168, N01-HC-95169]
- NIH [2R01 HL071759]
- Robert Wood Johnson Foundation (RWJF), Active Living Research Program [52319]
- Rockefeller Foundation
- RWJF [12115, 12116]
Objectives. We investigated whether moving to neighborhoods with closer proximity of destinations and greater street connectivity was associated with more walking, a greater probability of meeting the Every Body Walk! campaign goals (>= 150 minutes/week of walking), and reductions in body mass index (BMI). Methods. We linked longitudinal data from 701 participants, who moved between 2 waves of the Multi-Ethnic Study of Atherosclerosis (2004-2012), to a neighborhood walkability measure (Street Smart Walk Score) for each residential location. We used fixed-effects models to estimate if changes in walkability resulting from relocation were associated with simultaneous changes in walking behaviors and BMI. Results. Moving to a location with a 10-point higher Walk Score was associated with a 16.04 minutes per week (95% confidence interval [CI] = 5.13, 29.96) increase in transport walking, 11% higher odds of meeting Every Body Walk! goals through transport walking (adjusted odds ratio = 1.11; 95% CI = 1.02, 1.21), and a 0.06 kilogram per meters squared (95% CI = -0.12, -0.01) reduction in BMI. Change in walkability was not associated with change in leisure walking. Conclusions. Our findings illustrated the potential for neighborhood infrastructure to support health-enhancing behaviors and overall health of people in the United States.
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