Association of Perceived Built Environment Attributes with Objectively Measured Physical Activity in Community-Dwelling Ambulatory Patients with Stroke

Masashi Kanai, Kazuhiro P. Izawa, Hiroki Kubo, Masafumi Nozoe, Kyoshi Mase, Mohammad Javad Koohsari, Koichiro Oka and Shinichi Shimada
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Masashi Kanai: Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami 664-0028, Japan
Kazuhiro P. Izawa: Department of Public Health, Kobe University Graduate School of Health Sciences, Kobe 654-0142, Japan
Hiroki Kubo: Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami 664-0028, Japan
Masafumi Nozoe: Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women’s University, Kobe 658-0001, Japan
Kyoshi Mase: Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women’s University, Kobe 658-0001, Japan
Mohammad Javad Koohsari: Faculty of Sport Sciences, Waseda University, Tokorozawa 359-1192, Japan
Koichiro Oka: Cardiovascular Stroke Renal Project (CRP), Kobe 654-0142, Japan
Shinichi Shimada: Department of Public Health, Kobe University Graduate School of Health Sciences, Kobe 654-0142, Japan

IJERPH, 2019, vol. 16, issue 20, 1-8

Abstract: There is little evidence on how perceptions of the built environment may influence physical activity among post-stroke patients. This study aimed to explore the associations between perceived built environment attributes and objectively measured physical activity outcomes in community-dwelling ambulatory patients with stroke. This cross-sectional study recruited patients who could walk outside without assistance. We assessed both objectively measured physical activity outcomes such as number of steps and duration of moderate-to-vigorous physical activity (MVPA) with an accelerometer and the patients’ perceived surrounding built environment with the International Physical Activity Questionnaire Environmental Module. Sixty-one patients (67.0 years old) were included. The multiple linear regression analysis showed significant associations of the presence of sidewalks (β = 0.274, p = 0.016) and access to recreational facilities (β = 0.284, p = 0.010) with the number of steps taken (adjusted R 2 = 0.33). In contrast, no significant associations were found between perceived built environment attributes and MVPA. These findings may help to suggest an approach to promote appropriate physical activity in patients with stroke depending on their surrounding built environment.

Keywords: physical activity; urban design; cerebrovascular disease; stroke rehabilitation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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