Mediterranean Built Environment and Precipitation as Modulator Factors on Physical Activity in Obese Mid-Age and Old-Age Adults with Metabolic Syndrome: Cross-Sectional Study

Antoni Colom, Maurici Ruiz, Julia Wärnberg, Montserrat Compa, Josep Muncunill, Francisco Javier Barón-López, Juan Carlos Benavente-Marín, Elena Cabeza, Marga Morey, Montserrat Fitó, Jordi Salas-Salvadó and Dora Romaguera
Additional contact information
Antoni Colom: Instituto de Investigación Sanitaria Illes Balears (IdISBa), University Hospital Son Espases, Palma de 07120 Mallorca, Spain
Maurici Ruiz: Servicio de SIG y Teledetección, Vicerectorat d’Innovació i Transferència, Universitat de les Illes Balears, 07120 Palma de Mallorca, Spain
Julia Wärnberg: CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, 28029 Madrid, Spain
Montserrat Compa: Centro Oceanográfico de Baleares, Instituto Español de Oceanografía, 07015 Palma, Spain
Josep Muncunill: Instituto de Investigación Sanitaria Illes Balears (IdISBa), University Hospital Son Espases, Palma de 07120 Mallorca, Spain
Francisco Javier Barón-López: CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, 28029 Madrid, Spain
Juan Carlos Benavente-Marín: Departamento de Salud Pública, Facultad de Medicina, Universidad de Málaga—Instituto de Investigación en Biomedicina (IBIMA), 29010 Málaga, Spain
Elena Cabeza: Grup d’investigació en Salut Pública de les Illes Balears (GISPIB)—IdiSBa, Servei de promoció de la salut, DG Salut Pública i Participació, Conselleria de Salut, 07010 Palma, Spain
Marga Morey: Instituto de Investigación Sanitaria Illes Balears (IdISBa), University Hospital Son Espases, Palma de 07120 Mallorca, Spain
Montserrat Fitó: CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, 28029 Madrid, Spain
Jordi Salas-Salvadó: CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, 28029 Madrid, Spain
Dora Romaguera: Instituto de Investigación Sanitaria Illes Balears (IdISBa), University Hospital Son Espases, Palma de 07120 Mallorca, Spain

IJERPH, 2019, vol. 16, issue 5, 1-17

Abstract: When promoting physical activity (PA) participation, it is important to consider the plausible environmental determinants that may affect this practice. The impact of objectively-measured public open spaces (POS) and walk-friendly routes on objectively-measured and self-reported PA was explored alongside the influence of rainy conditions on this association, in a Mediterranean sample of overweight or obese senior adults with metabolic syndrome. Cross-sectional analyses were undertaken on 218 PREDIMED-Plus trial participants aged 55–75 years, from the city of Palma, in Mallorca (Spain). Indicators of access to POS and walk-friendly routes were assessed in a 1.0 and 0.5 km sausage network walkable buffers around each participant’s residence using geographic information systems. Mean daily minutes of self-reported leisure-time brisk walking, and accelerometer objectively-measured moderate-to-vigorous PA in bouts of at least 10 min (OM-MVPA) were measured. To investigate the association between access to POS and walk-friendly routes with PA, generalized additive models with a Gaussian link function were used. Interaction of rainy conditions with the association between access to POS and walk-friendly routes with OM-MVPA was also examined. Better access to POS was not statistically significantly associated with self-reported leisure-time brisk walking or OM-MVPA. A positive significant association was observed only between distance of walk-friendly routes contained or intersected by buffer and OM-MVPA, and was solely evident on non-rainy days. In this elderly Mediterranean population, only access to walk-friendly routes had an influence on accelerometer-measured PA. Rainy conditions during the accelerometer wear period did appear to modify this association.

Keywords: physical activity; accelerometer; leisure; walking; built environment; public open space; GIS; weather; elderly; senior adults; PREDIMED-Plus trial (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 (1)

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