Social Epidemiology and Evaluation Research Group, Sansom Institute for Health Research, Division of Health Sciences, GPO Box 2471, CEA-01, City East Campus, University of South Australia, Adelaide 5001, Australia.
Health Place. 2013 May;21:163-9. doi: 10.1016/j.healthplace.2013.01.009. Epub 2013 Feb 8.
Walkability of residential environments has been associated with more walking. Given the health benefits of walking, it is expected that people living in locations with higher measured walkability should have a lower risk of cardiometabolic diseases. This study tested the hypothesis that higher walkability was associated with a lower cardiometabolic risk (CMR) for two administrative spatial units and three road buffers. Data were from the North West Adelaide Health Study first wave of data collected between 2000 and 2003. CMR was expressed as a cumulative sum of six clinical risk markers, selected to reflect components of the metabolic syndrome. Walkability was based on an established methodology and operationalised as dwelling density, intersection density, land-use mix and retail footprint. Walkability was associated with lower CMR for the three road buffer representations of the built environment but not for the two administrative spatial units. This may indicate a limitation in the use of administrative spatial units for analyses of walkability and health outcomes.
居住环境的可步行性与更多的步行有关。鉴于步行的健康益处，人们预计居住在可测量步行性更高的地方的人患心血管代谢疾病的风险应该更低。本研究检验了这样一个假设，即更高的可步行性与两个行政空间单位和三个道路缓冲区的较低心血管代谢风险（CMR）相关。数据来自于 2000 年至 2003 年期间进行的北阿德莱德健康研究第一波数据。CMR 表示为六个临床风险标志物的累积和，这些标志物被选择来反映代谢综合征的组成部分。可步行性是基于已建立的方法，并将其表示为居住密度、交叉口密度、土地利用混合和零售足迹。在三种道路缓冲区表示的建筑环境中，可步行性与较低的 CMR 相关，但与两个行政空间单位无关。这可能表明在分析可步行性和健康结果时，行政空间单位的使用存在局限性。
