Hosler Akiko S, Gallant Mary P, Riley-Jacome Mary, Rajulu Deepa T
Department of Epidemiology and Biostatistics, University at Albany School of Public Health, One University Place, Rensselaer, NY 12144, USA.
Department of Health Policy, Management and Behavior, University at Albany School of Public Health, One University Place, Rensselaer, NY 12144, USA.
J Environ Public Health. 2014;2014:542123. doi: 10.1155/2014/542123. Epub 2014 Mar 26.
Little is known about the relationship between objectively measured walkability and walking for exercise among adults with diabetes. Information regarding walking behavior of adults with diabetes residing in 3 Upstate New York counties was collected through an interview survey. Walkability measures were collected through an environmental audit of a sample of street segments. Overall walkability and 4 subgroup measures of walkability were aggregated at the ZIP level. Multivariate logistic regression was used for analysis. Study participants (n = 208) were 61.0% female, 56.7% non-Hispanic White, and 35.1% African-American, with a mean age of 62.0 years. 108 participants (51.9%) walked for exercise on community streets, and 62 (29.8%) met the expert-recommended level of walking for ≥150 minutes/week. After adjustment for age, gender, race/ethnicity, education, BMI, physical impairment, and social support for exercise, walking any minutes/week was associated with traffic safety (OR 1.34, 95% CI 1.15-1.65). Walking ≥150 minutes/week was associated with overall walkability of the community (2.65, 1.22, and 5.74), as well as sidewalks (1.73, 1.12-2.67), street amenity (2.04, 1.12-3.71), and traffic safety (1.92, 1.02-3.72). This study suggests that walkability of the community should be an integral part of the socioecologic approach to increase physical activity among adults with diabetes.
对于糖尿病成年人中客观测量的步行便利性与锻炼性步行之间的关系，人们了解甚少。通过访谈调查收集了居住在纽约州北部3个县的糖尿病成年人的步行行为信息。通过对街道段样本进行环境审计收集步行便利性指标。总体步行便利性以及4个步行便利性亚组指标在邮政编码级别进行汇总。采用多变量逻辑回归进行分析。研究参与者（n = 208）中，女性占61.0%，非西班牙裔白人占56.7%，非裔美国人占35.1%，平均年龄为62.0岁。108名参与者（51.9%）在社区街道上进行锻炼性步行，62名（29.8%）达到专家推荐的每周步行≥150分钟的水平。在对年龄、性别、种族/族裔、教育程度、体重指数、身体损伤以及锻炼的社会支持进行调整后，每周步行任意分钟数与交通安全相关（比值比1.34，95%置信区间1.15 - 1.65）。每周步行≥150分钟与社区的总体步行便利性（2.65、1.22和5.74）、人行道（1.73，1.12 - 2.67）、街道设施（2.04，1.12 - 3.71）以及交通安全（1.92，1.02 - 3.72）相关。这项研究表明，社区的步行便利性应成为增加糖尿病成年人身体活动的社会生态方法的一个组成部分。
