Garland Elizabeth, Garland Victoria, Peters Dominique, Doucette John, Thanik Erin, Rajupet Sritha, Sanchez Sadie H
Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, Box 1043, New York, NY 10029, United States.
Prev Med Rep. 2018 Jan 31;10:9-14. doi: 10.1016/j.pmedr.2018.01.015. eCollection 2018 Jun.
This pilot study investigates the impact of active design (AD) strategies on physical activity (PA) among adults living in two Leadership in Energy and Environmental Design (LEED) certified affordable housing developments in the South Bronx, New York. One building incorporates LEED Innovation in Design (ID) Credit: Design for Health through Increased Physical Activity. Tenants in an affordable housing building (AH) incorporating active design strategies completed PA self-assessments at their lease signing and one year later in 2015. Trained research assistants obtained body measurements. Residents of neighboring non-AD affordable housing (MCV) served as a comparison. Thirty four adults were recruited from AH and 29 from MCV, retention was 56% (n = 19) and 52% (n = 15) respectively at one year. The two groups' body mass index (BMI) and high-risk waist-to-hip ratio (WHR) were not statistically significantly different when analyzed as continuous variables, although BMI category had a greater decline at AH than at MCV (p = 0.054). There was a 31.5% increase in AH participants meeting MPA requirements and a statistically significant improvement in females (p = 0.031); while there was no change in the MCV participants overall or when stratified by gender. AH participants were significantly more likely to have reported increased stair use and less likely to have reported no change or decreased stair use than participants from MCV participants (p = 0.033). Housing has a role in individual health outcomes and behavior change, broad adoption of active design strategies in affordable housing is warranted to improve physical activity measures.
这项试点研究调查了主动设计（AD）策略对居住在纽约市布朗克斯南部两个获得能源与环境设计先锋奖（LEED）认证的经济适用房开发区的成年人身体活动（PA）的影响。其中一栋建筑采用了LEED设计创新（ID）信用：通过增加身体活动促进健康设计。一栋采用主动设计策略的经济适用房（AH）的租户在签订租约时以及2015年一年后完成了身体活动自我评估。训练有素的研究助理进行了身体测量。邻近的非主动设计经济适用房（MCV）的居民作为对照。从AH招募了34名成年人，从MCV招募了29名成年人，一年后的保留率分别为56%（n = 19）和52%（n = 15）。将两组的体重指数（BMI）和高风险腰臀比（WHR）作为连续变量进行分析时，差异无统计学意义，尽管AH组的BMI类别下降幅度大于MCV组（p = 0.054）。达到MPA要求的AH参与者增加了31.5%，女性有统计学意义的改善（p = 0.031）；而MCV参与者总体上或按性别分层时没有变化。与MCV参与者相比，AH参与者报告增加楼梯使用的可能性显著更高，报告楼梯使用无变化或减少的可能性显著更低（p = 0.033）。住房在个人健康结果和行为改变中发挥作用，有必要在经济适用房中广泛采用主动设计策略来改善身体活动指标。
