Health Convergence Medicine Laboratory, Biomedical Research Institute, Pusan National University Hospital, 179, Gudeok-Ro, Seo-Gu, Busan 49241, Republic of Korea.
Department of Healthcare Management, Youngsan University, 288, Junam-Ro, Yangsan, Gyeongnam 50510, Republic of Korea.
Biomed Res Int. 2020 Jul 30;2020:8432934. doi: 10.1155/2020/8432934. eCollection 2020.
Neighborhood destinations play important roles in daily activity levels of older adults. However, little is known about how specific destinations are associated with these activities and/or sedentary behaviors, especially in Asia. This study investigated how neighborhood destinations were associated with physical activity recommendations and excessive sedentary time among older adults.
A telephone-based survey was conducted to collect cross-sectional data on the sociodemographic variables, residential neighborhoods, physical activities, and sedentary behaviors of 1,040 adults aged 65 years and above. Using data derived from Geographic Information Systems (GIS), an adjusted logistic regression was performed to examine the relationships between five neighborhood destination types (i.e., recreational facilities, utilitarian destinations, transit stops, temples, and schools) and both overall physical activity level and sedentary behavior.
Significant interactions related to physical activity and sedentary behavior were observed based on both gender and neighborhood destinations. After adjusting for potential confounders, older men living in neighborhoods containing higher numbers of temples were more likely to achieve physical activity recommendations (OR = 1.85; 95% CI: 1.16-2.96). On the other hand, older women living in neighborhoods containing higher numbers of utilitarian destinations were more likely to engage in excessive sedentary time (OR = 1.70; 95% CI: 1.12-2.56).
In Asia, the presence of favorable local neighborhood temples may support physical activity levels for older men, while utilitarian destinations (which have previously been found to support activeness) may be related to excessive sedentary behaviors in older women.
邻里目的地在老年人的日常活动水平中起着重要作用。然而，对于特定目的地如何与这些活动和/或久坐行为相关，知之甚少，尤其是在亚洲。本研究调查了邻里目的地与老年人的身体活动建议和过度久坐时间之间的关系。
通过电话进行了一项横断面调查，以收集 1040 名 65 岁及以上成年人的社会人口统计学变量、居住社区、身体活动和久坐行为的相关数据。利用地理信息系统（GIS）得出的数据，采用调整后的逻辑回归分析了五种邻里目的地类型（即娱乐设施、实用目的地、交通站点、寺庙和学校）与整体身体活动水平和久坐行为之间的关系。
根据性别和邻里目的地，观察到与身体活动和久坐行为相关的显著交互作用。在调整潜在混杂因素后，居住在寺庙数量较多的社区的老年男性更有可能达到身体活动建议（OR=1.85；95%CI：1.16-2.96）。另一方面，居住在实用目的地数量较多的社区的老年女性更有可能长时间久坐（OR=1.70；95%CI：1.12-2.56）。
在亚洲，当地有利的邻里寺庙的存在可能会支持老年男性的身体活动水平，而实用目的地（先前被发现有助于活跃）可能与老年女性的过度久坐行为有关。
