Roe Jenny, Mondschein Andrew, Neale Chris, Barnes Laura, Boukhechba Medhi, Lopez Stephanie
Center for Design & Health, School of Architecture, University of Virginia, Charlottesville, VA, United States.
Department of Urban and Environmental Planning, School of Architecture, University of Virginia, Charlottesville, VA, United States.
Front Public Health. 2020 Sep 23;8:575946. doi: 10.3389/fpubh.2020.575946. eCollection 2020.
The benefits of walking in older age include improved cognitive health (e.g., mental alertness, improved memory functioning) and a reduced risk of stress, depression and dementia. However, research capturing the benefits of walking among older people in real-time as they navigate their world is currently very limited. This study explores cognitive health and well-being outcomes in older people as they walk in their local neighborhood environment. Residents from an independent living facility for older people (mean age 65, = 11) walked from their home in two dichotomous settings, selected on the basis of significantly different infrastructure, varying levels of noise, traffic and percentage of green space. Employing a repeated-measures, cross over design, participants were randomly allocated to one of two groups, and walked on different days in an urban busy "gray" district (a busy, built up commercial street) vs. an urban quiet "green" district (a quiet residential area with front gardens and street trees). Our study captured real-time air quality and noise data using hand-held Airbeam sensors and physiologic health data using a smart watch to capture heart rate variability (a biomarker of stress). Cognitive health outcome measures were a pre- and post-walk short cognitive reaction time (SRT) test and memory recall of the route walked (captured via a drawn mental map). Emotional well-being outcomes were a pre- and post-walk mood scale capturing perceived stress, happiness and arousal levels. Findings showed significant positive health benefits from walking in the urban green district on emotional well-being (happiness levels) and stress physiology ( < 0.05), accompanied by faster cognitive reaction times post-walk, albeit not statistically significant in this small sample. Cognitive recall of the route varied between urban gray and urban green conditions, as participants were more likely to rely on natural features to define their routes when present. The environmental and physiologic data sets were converged to show a significant effect of ambient noise and urban conditions on stress activation as measured by heart rate variability. Findings are discussed in relation to the complexity of combining real-time environmental and physiologic data and the implications for follow-on studies. Overall, our study demonstrates the viability of using older people as citizen scientists in the capture of environmental and physiologic stress data and establishes a new protocol for exploring relationships between the built environment and cognitive health in older people.
老年人步行的益处包括改善认知健康(如提高精神警觉性、改善记忆功能)以及降低压力、抑郁和痴呆的风险。然而,目前关于老年人在日常生活中步行所带来益处的实时研究非常有限。本研究探讨了老年人在当地社区环境中步行时的认知健康和幸福感。来自一家老年人独立生活设施(平均年龄65岁, = 11)的居民在两种截然不同的环境中从家中出发步行,这两种环境是根据基础设施差异显著、噪音、交通水平以及绿地百分比不同而选定的。采用重复测量、交叉设计,参与者被随机分配到两组中的一组,并在不同日期分别在城市繁忙的“灰色”区域(一条繁忙的商业街道)和城市安静的“绿色”区域(一个有前花园和行道树的安静居民区)行走。我们的研究使用手持式Airbeam传感器收集实时空气质量和噪音数据,使用智能手表收集生理健康数据以获取心率变异性(一种压力生物标志物)。认知健康结果测量包括步行前后的简短认知反应时间(SRT)测试以及对行走路线的记忆回忆(通过绘制心理地图获取)。情绪幸福感结果是步行前后的情绪量表,用于测量感知到的压力、幸福和唤醒水平。研究结果表明,在城市绿色区域步行对情绪幸福感(幸福水平)和压力生理有显著的积极健康益处( < 0.05),同时步行后认知反应时间更快,尽管在这个小样本中没有统计学意义。城市灰色和城市绿色环境下对路线的认知回忆有所不同,因为参与者在有自然特征时更有可能依靠这些特征来确定路线。环境和生理数据集相结合表明,环境噪音和城市条件对通过心率变异性测量的压力激活有显著影响。我们将结合实时环境和生理数据的复杂性以及对后续研究的影响来讨论这些发现。总体而言,我们的研究证明了将老年人作为公民科学家来收集环境和生理压力数据的可行性,并建立了一个新的方案来探索老年人建筑环境与认知健康之间的关系。