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The increased ageing of the population is a vital and upcoming challenge for China. Walking is one of the easiest and most common forms of exercise for older people, and promoting walking among older people is important for reducing medical stress. Streetscape green visibility and the normalised difference vegetation index (NDVI) are perceptible architectural elements, both of which promote walking behaviour. Methodologically we used Baidu Street View images and extracted NDVI from streetscape green visibility and remote sensing to scrutinize the nonlinear effects of streetscape green visibility and NDVI on older people’s walking behaviour. The study adopted a random forest machine learning model. The findings indicate that the impact of streetscape green visibility on elderly walking is superior to NDVI, while both have a favourable influence on senior walking propensity within a particular range but a negative effect on elderly walking inside that range. Overall the built environment had a non-linear effect on the propensity to walk of older people. Therefore, this study allows the calculation of optimal thresholds for the physical environment, which can be used by governments and planners to formulate policies and select appropriate environmental thresholds as indicators to update or build a community walking environment that meets the needs of local older people, depending on their own economic situation.

BackgroundNumerous studies have ignored the influence of underdeveloped urban surroundings on the physical health of China’s ageing population. Lanzhou is a typical representative of a less developed city in China.MethodsThis study investigated the relationship between body mass index (BMI) and built environment amongst older adults in regions of different socio-economic statuses (SES) using data from medical examinations of older adults in Lanzhou, as well as calculating community built environment indicators for regions of different SES based on multiple linear regression models.ResultsResults showed that age and underlying disease were negatively associated with overall older adult BMI in the study buffer zone. Land use mix, number of parks and streetscape greenery were positively associated with older adult BMI. Street design and distance to bus stops were negatively connected in low SES regions, but population density and street design were negatively correlated in high SES areas.ConclusionThese findings indicate that the built environment of SES regions has varying impacts on the BMI of older persons and that planners may establish strategies to lower the incidence of obesity amongst older adults in different SES locations.

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