Availability of Recreational Resources and Physical Activity in Adults

Roux, Ana V. Diez; Evenson, Kelly R.; McGinn, Aileen P.; Brown, Daniel G.; Moore, Latetia V.; Brines, Shannon J.; Jacobs, David R.

doi:10.2105/ajph.2006.087734

Cited by 265 publications

(134 citation statements)

References 28 publications

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“…We also hypothesized that parks and other recreational facilities would provide opportunities for exercise; however, we did not find that the number of parks and recreational facilities were associated with meeting physical activity recommendations, consistent with some [36, 37], but not all [44, 45] studies. While no prior study has considered an association between parks and survival after breast cancer diagnosis, it is possible that the quality, safety, and type of park, factors we could not measure, are more relevant to physical activity and survival.…”

Section: Discussionmentioning

confidence: 43%

Neighborhood influences on recreational physical activity and survival after breast cancer

Keegan

Shariff‐Marco

Sangaramoorthy

et al. 2014

Cancer Causes Control

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Purpose Higher levels of physical activity have been associated with improved survival after breast cancer diagnosis. However, no previous studies have considered the influence of the social and built environment on physical activity and survival among breast cancer patients. Methods Our study included 4,345 women diagnosed with breast cancer (1995–2008) from two population-based studies conducted in the San Francisco Bay Area. We examined questionnaire-based moderate/strenuous recreational physical activity during the 3 years before diagnosis. Neighborhood characteristics were based on data from the 2000 US Census, business listings, parks, farmers’ markets, and Department of Transportation. Survival was evaluated using multivariable Cox proportional hazards models, with follow-up through 2009. Results Women residing in neighborhoods with no fast-food restaurants (vs. fewer fast-food restaurants) to other restaurants, high traffic density, and a high percentage of foreign-born residents were less likely to meet physical activity recommendations set by the American Cancer Society. Women who were not recreationally physically active had a 22 % higher risk of death from any cause than women that were the most active. Poorer overall survival was associated with lower neighborhood socioeconomic status (SES) (p trend = 0.02), whereas better breast cancer-specific survival was associated with a lack of parks, especially among women in high-SES neighborhoods. Conclusion Certain aspects of the neighborhood have independent associations with recreational physical activity among breast cancer patients and their survival. Considering neighborhood factors may aide in the design of more effective, tailored physical activity programs for breast cancer survivors.

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Section: Discussionmentioning

confidence: 43%

Neighborhood influences on recreational physical activity and survival after breast cancer

Keegan

Shariff‐Marco

Sangaramoorthy

et al. 2014

Cancer Causes Control

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“…The geographic accessibility of resources has long been studied in the health field, with a specific focus on the accessibility of health care services [24]. Recent work has applied variants of the spatial accessibility measures previously used including sophisticated versions of density measures such as kernel densities (which allow smoothing of densities over space) [25] as well as variants of the gravimetric model (which measures accessibility based on a function of distance from a point location to all resources within a geographically bounded area) to quantify the accessibility of physical activity resources [26]. Sophisticated versions of these measures also incorporate weights based on the size, quality, and desirability of a given resource [26].…”

Section: Defining and Measuring Area Attributesmentioning

confidence: 99%

Neighborhoods and health: where are we and were do we go from here?

Roux¹

2007

Revue d'Épidémiologie et de Santé Publique

388

216

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SummaryIn recent years there has been an explosion of interest in neighborhood health effects. Most existing work has relied on secondary data analyses and has used administrative areas and aggregate census data to characterize neighborhoods. Important questions remain regarding whether the associations reported by these studies reflect causal processes. This paper reviews the major limitations of existing work and discusses areas for future development including (1) definition and measurement of area or ecologic attributes (2) consideration of spatial scale (3) cumulative exposures and lagged effects and (4) the complementary nature of observational, quasi-experimental, and experimental evidence. As is usually the case with complex research questions, consensus regarding the presence and magnitude of neighborhood health effects will emerge from the work of multiple disciplines, often with diverse methodological approaches, each with its strengths and its limitations. Partnership across disciplines, as well as among health researchers, communities, urban planners, and policy experts will be key.

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“…Availability of a variety of recreation facilities and proximity to them have been associated with increased physical activity among adults (3) and children (4), with some exceptions (5). Improvements and renovations in parks (6) and school playgrounds (7) have been associated with increased park-based physical activity among children.…”

Section: Introductionmentioning

confidence: 99%

Social and Environmental Factors Related to Boys’ and Girls’ Park-Based Physical Activity

Bocarro¹,

Floyd²,

Smith³

et al. 2015

Prev. Chronic Dis.

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IntroductionParks provide opportunities for physical activity for children. This study examined sex differences in correlates of park-based physical activity because differences may indicate that a standard environmental intervention to increase activity among children may not equally benefit boys and girls.MethodsThe System for Observation Play and Recreation in Communities was used to measure physical activity among 2,712 children and adolescents in 20 neighborhood parks in Durham, North Carolina, in 2007. Sedentary activity, walking, vigorous park activity, and energy expenditure were the primary outcome variables. Hierarchical logit regression models of physical activity were estimated separately for boys and girls.ResultsType of activity area and presence of other active children were positively associated with boys’ and girls’ physical activity, and presence of a parent was negatively associated. A significant interaction involving number of recreation facilities in combination with formal activities was positively associated with girls’ activity. A significant interaction involving formal park activity and young boys (aged 0–5 y) was negatively associated with park-based physical activity.ConclusionActivity area and social correlates of park-based physical activity were similar for boys and girls; findings for formal park programming, age, and number of facilities were mixed. Results show that girls’ physical activity was more strongly affected by social effects (eg, presence of other active children) whereas boys’ physical activity was more strongly influenced by the availability of park facilities. These results can inform park planning and design. Additional studies are necessary to clarify sex differences in correlates of park-based physical activity.

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Availability of Recreational Resources and Physical Activity in Adults

Abstract: Availability of resources may be 1 of several environmental factors that influence individuals' physical activity behaviors.

Cited by 265 publications

References 28 publications

Neighborhood influences on recreational physical activity and survival after breast cancer

Neighborhood influences on recreational physical activity and survival after breast cancer

Neighborhoods and health: where are we and were do we go from here?

Social and Environmental Factors Related to Boys’ and Girls’ Park-Based Physical Activity

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