The Effect of a Park-Based Physical Activity Program on Cardiovascular, Strength, and Mobility Outcomes Among a Sample of Racially/Ethnically Diverse Adults Aged 55 or Older

Kling, Hannah; D’Agostino, Emily M.; Booth, Ja'mese V; Patel, Hersila H.; Hansen, Eric; Mathew, M. Sunil; Messiah, Sarah

doi:10.5888/pcd15.180326

Cited by 12 publications

(9 citation statements)

References 17 publications

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“…Sixteen studies were RCTs ( Bail et al, 2018 ; Bay-Richter et al, 2012 ; Bielinis et al, 2021 ; Brown et al, 2014 , Brown et al, 2020 ; Calogiuri et al, 2016 ; Gidlow et al, 2016 ; Han et al, 2018 ; Martens et al, 2011 ; Müller-Riemenschneider et al, 2020 ; Ng et al, 2018 ; Olafsdottir et al, 2020 ; Song et al, 2015 , 2018 ; Van Den Berg et al, 2011 ; Vujcic et al, 2017 ); eighteen studies (19 papers) were controlled studies ( Bang et al, 2017 ; Barton et al, 2010 ; Berman et al, 2012 ; de Brito et al, 2019 ; Gerber et al, 2017 ; Hawkins et al, 2015 ; Holt et al, 2019 ; Johansson et al, 2011 ; Lanki et al, 2017 ; Lee et al, 2011 , Lee et al, 2014 ; Lucke et al, 2019 ; Lyu et al, 2019 ; Marselle et al, 2013 ; Oh et al, 2018 ; Sin-Ae et al, 2016 , 2017 ; Yao et al, 2017 ; Zeng et al, 2020 ); and sixteen studies were single group before and after designs ( Bettmann et al, 2017 ; Coventry et al, 2019 ; Furuyashiki et al, 2019 ; Gonzalez et al, 2011 ; Hall et al, 2018 ; Iwata et al, 2016 ; Kling et al, 2018 ; Korpela et al, 2016 ; Mackay et al, 2010 ; Marselle et al, 2016 ; McCaffrey et al, 2016 ; Mourão et al, 2019 ; Warber et al, 2015 ; Wilson et al, 2011 ; Wood et al, 2016 ; Wyles et al, 2017 ).…”

Section: Resultsmentioning

confidence: 99%

“…Over half of the studies were conducted in Europe (n=25); fourteen in Asia; ten in North America; and one in Australia. Samples in 24 studies were drawn from healthy adult non-clinical populations ( Bielinis et al, 2021 ; Brown et al, 2014 ; Calogiuri et al, 2016 ; de Brito et al, 2019 ; Furuyashiki et al, 2019 ; Gerber et al, 2017 ; Gidlow et al, 2016 ; Hawkins et al, 2015 ; Kling et al, 2018 ; Lanki et al, 2017 ; Lee et al, 2014 ; Lucke et al, 2019 ; Mackay et al, 2010 ; Marselle et al, 2013 , Marselle et al, 2016 ; McCaffrey et al, 2016 ; Mourão et al, 2019 ; Müller-Riemenschneider et al, 2020 ; Ng et al, 2018 ; Sin-Ae et al, 2017 ; Song et al, 2018 ; Van Den Berg et al, 2011 ; Warber et al, 2015 ). Eight studies recruited university student volunteers ( Bang et al, 2017 ; Han et al, 2018 ; Holt et al, 2019 ; Lee et al, 2011 ; Olafsdottir et al, 2020 ; Zeng et al, 2020 ).…”

Section: Resultsmentioning

confidence: 99%

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Nature-based outdoor activities for mental and physical health: Systematic review and meta-analysis

Coventry

Brown

Pervin

et al. 2021

SSM - Population Health

187

104

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Mental health problems are associated with lower quality of life, increased unscheduled care, high economic and social cost, and increased mortality. Nature-based interventions (NBIs) that support people to engage with nature in a structured way are asset-based solutions to improve mental health for community based adults. However, it is unclear which NBIs are most effective, or what format and dose is most efficacious. We systematically reviewed the controlled and uncontrolled evidence for outdoor NBIs. The protocol was registered at PROSPERO (CRD42020163103). Studies that included adults (aged ≥18 years) in community-based settings with or without mental and/or physical health problems were eligible for inclusion. Eligible interventions were structured outdoor activities in green and/or blue space for health and wellbeing. We searched ASSIA, CENTRAL, Embase, Greenfile, MEDLINE, PsycINFO, and Web of Science in October 2019; the search was updated in September 2020. We screened 14,321 records and included 50 studies. Sixteen studies were randomised controlled trials (RCTs); 18 were controlled studies; and 16 were uncontrolled before and after studies. Risk of bias for RCTs was low to moderate; and moderate to high for controlled and uncontrolled studies. Random effects meta-analysis of RCTs showed that NBIs were effective for improving depressive mood −0.64 (95% CI: 1.05 to −0.23), reducing anxiety −0.94 (95% CI: 0.94 to −0.01), improving positive affect 0.95 (95% CI: 0.59 to 1.31), and reducing negative affect −0.52 (95% CI: 0.77 to −0.26). Results from controlled and uncontrolled studies largely reflected findings from RCTs. There was less evidence that NBIs improved physical health. The most effective interventions were offered for between 8 and 12 weeks, and the optimal dose ranged from 20 to 90 min. NBIs, specifically gardening, green exercise and nature-based therapy, are effective for improving mental health outcomes in adults, including those with pre-existing mental health problems.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Nature-based outdoor activities for mental and physical health: Systematic review and meta-analysis

Coventry

Brown

Pervin

et al. 2021

SSM - Population Health

187

104

View full text Add to dashboard Cite

show abstract

“…exercise classes, organized hikes, walking tours). It is possible that women are more likely to utilize this type of service and thus benefit at a higher level than the male population, with the demographic make-up of two recent studies suggesting this may be the case (Han et al, 2015; Kling, 2018).…”

Section: Discussionmentioning

confidence: 99%

The relationship between parks and recreation per capita spending and mortality from 1980 to 2010: A fixed effects model

Mueller

Park

Mowen

2019

Preventive Medicine Reports

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Evidence concerning the link between park access, use, programming and health has continued to grow. However, government funding for parks and recreation is highly susceptible to the ebbs and flows of the national economy. Given this, the purpose of this study was to test the relationship between county area spending on parks and recreation operations and all-cause mortality in the United States from the years 1980–2010. Using data from 1980 to 2010 collected from the U.S. Census Bureau and the Institute for Health Metrics and Evaluation, we analyzed the relationship between per capita county area spending on parks and recreation and county-level all-cause age-standardized female, male, and overall mortality using county and year fixed effects as well as relevant time-variant controls. The study was conducted during 2017 and 2018. County area spending on parks and recreation was negatively associated with overall and female-specific mortality from 1980 to 2010. According to our models for female and overall all-cause age-standardized mortality, when holding all else equal, a hundred-dollar increase in 2010 dollars in per capita parks and recreation operational expenditures was associated with an average decrease in morality of 3.9 and 3.4 deaths per 100,000, respectively. Although not commonly viewed as a form of healthcare spending, increased government funding for parks and recreation services had a significant association with decreased county level mortality. Our results suggest higher levels of per capita spending on parks and recreation may lead to lower levels of mortality.

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“…An intervention including individualized prescription of PA and limited supervision of execution may address these necessities. Additionally, walking may be an ideal modality because of its easy execution and low cost and risk (10). Previous studies showed that supervised PA in public places (11) and unsupervised programs conducted under experimental conditions (12) promote health benefits.…”

Section: Introductionmentioning

confidence: 99%

Effects of a Real-Life Park-Based Physical Activity Interventional Program on Cardiovascular Risk and Physical Fitness

et al. 2021

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Introduction Regular physical activity (PA) practice is a way to combat cardiovascular disease, and a PA interventional program, including individualized prescription of walking with limited supervision of execution, may be a strategy to be applied in public parks. Thus, our study tested the effects of a real-world program like this on cardiovascular risk and cardiorespiratory fitness (CF) of the users of a public park. Methods Data came from the Exercise and Heart Project, a real-life park-based PA interventional program. The study phases were 1) a preintervention evaluation; 2) the individualized prescription of PA; 3) the supervision of the first practice sessions; 4) the unsupervised execution of the prescription; and 5) a postintervention evaluation. Results Data from 152 participants (mainly women and aged 40 to 80 years) were analyzed. The intervention significantly increased CF (mean [standard deviation], 99 [19] steps vs 110 [21] steps, P < .001) and reduced body mass index, waist circumference, and systolic blood pressure, decreasing global cardiovascular risk (mean [standard deviation], 0.15 [2.84] vs −0.52 [2.60]; P < .001). The effects of intervention on cardiovascular risk were not different between the participants with low and high initial CF or PA levels. Conclusion The proposed real-life park-based PA interventional program decreased cardiovascular risk of the participants independently of their initial PA or CF levels.

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The Effect of a Park-Based Physical Activity Program on Cardiovascular, Strength, and Mobility Outcomes Among a Sample of Racially/Ethnically Diverse Adults Aged 55 or Older

Cited by 12 publications

References 17 publications

Nature-based outdoor activities for mental and physical health: Systematic review and meta-analysis

Nature-based outdoor activities for mental and physical health: Systematic review and meta-analysis

The relationship between parks and recreation per capita spending and mortality from 1980 to 2010: A fixed effects model

Effects of a Real-Life Park-Based Physical Activity Interventional Program on Cardiovascular Risk and Physical Fitness

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