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Journal Article

Citation

Sylvers DL, Hicken M, Esposito M, Manly J, Judd S, Clarke P. J. Aging Health 2022; ePub(ePub): ePub.

Copyright

(Copyright © 2022, SAGE Publishing)

DOI

10.1177/08982643221075509

PMID

35234529

Abstract

OBJECTIVE: This study seeks to examine neighborhood characteristics, physical activity, and health status and their roles in promoting healthy cognitive aging.

METHODS: Using data from the REasons for Geographic And Racial Difference in Stroke (REGARDS) study (N=10,289, mean age=73.4 years), we used multilevel linear regression to examine the relationships between walkable neighborhoods (both objectively measured and subjective perceptions), walking behavior, physical activity, health status, and cognitive function.

RESULTS: Engaging in any moderate physical activity (β=0.47, p < 0.001), having better health status (β=0.02, p < 0.001), living in neighborhoods with greater street connectivity (β=0.15, p < 0.05), and positive perceptions of neighborhood traffic (p < 0.01) and parks (p < 0.05), were associated with higher cognitive function. Residence in socioeconomically disadvantaged neighborhoods (β=-0.01, p < 0.01) was negatively associated with cognitive function.

DISCUSSION: Both perceived and objective features of walkable environments may have consequences for cognitive health, and can inform the development of health promoting communities.


Language: en

Keywords

older adults; physical activity; cognition; neighborhoods; walkability

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