TY - JOUR
PY - 2023//
TI - Neighborhood environment and body mass index in community-dwelling older adults in China: the mediating role of transport-related physical activity
JO - Geriatric nursing
A1 - Xiaohelaiti, Xiayidan
A1 - Liu, Xiaofei
A1 - Li, Chaoyang
A1 - Wang, Tao
A1 - Wu, Jiani
A1 - Peng, Bozhezi
A1 - Zhang, Yi
SP - 304
EP - 310
VL - 55
IS -
N2 - OBJECTIVES: To examine whether the associations of neighborhood environment and body mass index (BMI) of community-dwelling older adults aged 70 and above were mediated by transport-related physical activity (TRPA).
METHODS: A bootstrap method was employed to test the mediation model with multisource data from Chongqing, China.
RESULTS: Neighborhood walkability (effect: 0.030, 95% CI [0.001-0.160]) and shopping facility accessibility (effect: 0.002, 95 % CI [0.001 - 0.101]) exhibited positive effects on BMI indirectly through decreasing TRPA duration. Negative indirect effects of sports facility accessibility (effect: -0.004, 95 % CI [-0.112 - -0.003]) and transit accessibility (effect: -0.044, 95 % CI [-0.074 - -0.002]) on BMI were observed through increasing TRPA duration. Park accessibility showed both direct (effect: -0.242, p < 0.05) and indirect (effect: -0.036, 95 % CI [-0.061 - -0.005]) negative correlations with BMI.
CONCLUSION: Our findings facilitate neighborhood environment interventions regarding obesity among older adults in developing countries.
Language: en
LA - en SN - 0197-4572 UR - http://dx.doi.org/10.1016/j.gerinurse.2023.12.007 ID - ref1 ER -