Association between perceived built environmental attributes and physical activity among adults in South Africa

dc.contributor.authorMalambo, Pasmore
dc.contributor.authorKengne, Andre P
dc.contributor.authorLambert, Estelle V
dc.contributor.authorDe Villers, Anniza
dc.contributor.authorPuoane, Thandi
dc.date.accessioned2017-03-16T13:32:46Z
dc.date.available2017-03-16T13:32:46Z
dc.date.issued2017-02-20
dc.date.updated2017-02-20T19:02:05Z
dc.description.abstractBackground: To investigate the association between perceived environmental attributes and leisure-time and transport-related physical activity. Methods: This was a cross-sectional survey involving 671 South Africans aged ≥35 years from urban and rural settings. International Physical Activity Questionnaire and Neighbourhood Walkability Scale were used to collect data. Multivariable logistic regressions were used to investigate the associations. Results: Significant urban vs. rural differences were apparent in the distribution of most attributes of neighborhood environment. After adjusting for gender, age, setting and relevant interaction terms, proximity to local stores was significantly associated with leisure-time physical activity (OR: 4.26; 95% CI, 1.00–18.08); while proximity to transit stops (2.44; 1.48–4.02), pleasant scenery (1.93; 1.07–3.46), sidewalks (2.36; 1.25–4.44), shade from trees (2.14; 1.19–3. 85), traffic (2.17; 91.21–3.91) and well-lit streets (2.01; 1.04–3.89) were significantly associated with walking for leisure. Four-way intersections (4.54; 1.54–13.43), pleasant scenery (3.84; 1.35–10.99), traffic (0.28; 0.09–0.89), sidewalks (3.75; 1.06-13.27) and crosswalks were associated with transport related physical activity. Proximity to transit stops (2.12; 1.17–3.84) and well maintained sidewalks (2.69; 2.20–10.02) were significantly associated with total physical activity. Significant interactions by setting were apparent in some of the associations. Conclusion: Some, but not all attributes of a neighborhood environment were significantly associated in expected directions with the three physical activity domains in this mixed urban and rural population. This study highlights the need for policy strategies aimed at improving or maintaining these perceived environmental attributes to promote physical activity.
dc.identifier.apacitationMalambo, P., Kengne, A. P., Lambert, E. V., De Villers, A., & Puoane, T. (2017). Association between perceived built environmental attributes and physical activity among adults in South Africa. http://hdl.handle.net/11427/24054en_ZA
dc.identifier.chicagocitationMalambo, Pasmore, Andre P Kengne, Estelle V Lambert, Anniza De Villers, and Thandi Puoane "Association between perceived built environmental attributes and physical activity among adults in South Africa." (2017) http://hdl.handle.net/11427/24054en_ZA
dc.identifier.citationMalambo, P., Kengne, A. P., Lambert, E. V., De Villers, A., & Puoane, T. (2017). Association between perceived built environmental attributes and physical activity among adults in South Africa. BMC public health, 17(1), 213.
dc.identifier.ris TY - Journal Article AU - Malambo, Pasmore AU - Kengne, Andre P AU - Lambert, Estelle V AU - De Villers, Anniza AU - Puoane, Thandi AB - Background: To investigate the association between perceived environmental attributes and leisure-time and transport-related physical activity. Methods: This was a cross-sectional survey involving 671 South Africans aged ≥35 years from urban and rural settings. International Physical Activity Questionnaire and Neighbourhood Walkability Scale were used to collect data. Multivariable logistic regressions were used to investigate the associations. Results: Significant urban vs. rural differences were apparent in the distribution of most attributes of neighborhood environment. After adjusting for gender, age, setting and relevant interaction terms, proximity to local stores was significantly associated with leisure-time physical activity (OR: 4.26; 95% CI, 1.00–18.08); while proximity to transit stops (2.44; 1.48–4.02), pleasant scenery (1.93; 1.07–3.46), sidewalks (2.36; 1.25–4.44), shade from trees (2.14; 1.19–3. 85), traffic (2.17; 91.21–3.91) and well-lit streets (2.01; 1.04–3.89) were significantly associated with walking for leisure. Four-way intersections (4.54; 1.54–13.43), pleasant scenery (3.84; 1.35–10.99), traffic (0.28; 0.09–0.89), sidewalks (3.75; 1.06-13.27) and crosswalks were associated with transport related physical activity. Proximity to transit stops (2.12; 1.17–3.84) and well maintained sidewalks (2.69; 2.20–10.02) were significantly associated with total physical activity. Significant interactions by setting were apparent in some of the associations. Conclusion: Some, but not all attributes of a neighborhood environment were significantly associated in expected directions with the three physical activity domains in this mixed urban and rural population. This study highlights the need for policy strategies aimed at improving or maintaining these perceived environmental attributes to promote physical activity. DA - 2017-02-20 DB - OpenUCT DO - 10.1186/s12889-017-4128-8 DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2017 T1 - Association between perceived built environmental attributes and physical activity among adults in South Africa TI - Association between perceived built environmental attributes and physical activity among adults in South Africa UR - http://hdl.handle.net/11427/24054 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s12889-017-4128-8
dc.identifier.urihttp://hdl.handle.net/11427/24054
dc.identifier.vancouvercitationMalambo P, Kengne AP, Lambert EV, De Villers A, Puoane T. Association between perceived built environmental attributes and physical activity among adults in South Africa. 2017; http://hdl.handle.net/11427/24054.en_ZA
dc.language.isoen
dc.publisherBioMed Central
dc.publisher.departmentDepartment of Human Biologyen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License
dc.rights.holderThe Author(s).
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subject.otherPhysical activity
dc.subject.otherBuilt environment
dc.subject.otherTransport
dc.subject.otherLeisure
dc.subject.otherWalking
dc.subject.otherSouth Africa
dc.titleAssociation between perceived built environmental attributes and physical activity among adults in South Africa
dc.typeJournal Article
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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