A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Cross-sectional associations of neighbourhood socioeconomic disadvantage and greenness with accelerometer-measured leisure-time physical activity in a cohort of ageing workers
Tekijät: Jaana I Halonen, Anna Pulakka, Jaana Pentti, Minna Kallio, Sofia Koskela, Mika Kivimäki, Ichiro Kawachi, Jussi Vahtera, Sari Stenholm
Kustantaja: BMJ PUBLISHING GROUP
Julkaisuvuosi: 2020
Journal: BMJ Open
Tietokannassa oleva lehden nimi: BMJ OPEN
Lehden akronyymi: BMJ OPEN
Artikkelin numero: ARTN e038673
Vuosikerta: 10
Numero: 8
Sivujen määrä: 9
ISSN: 2044-6055
eISSN: 2044-6055
DOI: https://doi.org/10.1136/bmjopen-2020-038673
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/50338604
Objective Neighbourhood characteristics may affect the level of physical activity (PA) of the residents. Few studies have examined the combined effects of distinctive neighbourhood characteristics on PA using objective data or differentiated between activity during working or non-working days. We examined the associations of socioeconomic disadvantage and greenness with accelerometer-measured leisure-time PA during working and non-working days. Design Cross-sectional study. Setting Finnish Retirement and Aging (FIREA) study. Participants 708 workers (604 women, mean age 62.4 ranging from 58 to 64 years,) participating in the FIREA study who provided PA measurement data for at least 1 working and non-working day. Primary and secondary outcomes PA was measured with wrist-worn accelerometer on average of 4 working and 2 non-working days. Outcomes were total PA, light PA (LPA) and moderate-to-vigorous PA (MVPA). These measurements were linked to data on neighbourhood socioeconomic disadvantage and greenness within the home neighbourhood (750x750 m). Generalised linear models were adjusted for possible confounders. Results On non-working days, higher neighbourhood disadvantage associated with lower levels of total PA (p value=0.07) and higher level of neighbourhood greenness associated with higher level of total PA (p value=0.04). Neighbourhood disadvantage and greenness had an interaction (p value=0.02); in areas of low disadvantage higher greenness did not associate with the level of total PA. However, in areas of high disadvantage, 2 SD higher greenness associated with 46 min/day (95% CI 8.4 to 85) higher total PA. Slightly stronger interaction was observed for LPA (p=0.03) than for the MVPA (p=0.09). During working days, there were no associations between neighbourhood characteristics and leisure-time total PA. Conclusions Of the disadvantaged neighbourhoods, those characterised by high levels of greenness seem to associate with higher levels of leisure-time PA during non-working days. These findings suggest that efforts to add greenness to socioeconomically disadvantaged neighbourhoods might reduce inequalities in PA.
Ladattava julkaisu This is an electronic reprint of the original article. |  |
