What are the associations between neighbourhood walkability and sedentary time in New Zealand adults? The URBAN cross-sectional study

BMJ Open. 2017 Oct 22;7(10):e016128. doi: 10.1136/bmjopen-2017-016128.

Abstract

Objectives: We estimated associations between objectively determined neighbourhood 'walkability' attributes and accelerometer-derived sedentary time (ST) by sex, city or type of day.

Design: A cross-sectional study.

Setting: The URBAN (Understanding the Relationship between Activity and Neighbourhoods) study was conducted in 48 neighbourhoods across four cities in New Zealand (August 2008 to October 2010).

Participants: The response rate was 41% (2029 recruited participants/5007 eligible households approached). In total, 1762 participants (aged 41.4±12.1, mean±SD) met the data inclusion criteria and were included in analyses.

Primary and secondary outcome measures: The exposure variables were geographical information system (GIS) measures of neighbourhood walkability (ie, street connectivity, residential density, land-use mix, retail footprint area ratio) for street network buffers of 500 m and 1000 m around residential addresses. Participants wore an accelerometer for 7 days. The outcome measure was average daily minutes of ST.

Results: Data were available from 1762 participants (aged 41.4±12.1 years; 58% women). No significant main effects of GIS-based neighbourhood walkability measures were found with ST. Retail footprint area ratio was negatively associated with sedentary time in women, significant only for 500 m residential buffers. An increase of 1 decile in street connectivity was significantly associated with a decrease of over 5 min of ST per day in Christchurch residents for both residential buffers.

Conclusion: Neighbourhoods with proximal retail and higher street connectivity seem to be associated with less ST. These effects were sex and city specific.

Keywords: Epidemiology; Preventive Medicine; Public Health; Social Medicine.

MeSH terms

  • Accelerometry / instrumentation
  • Adult
  • Cities*
  • Cross-Sectional Studies
  • Environment Design*
  • Female
  • Geographic Information Systems
  • Humans
  • Male
  • Middle Aged
  • New Zealand
  • Regression Analysis
  • Residence Characteristics*
  • Sedentary Behavior*
  • Time Factors
  • Walking*