ArticlePreventive medicine2018
Neighborhood walkability and physical activity among older women: Tests of mediation by environmental perceptions and moderation by depressive symptoms.
Article in Preventive medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Measuring the association of objective and perceived neighborhood environment with physical activity in older adults: challenges and implications from a systematic review.International journal of health geographics · 2020Pooled it
- Built environment effects on older adults' health mediated by leisure activities and social participation in Dong settlements of Western Hunan.Scientific reports · 2026Article
- Objective and perceived neighbourhood walkability: population-average associations with transportation and recreational physical activity in urban-dwelling Canadian adults.BMC public health · 2026Article
- Re-thinking Walkability: Synergizing the Pedestrian Environment and Land Use Patterns to Promote Physical Activity in Older Adults.Cities (London, England) · 2026Article
- Associations between depressive symptoms and frequency, intensity, duration, and style of walking in survivors of the Great East Japan Earthquake.PCN reports : psychiatry and clinical neurosciences · 2025Article
- The impact of objective urban features on perception of neighbourhood environments.Scientific reports · 2025Article
- The Association between Multiple Environmental Exposures and Symptoms of Generalized Anxiety Disorder in a Prospective, US-Based Cohort Study.Environmental health perspectives · 2025Article
- How neighborhood socioeconomic status, green space, and walkability are associated with risk for fracture among postmenopausal women.JBMR plus · 2025Article
- Physical Activity Friendliness of Neighborhoods: Do Subjective and Objective Measures Correspond Within a Mid-Sized Dutch Town?International journal of environmental research and public health · 2025Article
- Building running-friendly cities: effects of streetscapes on running using 9.73 million fitness tracker data in Shanghai, China.BMC public health · 2024Article
- Perceived built environment as a mediator linking objective built environment and leisure-time physical activity in Chinese cities.Scientific reports · 2024Article
- Neighbourhood Walkability and Physical Activity during the COVID-19 Pandemic.International journal of environmental research and public health · 2024Article
- The built environment and cancer survivorship: A scoping review.Health & place · 2024Article
- What Characteristics Modify the Relation of Neighborhood Walkability and Walking Behavior in Older Adults?Innovation in aging · 2024Article
- Long-Term Exposure to Walkable Residential Neighborhoods and Risk of Obesity-Related Cancer in the New York University Women's Health Study (NYUWHS).Environmental health perspectives · 2023Article
- How Do Different Urban Footpath Environments Affect the Jogging Preferences of Residents of Different Genders? Empirical Research Based on Trajectory Data.International journal of environmental research and public health · 2022Article
- Perceived neighborhood environment, social capital and life satisfaction among older adults in Shanghai, China.Scientific reports · 2022Article
- Neighborhood environment perceptions associate with depression levels and cardiovascular risk among middle-aged and older adults: Data from the Washington, DC cardiovascular health and needs assessment.Aging & mental health · 2021Article
- A Qualitative Investigation on the Roles of Social Support on Physical Activity Behaviour among the Rural-Dwelling Older Women in Malaysia.International journal of environmental research and public health · 2021Article
- The relationship between walk score® and perceived walkability in ultrahigh density areas.Preventive medicine reports · 2021Article
Corrections and comments
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Authors and funding
7 authors at 6 institutions in 2 countries.
Funding
Abstract
Features that enhance neighborhood walkability (higher population density, street connectivity and access to destinations) are associated with higher levels of physical activity among older adults. The perceived neighborhood environment appears to mediate associations between the objective built environment and physical activity. The role of depressed mood in these associations is poorly understood. We examined the degree to which depressive symptoms moderated indirect associations between the objective neighborhood environment and physical activity via the perceived neighborhood environment in older women. We analyzed data on 60,133 women (mean age = 73.1 ± 6.7 years) in the U.S. Nurses' Health Study cohort who completed the 2008 questionnaire. Self-reported measures included the Geriatric Depression Scale, perceived presence of recreational facilities, retail destinations, sidewalks, and crime, and participation in recreational physical activity and neighborhood walking. We created an objective walkability index by summing z-scores of intersection and facility counts within 1200-meter residential network buffers and census tract-level population density. We used multiple regression with bootstrap-generated 95% bias-corrected confidence intervals (BC CIs) to test for mediation and moderated mediation. Objective walkability was associated with 1.99 times greater odds of neighborhood walking (95% BC CI = 1.92, 2.06) and 1.38 times greater odds of meeting physical activity recommendations (95% BC CI = 1.34, 1.43) via the perceived neighborhood environment. These indirect associations were weaker among women with higher depressive symptom scores. Positive associations between objective neighborhood walkability and physical activities such as walking among older women may be strengthened with a reduction in their depressive symptoms.
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