ArticleInternational journal of environmental research and public health2018
The Association of Built Environment and Physical Activity in Older Adults: Using a Citywide Public Housing Scheme to Reduce Residential Self-Selection Bias.
Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Multi-Family Housing Environment and Physical Activity: A Systematic Review of the Literature.American journal of health promotion : AJHP · 2025Pooled it
- The impact of interventions in the built environment on physical activity levels: a systematic umbrella review.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Trends of changes in physical activity of older adults in Poland 2009-2019. The results of the representative population-based PolSenior2 study.BMC public health · 2026Article
- Effect of Environmental and Intrapersonal Factors on Leisure-Time Physical Activity of Chinese Rural Older People in Zhejiang Province.Healthcare (Basel, Switzerland) · 2025Article
- Self-regulation of effort for a better health-related quality of life: a multidimensional activity pacing model for chronic pain and fatigue management.Annals of medicine · 2023Review
- An Umbrella Review of the Best and Most Up-to-Date Evidence on the Built Environment and Physical Activity in Older Adults ≥60 Years.Public health reviews · 2023Review
- Mechanisms influencing the factors of urban built environments and coronavirus disease 2019 at macroscopic and microscopic scales: The role of cities.Frontiers in public health · 2023Article
- How the Built Environment Promotes Residents' Physical Activity: The Importance of a Holistic People-Centered Perspective.International journal of environmental research and public health · 2022Article
- Public Rental Housing and Obesogenic Behaviors among Adults in Hong Kong: Mediator Role of Food and Physical Activity Environment.International journal of environmental research and public health · 2022Article
- The Moderating Effect of Community Environment on the Association Between Social Support and Chinese Older Adults' Health: An Empirical Analysis Study.Frontiers in public health · 2022Article
- Environmental barriers matter from the early stages of functional decline among older adults in France.PloS one · 2022Article
- Older Public Housing Tenants' Capabilities for Physical Activity Described Using Walk-Along Interviews in Montreal, Canada.International journal of environmental research and public health · 2021Article
- Review of Associations between Built Environment Characteristics and Severe Acute Respiratory Syndrome Coronavirus 2 Infection Risk.International journal of environmental research and public health · 2021Review
- The Associations of Built Environment with Older People Recreational Walking and Physical Activity in a Chinese Small-Scale City of Yiwu.International journal of environmental research and public health · 2021Article
- Age at diagnosis, glycemic trajectories, and responses to oral glucose-lowering drugs in type 2 diabetes in Hong Kong: A population-based observational study.PLoS medicine · 2020Observational
- Association of Built Environment with Physical Activity and Physical Fitness in Men and Women Living inside the City Wall of Xi'an, China.International journal of environmental research and public health · 2020Article
- Health and the built environment in United States cities: measuring associations using Google Street View-derived indicators of the built environment.BMC public health · 2020Article
- Built environment for physical activity-An urban barometer, surveillance, and monitoring.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2020Review
- An Evaluation Model for Urban Comprehensive Carrying Capacity: An Empirical Case from Harbin City.International journal of environmental research and public health · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Previous studies have documented numerous health benefits of conducting regular physical activity among older adults. The built environment is believed to be a key factor that can hinder or facilitate daily physical activity, such as walking and exercising. However, most empirical studies focusing on environment-physical activity associations exhibited residential self-selection bias with cross-sectional research design, engendering doubts about the impact of built environment on physical activity. To reduce this bias, we assessed physical activity behaviors of 720 Hong Kong older adults (≥65 years) residing in 24 public housing estates. The Hong Kong public housing scheme currently provides affordable rental flats for 2.1 million people or approximate 30% of total population. The applicants were allocated to one of 179 housing estates largely by family size and flat availability. Built environment characteristics were measured following the '5Ds' principle: (street network) design, (land-use) diversity, density, distance to transit, and destination accessibility. Multilevel mixed models were used to explore the associations between the built environment and the different domains of physical activity (transportation walking, recreational walking, and recreational moderate-to-vigorous physical activity (MVPA) while controlling for potential estate-level socioeconomic and individual confounders. We found that transportation walking was positively associated with the number of bus stops and the presence of Mass Transit Railway (MTR) stations. Recreational MVPA was positively related to the number of recreational facilities. However, land-use mix was negatively related to transportation walking, recreational walking, and recreational MVPA. The findings of this study support a threshold effect in the environment-physical activity associations. Furthermore, large-scale public housing schemes involving random or semi-random residence assignment in many cities may provide opportunities to explore built environments and physical activity behavior, with the potential to overcome residential self-selection bias.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.