Evidence map›Paper›PMID 30474377›Full record

ArticleAmerican journal of health promotion : AJHP2019

Walkable Urban Design Attributes and Japanese Older Adults' Body Mass Index: Mediation Effects of Physical Activity and Sedentary Behavior.

Mohammad Javad Koohsari, Andrew T Kaczynski, Tomoki Nakaya, Ai Shibata, Kaori Ishii, Akitomo Yasunaga, Ellen W Stowe, Tomoya Hanibuchi, Koichiro Oka

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of health promotion : AJHP, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Associations Between the Built Environment and Adult Obesity and the Mediating Role of Physical Activity: A Systematic Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Obesity and the Built Environment: A Reappraisal.Obesity (Silver Spring, Md.) · 2020
    Review
  10. Neighborhood walkability and 12-year changes in cardio-metabolic risk: the mediating role of physical activity.The international journal of behavioral nutrition and physical activity · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mohammad Javad Koohsari1 Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan.
Andrew T Kaczynski4 Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Tomoki Nakaya6 Graduate School of Environmental Studies, Tohoku University, Sendai, Japan.
Ai Shibata7 Faculty of Health and Sport Sciences, University of Tsukuba, Tsukuba, Japan.
Kaori Ishii1 Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan.
Akitomo Yasunaga8 Faculty of Liberal Arts and Sciences, Bunka Gakuen University, Tokyo, Japan.
Ellen W Stowe4 Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Tomoya Hanibuchi9 School of International Liberal Studies, Chukyo University, Nagoya, Japan.
Koichiro Oka1 Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purposes of this study were to examine associations between objectively measured walkable urban design attributes with Japanese older adults' body mass index (BMI) and to test whether objectively assessed physical activity and sedentary behavior mediated such associations.

designCross-sectional.

settingMatsudo City, Chiba Prefecture, Japan.

participantsParticipants were 297 older residents (aged 65-84 years) randomly selected from the registry of residential addresses. MEASURES: Walkable urban design attributes, including population density, availability of physical activity facilities, intersection density, and access to public transportation stations, were calculated using geographic information systems. Physical activity, sedentary behavior, and BMI were measured objectively. ANALYSIS: The relationships of walkable urban design attributes, Walk Score®, and BMI were examined by multiple linear regression with adjustment for covariates in all models. Mediation effects of the physical activity and sedentary behavior variables in these relationships were tested using a product-of-coefficients test.

resultsHigher population density and Walk Score® were associated with lower BMI. Light and moderate-to-vigorous physical activities partially mediated the relationships between these walkable urban design attributes and BMI.

conclusionsDeveloping active-friendly environmental policies to (re)design neighborhoods may not only promote active transport behaviors but also help in improving residents' health status in non-Western contexts.

Indexed as

Body Mass IndexExerciseSedentary BehaviorAgedAged, 80 and overCross-Sectional StudiesEnvironment DesignFemaleHumansJapanMaleResidence Characteristicsactive behaviorsagingbuilt environmentneighborhoodweight

Identifiers

PMID30474377
PMCPMC7323758

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.