Evidence map›Paper›PMID 30944171›Full record

ArticleJournal of epidemiology and community health2019

Walk Score and objectively measured physical activity within a national cohort.

Erica Twardzik, Suzanne Judd, Aleena Bennett, Steven Hooker, Virginia Howard, Brent Hutto, Philippa Clarke, Natalie Colabianchi

Abstract read
In one paragraph

Article in Journal of epidemiology and community health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Is Walk Score a useful tool for measuring walkability in rural communities?The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
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  13. Development of an objectively measured walkability index for the Netherlands.The international journal of behavioral nutrition and physical activity · 2022
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  20. Contribution of Individual and Neighborhood Factors to Racial Disparities in Respiratory Outcomes.American journal of respiratory and critical care medicine · 2021
    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

8 authors.

Erica TwardzikSchool of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA.
Suzanne JuddDepartment of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Aleena BennettDepartment of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Steven HookerCollege of Health and Human Services, San Diego State University, San Diego, California, USA.
Virginia HowardDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Brent HuttoSchool of Public Health, University of South Carolina, Columbia, South Carolina, USA.
Philippa ClarkeDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.
Natalie ColabianchiSchool of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA colabian@umich.edu.ORCID 0000-0002-7951-9475

Funding

VCID and Stroke in a Bi-racial National CohortU01NS041588 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CUSHMAN, MARY, HOWARD, GEORGE · 2002 to 2022
$96.0M
University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Kirk Michael Habegger · 2013 to 2026
$19.5M
Impact of Physical Activity on Stroke and Cognitive Function in Older AdultsR01NS061846 · NINDS · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI HOOKER, STEVEN PAUL · 2008 to 2012
$2.9M
Built environments on stroke risk and stroke disparities in a national sampleR01NS092706 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI COLABIANCHI, NATALIE, JUDD, SUZANNE E · 2016 to 2019
$2.5M
NIDDK NIH HHS P30 DK079626NINDS NIH HHS R01 NS061846NINDS NIH HHS R01 NS092706NINDS NIH HHS U01 NS041588
6 · The paper itself

Abstract

backgroundThere have been mixed findings regarding the relationship between walkability and level of physical activity in adults.

methodsParticipants from The REasons for Geographic and Racial Differences in Stroke (REGARDS) national cohort (N=7561) were used to examine the association between Walk Score and physical activity measured via accelerometry. The subsample included geographically diverse adults, who identified as black or white, and were over the age of 45. Linear regression was used to examine the direct effects, as well as the interaction, of Walk Score by sex, age and race.

resultsThe majority of participants lived in a 'Very Car-Dependent' location (N=4115). Only 527 lived in a location that was 'Very Walkable/Walker's Paradise'. Living in a location with a Walk Score of 'Very Car-Dependent' compared with 'Very Walkable/Walker's Paradise' was associated with 19% (0.81; 95% CI 0.73 to 0.90) lower predicted minutes of moderate to vigorous physical activity per day, after adjustment for covariates. There was no evidence of statistically significant interactions between Walk Score and sex, age or race (p>0.05).

conclusionAccumulated daily time in moderate to vigorous physical activity was higher for participants living in neighbourhoods designated as 'Very Walkable/Walker's Paradise'. This effect was not moderated by sex, age or race of participants.

Indexed as

Environment DesignExerciseAccelerometryAgedCohort StudiesFemaleHumansMaleMiddle AgedResidence CharacteristicsSocioeconomic FactorsTransportationWalkingaccelerometerMVPAneighborhoodphysical activityREGARDSwalk score®

Identifiers

PMID30944171
PMCPMC6581093

What OpenQuestion holds

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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.