ArticleInternational journal of environmental research and public health2019
Neighborhood Walkability in Relation to Knee and Low Back Pain in Older People: A Multilevel Cross-Sectional Study from the JAGES.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 27 citations in OpenAlex.
- El Dolor Es Lo Que Me Saluda: A Qualitative Study on Multilevel and Intersectional Factors Impacting Physical Activity Among Latino Persons With Chronic Spine Pain.Journal of physical activity & health · 2026Article
- Objective food store access was associated with calcium intake among older Japanese adults: a cross-sectional analysis from the Japan Gerontological Evaluation Study at Taisetsu Community Hokkaido.Nagoya journal of medical science · 2026Article
- Article
- Biomechanical analysis of trunk and lower limbs during stair activity in patients with scoliosis.Scientific reports · 2024Article
- Living in public rental housing is healthier than private rental housing a 9-year cohort study from Japan Gerontological Evaluation Study.Scientific reports · 2024Article
- Impact of Environment on Pain among the Working Poor: Making Use of Random Forest-Based Stratification Tool to Study the Socioecology of Pain Interference.International journal of environmental research and public health · 2024Article
- Does neighbourhood deprivation influence low back pain and arthritis: An empirical study using multilevel twin design.PloS one · 2024Article
- The association between street connectivity and depression among older Japanese adults: the JAGES longitudinal study.Scientific reports · 2022Article
- Prevalence and municipal variation in chronic musculoskeletal pain among independent older people: data from the Japan Gerontological Evaluation Study (JAGES).BMC musculoskeletal disorders · 2022Article
- Do Community Social Capital and Built Environment Associate With Homebound in Older Adults? The JAGES Niigata Study.Journal of epidemiology · 2022Article
- Social capital and pneumococcal vaccination (PPSV23) in community-dwelling older Japanese: a JAGES multilevel cross-sectional study.BMJ open · 2021Article
- Association between Neighborhood Environment and Quality of Sleep in Older Adult Residents Living in Japan: The JAGES 2010 Cross-Sectional Study.International journal of environmental research and public health · 2020Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Few studies have focused on a relationship between the built environment and musculoskeletal pain. This study aimed to investigate an association between neighborhood walkability and knee and low back pain in older people. Data were derived from the Japan Gerontological Evaluation Study (JAGES) 2013, a population-based study of independently living people ≥65 years old. A cross-sectional multilevel analysis was performed, of 22,892 participants in 792 neighborhoods. Neighborhood walkability was assessed by residents' perceptions and population density. Dependent variables were knee and low back pain restricting daily activities within the past year. The prevalence of knee pain was 26.2% and of low back pain 29.3%. After adjusting for sociodemographic covariates, the prevalence ratio (PR) of knee and low back pain was significantly lower in neighborhoods with better access to parks and sidewalks, good access to fresh food stores, and higher population densities. After additionally adjusting for population density, easier walking in neighborhoods without slopes or stairs was significantly inversely correlated with knee pain (PR 0.91, 95% confidence interval 0.85-0.99). Neighborhoods with walkability enhanced by good access to parks and sidewalks and fresh food stores, easy walking without slopes or stairs, and high population densities, had lower prevalences of knee and low back pain among older people. Further studies should examine environmental determinants of pain.
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