ArticleBMJ open2020
Hilly environment and physical activity among community-dwelling older adults in Japan: a cross-sectional study.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 16 citations in OpenAlex.
- Out-of-home activity participation associated with body mass index and muscle mass in community-dwelling older adults.BMC public health · 2025Article
- Physical activity associations with physical function and body composition among community-dwelling older adults in Japan: The Kyotango Longevity Cohort Study.Geriatrics & gerontology international · 2025Article
- Factors associated with prefectural level physical activity in Japan: An ecological study.Journal of general and family medicine · 2024Article
- Association between a hilly neighborhood environment and falls among rural older adults: a cross-sectional study.Journal of rural medicine : JRM · 2021Article
- Environmental Factors Affecting Cognitive Function among Community-Dwelling Older Adults: A Longitudinal Study.International journal of environmental research and public health · 2021Article
- Neighborhood Environmental Factors and Physical Activity Status among Rural Older Adults in Japan.International journal of environmental research and public health · 2021Article
- Neighborhood environment and muscle mass and function among rural older adults: a 3-year longitudinal study.International journal of health geographics · 2020Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe investigated whether a moderate-to-vigorous physical activity (MVPA) level and walking time were associated with a hilly environment in rural Japanese older adults.
designCross-sectional study.
settingUnnan city, Ohnan and Okinoshima towns in Shimane, Japan.
participantsData were collected from 1115 adults from the Shimane CoHRE study, who were aged 60 years and older and living in rural Japan in 2012. MEASURES: We measured the total time spent on MVPA and walking using a Japanese short version of the International Physical Activity Questionnaire. The land slope in 400 or 800 m network buffers was assessed using the geographic information system. A multivariable Poisson regression model examined the prevalence ratios (PR) and 95% CIs of walking time or MVPA levels meeting the WHO guideline (
resultsEngaging in the recommended level of MVPA was significantly associated with middle land slope (PR=1.07; p=0.03) and high land slope (PR=1.06; p=0.07) compared with low land slope in the 400 m network buffer, as well as with middle land slope (PR=1.02; p=0.48) and high land slope (PR=1.04; p=0.25) compared with the low land slope in the 800 m network buffer. Walking time was significantly associated with middle land slope (PR=1.13; p=0.04) and high land slope (PR=1.17; p=0.01) compared with low land slope in the 400 m network buffer, and with middle land slope (PR=1.09; p=0.16) and high land slope (PR=1.17; p<0.01) compared with low land slope in the 800 m network buffer. The sensitivity analysis found only a positive association between walking time and land slope in the 400 and 800 m network buffers.
conclusionsThis study showed that a hilly environment was positively associated with walking time among older adults living in rural Japan.
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