Evidence map›Paper›PMID 32738916›Full record

ArticleThe international journal of behavioral nutrition and physical activity2020

Longitudinal impact of changes in the residential built environment on physical activity: findings from the ENABLE London cohort study.

Christelle Clary, Daniel Lewis, Elizabeth Limb, Claire M Nightingale, Bina Ram, Angie S Page, Ashley R Cooper, Anne Ellaway, Billie Giles-Corti, Peter H Whincup and 4 more

Abstract read
In one paragraph

Article in The international journal of behavioral nutrition and physical activity, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

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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

14 authors.

Christelle ClaryDepartment of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London, UK.
Daniel LewisDepartment of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London, UK.
Elizabeth LimbPopulation Health Research Institute, St George's, University of London, London, UK.
Claire M NightingalePopulation Health Research Institute, St George's, University of London, London, UK.
Bina RamPopulation Health Research Institute, St George's, University of London, London, UK.
Angie S PageCentre for Exercise, Nutrition and Health Sciences, University of Bristol, Bristol, UK.
Ashley R CooperCentre for Exercise, Nutrition and Health Sciences, University of Bristol, Bristol, UK.
Anne EllawayMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Billie Giles-CortiNHMRC Centre of Research Excellence in Healthy Liveable Communities, RMIT University, Melbourne, Victoria, Australia.
Peter H WhincupPopulation Health Research Institute, St George's, University of London, London, UK.
Alicja R RudnickaPopulation Health Research Institute, St George's, University of London, London, UK.
Derek G CookPopulation Health Research Institute, St George's, University of London, London, UK.
Christopher G OwenPopulation Health Research Institute, St George's, University of London, London, UK.
Steven CumminsDepartment of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London, UK. steven.cummins@lshtm.ac.uk.ORCID 0000-0002-3957-4357

Funding

Chief Scientist Office SPHSU10Chief Scientist Office SPHSU19Department of Health 12/211/69Medical Research Council MC_UU_00022/4Medical Research Council MC_UU_12017/10Medical Research Council MC_UU_12017–10Medical Research Council MR/J000345/1Wellcome Trust 204809/Z/16/Z
6 · The paper itself

Abstract

backgroundPrevious research has reported associations between features of the residential built environment and physical activity but these studies have mainly been cross-sectional, limiting inference. This paper examines whether changes in a range of residential built environment features are associated with changes in measures of physical activity in adults. It also explores whether observed effects are moderated by socio-economic status.

methodsData from the Examining Neighbourhood Activity in Built Living Environments in London (ENABLE London) study were used. A cohort of 1278 adults seeking to move into social, intermediate, and market-rent East Village accommodation was recruited in 2013-2015, and followed up after 2 years. Accelerometer-derived steps (primary outcome), and GIS-derived measures of residential walkability, park proximity and public transport accessibility were obtained both at baseline and follow-up. Daily steps at follow-up were regressed on daily steps at baseline, change in built environment exposures and confounding variables using multilevel linear regression to assess if changes in neighbourhood walkability, park proximity and public transport accessibility were associated with changes in daily steps. We also explored whether observed effects were moderated by housing tenure as a marker of socio-economic status.

resultsBetween baseline and follow-up, participants experienced a 1.4 unit (95%CI 1.2,1.6) increase in neighbourhood walkability; a 270 m (95%CI 232,307) decrease in distance to their nearest park; and a 0.7 point (95% CI 0.6,0.9) increase in accessibility to public transport. A 1 s.d. increase in neighbourhood walkability was associated with an increase of 302 (95%CI 110,494) daily steps. A 1 s.d. increase in accessibility to public transport was not associated with any change in steps overall, but was associated with a decrease in daily steps amongst social housing seekers (- 295 steps (95%CI - 595, 3), and an increase in daily steps for market-rent housing seekers (410 95%CI -191, 1010) (P-value for effect modification = 0.03).

conclusionTargeted changes in the residential built environment may result in increases in physical activity levels. However, the effect of improved accessibility to public transport may not be equitable, showing greater benefit to the more advantaged.

Indexed as

AccelerometryBuilt EnvironmentExerciseGeographic Information SystemsResidence CharacteristicsWalkingAdolescentAdultFemaleFollow-Up StudiesHumansLondonLongitudinal StudiesMaleMiddle AgedParks, RecreationalBuilt environmentLongitudinalMVPANeighbourhood walkabilityPark proximityPhysical activityPublic transport accessibilitySocial inequalitiesSteps

Identifiers

PMID32738916
PMCPMC7395376

What OpenQuestion holds

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LicenceCC BY
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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.