Trial reportAge and ageing2021
Neighbourhood walkability and physical activity: moderating role of a physical activity intervention in overweight and obese older adults with metabolic syndrome.
Trial report in Age and ageing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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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.
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.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Non-traditional data sources in obesity research: a systematic review of their use in the study of obesogenic environments.International journal of obesity (2005) · 2023Pooled it
- The association between the built environment and intervention-facilitated physical activity: a narrative systematic review.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- The moderating impact of neighborhood walkability on mHealth interventions to increase moderate to vigorous physical activity for insufficiently active adults in a randomized trial.The international journal of behavioral nutrition and physical activity · 2023Trial
- Physical activity, falls, and dementia risk in adults aged ≥ 60: evidence from three cohorts.The international journal of behavioral nutrition and physical activity · 2026Article
- Re-thinking Walkability: Synergizing the Pedestrian Environment and Land Use Patterns to Promote Physical Activity in Older Adults.Cities (London, England) · 2026Article
- Associations of neighbourhood walkability with patterns of device-measured stepping, standing and sitting.The international journal of behavioral nutrition and physical activity · 2025Article
- The Role of Environmental Factors in Technology-Assisted Physical Activity Intervention Studies Among Older Adults: Scoping Review.JMIR mHealth and uHealth · 2025Article
- Association between neighborhood environment and self-reported and objectively measured physical activity in Hispanic families.Frontiers in sports and active living · 2025Article
- Neighborhood built environment, obesity, and diabetes: A Utah siblings study.SSM - population health · 2024Article
- Mobility Infrastructures and Health: Scoping Review of studies in Europe.Public health reviews · 2024Article
- Socially active neighborhoods: construct operationalization for aging in place, health promotion and psychometric testing.Health promotion international · 2023Review
- Experiencing Public Spaces in Southern Chile: Analysing the Effects of the Built Environment on Walking Perceptions.International journal of environmental research and public health · 2022Article
- Perceived barriers to physical activity behaviour among patients with diabetes and hypertension in Kosovo: a qualitative study.BMC primary care · 2022Article
- Exploring the Mediating Effect of Physical Activities on Built Environment and Obesity for Elderly People: Evidence From Shanghai, China.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
11 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile urban built environments might promote active ageing, an infrequently studied question is how the neighbourhood walkability modulates physical activity changes during a physical activity intervention programme in older adults. We assessed the influence of objectively assessed neighbourhood walkability on the change in physical activity during the intervention programme used in the ongoing PREvención con DIeta MEDiterránea (PREDIMED)-Plus trial.
methodThe present study involved 228 PREDIMED-Plus senior participants aged between 55 and 75, recruited in Palma de Mallorca (Spain). Overweight/obese older adults with metabolic syndrome were randomised to an intensive weight-loss lifestyle intervention or a control group. A walkability index (residential density, land use mix, intersections density) was calculated using geographic information systems (1 km sausage-network buffer). Physical activity was assessed using accelerometer and a validated questionnaire, at baseline and two follow-up visits (6-months and 1-year later). Generalised additive mixed models were fitted to estimate the association between the neighbourhood walkability index and changes in physical activity during follow-up.
resultsHigher neighbourhood walkability (1 z-score increment) was associated with moderate-to-vigorous accelerometer assessed physical activity duration, (β = 3.44; 95% CI = 0.52; 6.36 min/day). When analyses were stratified by intervention arm, the association was only observed in the intervention group (β = 6.357; 95% CI = 2.07;10.64 min/day) (P for interaction = 0.055).
conclusionsThe results indicate that the walkability of the neighbourhood could support a physical activity intervention, helping to maintain or increase older adults' physical activity.
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