ArticleThe Gerontologist2021
Associations of Neighborhood Walkability and Walking Behaviors by Cognitive Trajectory in Older Adults.
Article in The Gerontologist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 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.
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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
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Social class and the risk of dementia: A systematic review and meta-analysis of the prospective longitudinal studies.Scandinavian journal of public health · 2023Pooled it
- How different are objective operationalizations of walkability for older adults compared to the general population? A systematic review.BMC geriatrics · 2022Pooled it
- Neighborhood Walkability Is Associated With Global Positioning System-Derived Community Mobility of Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Trial
- Effects of a Physical Therapist Intervention on GPS Indicators of Community Mobility in Older Adults: A Secondary Analysis of a Randomized Controlled Trial.Physical therapy · 2023Trial
- Midlife and late-life neighborhood socioeconomic status and cognitive function in later life: Differences by race.Annals of epidemiology · 2026Article
- Article
- A Framework for Measuring Neighborhood Walkability for Older Adults-A Delphi Consensus Study.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Article
- What Characteristics Modify the Relation of Neighborhood Walkability and Walking Behavior in Older Adults?Innovation in aging · 2024Article
- Mediating role of walking between perceived and objective walkability and cognitive function in older adults.Health & place · 2023Article
- Examining the efficacy of a cardio-dance intervention on brain health and the moderating role of ABCA7 in older African Americans: a protocol for a randomized controlled trial.Frontiers in aging neuroscience · 2023Article
- Impact of land use and food environment on risk of type 2 diabetes: A national study of veterans, 2008-2018.Environmental research · 2022Article
- Differences in the Correlation between the Built Environment and Walking, Moderate, and Vigorous Physical Activity among the Elderly in Low- and High-Income Areas.International journal of environmental research and public health · 2022Article
- Optimization of Walk Score Based on Street Greening-A Case Study of Zhongshan Road in Qingdao.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
objectivesLawton's Ecological Model of Aging suggests that associations between environment and mobility differ based on individual factors such as cognitive decline. RESEARCH DESIGN AND
methodsVirtual walkability audits were conducted within 1/8 mile of residences of older adults (n = 545; average age = 82; 57% female; 33% Black) who had been enrolled in the Health, Aging, and Body Composition (Health ABC) cohort for 10 years. The primary outcome was self-reported walking in past week and the secondary was mobility disability, self-reported difficulty to walk ¼ mile. Linear mixed models of general cognitive function over the prior 10 years calculated participant-specific slopes; those below 0 were cognitive decliners. Logistic regression models, adjusted for demographics and neighborhood socioeconomic status, tested associations between each walkability variable and each mobility outcome. Interaction terms between walkability and cognitive status were tested and walkability analyses stratified on cognitive status where p for interaction < .2.
resultsIn the sample, 57.4% reported walking, 24.2% reported mobility disability, and 51% were cognitive decliners. Sidewalk quality was related to walking in cognitive maintainers; slope was related in decliners. Mixed land use (odds ratio [OR] = 1.61; 95% confidence interval [CI]: 1.12, 2.30) and senior residence (OR = 2.14; 95% CI: 1.27, 3.60) were related to greater walking, regardless of cognitive status. Mixed land use was related to less mobility disability in decliners and abandoned properties were related to greater mobility disability in maintainers. DISCUSSION AND IMPLICATIONS: Policy-level interventions targeted at walkability, including improved sidewalk quality and increasing mixed land use could support walking in older adults, regardless of cognitive status.
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Registered trials
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.