Evidence map›Paper›PMID 40959523›Full record

ArticleCities (London, England)2026

Re-thinking Walkability: Synergizing the Pedestrian Environment and Land Use Patterns to Promote Physical Activity in Older Adults.

Binay Adhikari, Abby C King, James F Sallis, Brian E Saelens, Eric H Fox, Kelli L Cain, Terry L Conway, Lawrence D Frank

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cities (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Binay AdhikariSchools of Community and Regional Planning, and Population and Public Health, The University of British Columbia, Vancouver, BC V6T 1Z4, Canada.
Abby C KingDepartments of Epidemiology & Population Health and of Medicine (Stanford Prevention Research Center), Stanford University School of Medicine, CA, 94304, USA.
James F SallisHerbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, 92093, USA.
Brian E SaelensSeattle Children's Research Institute and Department of Pediatrics, University of Washington, Seattle, WA, 98101, USA.
Eric H FoxUrban Design 4 Health, Inc., Rochester, NY, 14620, USA.
Kelli L CainHerbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, 92093, USA.
Terry L ConwayHerbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, 92093, USA.
Lawrence D FrankDepartment of Urban Studies and Planning, University of California San Diego, La Jolla, CA, 92093, USA.

Funding

Ecological Analysis of Physical ActivityR01HL067350 · NHLBI · SAN DIEGO STATE UNIVERSITY · PI SALLIS, JAMES F. · 2001 to 2004
$2.5M
Neighborhood Impact on Physical Activity in Older AdultsR01HL077141 · NHLBI · STANFORD UNIVERSITY · PI KING, ABBY C · 2004 to 2007
$2.3M
NHLBI NIH HHS R01 HL067350NHLBI NIH HHS R01 HL077141
6 · The paper itself

Abstract

Previous studies have demonstrated that the macro-level design of cities (e.g., walkability) and the micro-level pedestrian-oriented design of streetscapes are associated with physical activity; however, the benefits of combining these features have rarely been examined. Understanding potential synergies between these two components could provide guidance for optimizing health impacts, especially for older adults. This cross-sectional investigation examined interactions among 'macro-level' neighbourhood walkability and 'micro-level' pedestrian environment, sex, and neighbourhood income in relation to self-reported frequency of active transportation and device-measured physical activity (30 minutes per day) in 352 older adults recruited from economically and built environmentally diverse neighbourhoods in Seattle/King County. Results included positive interactions between neighbourhood walkability, pedestrian environment, and sex for the active transportation outcome. The synergy was more pronounced in women, in which there were significant interactions between neighbourhood walkability and sex with scores related to streetscape design features, walking routes, and street-crossing characteristics of the pedestrian environment. Our study highlights actionable policies to create age-friendly pedestrian environments by improving route connectivity, streetscape features, and crossing safety. Prioritizing well-connected walking routes, enhancing micro-level streetscape elements, and ensuring pedestrian-friendly crossings can significantly support elderly active travel and reduce reliance on motorized transport. These results provide evidence that the pedestrian environment may enhance the health potential of neighbourhood walkability for some population segments (i.e., older women).

Indexed as

accelerometeraging in placebuilt environmentGIShealthy citiesUrban designwalking

Identifiers

PMID40959523
PMCPMC12435347

What OpenQuestion holds

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Registered trials

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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.