Abstract
The aim of this study was to analyze the association between perceived neighborhood characteristics and leisure time physical activity (PA) and the moderator effect of gender, age, schooling and time spent working/studying on perceived environment and leisure PA in adults. This is a cross-sectional study conducted with 699 adults (53.1% women), distributed from 32 census tracts selected according to walkability and neighborhood income characteristics in Curitiba. Perceived neighborhood characteristics were assessed using the Brazilian version of the Neighborhood Environment Walkability Scale-Abbreviated (A-NEWS). Leisure time PA was evaluated through the long-version IPAQ and walking and moderate to vigorous physical activity (MVPA) were analyzed separately. PA classification considered ≥10 minutes/week and ≥150 minutes/week of walking or MVPA. Associations were tested using a multilevel logistic binary model. After adjusting for potential confounders, aesthetics perception was associated with ≥10 minutes/week of walking. Additionally, access to public places for leisure remained associated with ≥10 minutes/week and ≥150 minutes/week of MVPA. The relationship between perceived access to public spaces, walking and MVPA were stronger in women and younger adults. It is concluded that a better perception of neighborhood aesthetics was associated with the practice of walking and access to public spaces with the practice of MVPA, respectively.
Highlights
The construction and maintenance of environments conducive to the practice of physical activity has been recommended by specialists to mitigate the impact of physical inactivity and obesity at global levels[1], especially in low- and middle-income countries such as Brazil, which suffers from the high burden of chronic noncommunicable diseases
Two-thirds of participants had less than 11 years of schooling and had children living at home
Positive perception of the neighborhood aesthetics was associated with greater chance of walking for at least 10 minutes / week and the perception of access to public spaces was associated with greater chance of performing moderate to vigorous physical activity (MVPA) regardless of volume (≥10 or ≥150 minutes / week)
Summary
The construction and maintenance of environments conducive to the practice of physical activity has been recommended by specialists to mitigate the impact of physical inactivity and obesity at global levels[1], especially in low- and middle-income countries such as Brazil, which suffers from the high burden of chronic noncommunicable diseases. These recommendations are based on the premise that environmental interventions are promising to enable greater population coverage and for presenting better outcomes in changing health-related behaviors[2]. It is expected that the associations between the characteristics of the neighborhood environment are different among different population subgroups
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