Abstract
The purpose of this study was to examine associations between the Walk Score and physical activity in young, overweight/obese urban women. Project Health included 45 White or African American women (BMI 31.5±3.9 kg/m2; age 26.5±4.6 years; 62% African American) living in the Boston area. An accelerometer estimated steps/day and mins/day in light physical activity (100–2019 counts-per-minute) and moderate-to-vigorous-physical activity (≥2020 cpm). Walk Score was used to estimate the walkability of home address by analyzing proximity to nearby amenities. General linear regression models estimated associations between total Walk Score and physical activity (light physical activity, moderate-to-vigorous-physical activity, steps, total activity counts, METs), adjusting for body mass index, age, race/ethnicity, seasonality, wear time, employment and student status. For physical activity variables that had significant associations with Walk Score (steps/day and steps/min), regression models were estimated for Walk Score sub-scores (parks, grocery, errands, shopping, dining/drinking, culture/entertainment and schools). Logistic regression models estimated the odds of meeting the guidelines for steps (≥10,000/day) and moderate-to-vigorous-physical activity (≥150mins MVPA/week) based on Walk Score. Participants had a Walk Score of 63.9±26.4, took 14,143±3,934 steps/day, and spent 206.2±66.0 mins/day in light physical activity and 46.7±17.5 mins/day in moderate-to-vigorous- physical activity. Walk Score was significantly and positively associated with steps/day (β = 51.4, p = 0.01) and steps/min (β = 0.06, p = 0.009) but was not associated with mins/day of light physical activity, moderate-to-vigorous-physical activity, total activity counts or METs. Parks, grocery, errands, shopping, dining/drinking, and culture/entertainment Walk Score sub-scores were significantly associated with steps and steps/min (all p<0.05), but not significantly associated for schools. Participants who lived in higher Walk Score neighborhoods were more likely to meet the step guidelines (OR, 95% CI: 1.59, 1.04–2.99) and moderate-to-vigorous-physical activity guidelines (1.63, 1.06–3.02), respectively, per 10-unit increase in Walk Score. These results indicate that living in a more walkable neighborhood may support walking behavior in young, urban-dwelling overweight/obese women and provide further evidence for the expanded use of urban planning and transportation policies to improve the walkability of urban neighborhoods.
Highlights
Walking is reported as the most common form of aerobic physical activity (PA) [1]
Participants were excluded from analysis for not wearing the accelerometer (n = 2), not meeting the wear time criteria (n = 6), moderate to vigorous PA (MVPA) minutes/
In a sample of overweight/obese young women from Boston, Massachusetts, Walk Score was associated with steps and meeting PA aerobic guidelines for both steps and MVPA
Summary
Walking is reported as the most common form of aerobic physical activity (PA) [1]. Walking is an especially important PA to incorporate for health since it does not require skills, facilities, planning or expensive equipment, and can be done year-round as well as indoors and outdoors[2]. Individuals who report at least 10 minutes of walking for leisure or transportation during the past 7 days are almost 3 times more likely to meet the U.S PA aerobic guidelines of 150 minutes of moderate to vigorous PA (MVPA) per week compared to non-walkers [10]. Despite this evidence for greater amounts of walking in these population subgroups, women and overweight/obese individuals, in particular, have lower overall PA levels and are less likely to meet the PA guidelines [11]
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