Active design in affordable housing: A public health nudge

Victoria Garland · Dominique Peters · John T. Doucette · Erin Thanik · Sritha Reddy Rajupet · Sadie H. Sanchez

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Urban Transport and Accessibility Physical Activity and Health Urban Green Space and Health

Abstract

This pilot study investigates the impact of active design (AD) strategies on physical activity (PA) among adults living in two Leadership in Energy and Environmental Design (LEED) certified affordable housing developments in the South Bronx, New York. One building incorporates LEED Innovation in Design (ID) Credit: Design for Health through Increased Physical Activity. Tenants in an affordable housing building (AH) incorporating active design strategies completed PA self-assessments at their lease signing and one year later in 2015. Trained research assistants obtained body measurements. Residents of neighboring non-AD affordable housing (MCV) served as a comparison. Thirty four adults were recruited from AH and 29 from MCV, retention was 56% (n = 19) and 52% (n = 15) respectively at one year. The two groups' body mass index (BMI) and high-risk waist-to-hip ratio (WHR) were not statistically significantly different when analyzed as continuous variables, although BMI category had a greater decline at AH than at MCV (p = 0.054). There was a 31.5% increase in AH participants meeting MPA requirements and a statistically significant improvement in females (p = 0.031); while there was no change in the MCV participants overall or when stratified by gender. AH participants were significantly more likely to have reported increased stair use and less likely to have reported no change or decreased stair use than participants from MCV participants (p = 0.033). Housing has a role in individual health outcomes and behavior change, broad adoption of active design strategies in affordable housing is warranted to improve physical activity measures.

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References

2002How the built environment affects physical activity 2006Inequality in the Built Environment Underlies Key Health Disparities in Physical Activity and Obesity 2017Built environmental correlates of older adults’ total physical activity and walking: a systematic review and meta-analysis 2005Influences of building design and site design on physical activity 2001Using Signs, Artwork, and Music to Promote Stair Use in a Public Building 2012Developing and implementing the Active Design Guidelines in New York City 2006A Method for Observing Physical Activity on Residential Sidewalks and Streets

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2019Improving Physical Activity among Residents of Affordable Housing: Is Active Design Enough?2021Influence of Spatial Layout of Residential Buildings on Sedentary Behaviour of Residents in Enugu, Nigeria 2024Multi-Family Housing Environment and Physical Activity: A Systematic Review of the Literature 2023Study of active design strategies to enhance physical activity in university educational buildings: a case study at King Abdulaziz University

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