Walk Score® and Its Associations with Older Adults’ Health Behaviors and Outcomes

Yung Liao · Chien‐Yu Lin · Ting‐Fu Lai · Yen-Ju Chen · Bohyeon Kim · Jong‐Hwan Park

29 citations0/0 files storedInternational Journal of Environmental Research and Public Health

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

Abstract

This study aimed to investigate the associations between Walk Score® and lifestyle behaviors and health outcomes in older Taiwanese adults. A nationwide survey was conducted through telephone-based interviews with older adults (65 years and older) in Taiwan. Data on Walk Score®, lifestyle behaviors (physical activity, sedentary behavior, healthy eating behavior, alcohol use, and smoking status), health outcomes (overweight/obesity, hypertension, type 2 diabetes, and cardiovascular disease), and personal characteristics were obtained from 1052 respondents. A binary logistic regression adjusting for potential confounders was employed. None of the Walk Score® categories were related to the recommended levels of total physical activity. The categories “very walkable” and “walker’s paradise” were positively related to total sedentary time and TV viewing among older adults. No significant associations were found between Walk Score® and other lifestyle health behaviors or health outcomes. While Walk Score® was not associated with recommended levels of physical activity, it was positively related to prolonged sedentary time in the context of a non-Western country. The different associations between the walk score and health lifestyle behaviors and health outcomes in different contexts should be noted.

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References

2008Ecological models of health behavior.2010Walk Score™ As a Global Estimate of Neighborhood Walkability 2010Validation of Walk Score for estimating access to walkable amenities 2003The Built Environment and Its Relationship to the Public’s Health: The Legal Framework 2013Walk Score® and Transit Score® and Walking in the Multi-Ethnic Study of Atherosclerosis 2014Destinations matter: The association between where older adults live and their travel behavior 2013The impact of neighborhood walkability on walking: Does it differ across adult life stage and does neighborhood buffer size matter?2017Neighborhood walkability, physical activity, and walking for transportation: A cross-sectional study of older adults living on low income

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2020Neighborhood Walkability and Active Transportation: A Correlation Study in Leisure and Shopping Purposes 2022How different are objective operationalizations of walkability for older adults compared to the general population? A systematic review 2023Contributions and Limitations Walk Score ® in the Context of Walkability: A Scoping Review 2021Neighborhood Environment and Objectively Measured Sedentary Behavior Among Older Adults: A Cross-Sectional Study

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