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Original Article
- The Association of Perceived Neighborhood Walkability and Environmental Pollution With Frailty Among Community-dwelling Older Adults in Korean Rural Areas: A Cross-sectional Study
- Mi-Ji Kim, Sung-Hyo Seo, Ae-Rim Seo, Bo-Kyoung Kim, Gyeong-Ye Lee, Yeun-Soon Choi, Jin-Hwan Kim, Jang-Rak Kim, Yune-Sik Kang, Baek-Geun Jeong, Ki-Soo Park
- J Prev Med Public Health. 2019;52(6):405-415. Published online October 24, 2019
- DOI: https://doi.org/10.3961/jpmph.19.166
- 8,645 View
- 143 Download
- 12 Crossref
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Abstract
Summary
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Supplementary Material - Objectives
The aim of this study was to evaluate the associations of frailty with perceived neighborhood walkability and environmental pollution among community-dwelling older adults in rural areas.
Methods
The participants were 808 community-dwelling men and women aged 65 years and older in 2 rural towns. Comprehensive information, including demographics, socioeconomic status, grip strength, polypharmacy, perceived neighborhood environment (specifically, walkability and environmental pollution), and frailty, was collected from participants using face-to-face interviews conducted between June and August 2018. Perceived neighborhood walkability was measured using 20 items that were selected and revised from the Neighborhood Environment Walkability Scale, the Neighborhood Walkability Checklist from the National Heart Foundation of Australia, and the Physical Activity Neighborhood Environment Survey. The Kaigo-Yobo Checklist was used to assess participants’ frailty.
Results
The overall prevalence of frailty in this community-dwelling population was 35.5%. Sex, age, cohabitation status, educational attainment, employment status, grip strength, and polypharmacy were significantly associated with frailty. In the logistic regression analysis, frailty was associated with low perceived neighborhood walkability (adjusted odds ratio [aOR], 0.881; 95% confidence interval [CI], 0.833 to 0.932; p<0.001) and severe perceived neighborhood environmental pollution (aOR, 1.052; 95% CI, 1.017 to 1.087; p=0.003) after adjusting for sex, age, cohabitation status, educational attainment, employment status, monthly income, grip strength, and polypharmacy.
Conclusions
More studies are warranted to establish causal relationships between walkability and environmental pollution and frailty. -
SummaryKorean summary
본 연구는 우리나라 농촌지역 노인들이 인지하는 지역 환경과 노쇠의 연관성을 확인하기 위하여 자기보고식 설문지로 인지된 보행편의성 및 환경오염을 측정하였고, Kaigo-Yobo 평가척도로 노쇠를 평가하였다. 연구 결과, 노쇠에 영향을 미칠 것으로 예상되는 변수들을 통제한 후에도 인지된 보행편의성의 감소와 인지된 환경오염의 증가는 노쇠와 관련성이 있었다. -
Citations
Citations to this article as recorded by
- Effect of walkability on the physical activity of hemodialysis patients: a multicenter study
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Renal Replacement Therapy.2024;[Epub] CrossRef - Is tourist walkability and well-being different?
Myung Ja Kim, C. Michael Hall
Current Issues in Tourism.2023; 26(2): 171. CrossRef - Association Between Pollution and Frailty in Older People: A Cross-Sectional Analysis of the UK Biobank
Nicola Veronese, Laura Maniscalco, Domenica Matranga, Guido Lacca, Ligia J. Dominguez, Mario Barbagallo
Journal of the American Medical Directors Association.2023; 24(4): 475. CrossRef - Associations of Perceived and Objective Neighborhood Environment Attributes with Walking in Older Adults: A Cross-Sectional Study
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Journal of Urban Planning and Development.2023;[Epub] CrossRef - Frailty in Older Adults and Internal and Forced Migration in Urban Neighborhood Contexts in Colombia
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International Journal of Public Health.2023;[Epub] CrossRef - The Effects of Neighborhood Physical and Social Environment on Physical Function among Japanese Community-Dwelling Older Adults: A One-Year Longitudinal Study
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International Journal of Environmental Research and Public Health.2022; 19(13): 7999. CrossRef - Association between Age-Friendliness of Communities and Frailty among Older Adults: A Multilevel Analysis
Jixiang Xu, Yingwei Chen, Yujie Wang, Junling Gao, Limei Huang
International Journal of Environmental Research and Public Health.2022; 19(12): 7528. CrossRef - Differences in the Association of Neighborhood Environment With Physical Frailty Between Urban and Rural Older Adults: The Korean Frailty and Aging Cohort Study (KFACS)
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Journal of the American Medical Directors Association.2021; 22(3): 590. CrossRef - Urban services, pedestrian networks and behaviors to measure elderly accessibility
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Transportation Research Part D: Transport and Environment.2021; 90: 102687. CrossRef - Prevalence and risk factors of frailty among people in rural areas: a systematic review and meta-analysis
Rui Xu, Qiufang Li, Feifei Guo, Maoni Zhao, Luyao Zhang
BMJ Open.2021; 11(4): e043494. CrossRef - Perceived Neighborhood Environment Associated with Sarcopenia in Urban-Dwelling Older Adults: The Korean Frailty and Aging Cohort Study (KFACS)
Yuri Seo, Miji Kim, Hyungeun Shin, Changwon Won
International Journal of Environmental Research and Public Health.2021; 18(12): 6292. CrossRef - Frailty Status and Transport Disadvantage: Comparison of Older Adults’ Travel Behaviours between Metropolitan, Suburban, and Rural Areas of Japan
Takumi Abe, Akihiko Kitamura, Satoshi Seino, Yuri Yokoyama, Hidenori Amano, Yu Taniguchi, Mariko Nishi, Yu Nofuji, Tomoko Ikeuchi, Takemi Sugiyama, Shoji Shinkai
International Journal of Environmental Research and Public Health.2020; 17(17): 6367. CrossRef
- Effect of walkability on the physical activity of hemodialysis patients: a multicenter study
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