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Int. J. Environ. Res. Public Health 2018, 15(6), 1285; https://doi.org/10.3390/ijerph15061285

Association between Access to Public Open Spaces and Physical Activity in a Mediterranean Population at High Cardiovascular Risk

1
Instituto de Investigación Sanitaria Illes Balears (IdISBa), University Hospital Son Espases, Palma de Mallorca 07120, Spain
2
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid 28029, Spain
3
Servicio de SIG y Teledetección, Vicerectorat d’Innovació i Transferència, Universitat de les Illes Balears, Palma de Mallorca 07120, Spain
4
Instituto Español de Oceanografía, Centro Oceanográfico de Baleares, 07015 Palma, Spain
*
Author to whom correspondence should be addressed.
Received: 3 May 2018 / Revised: 14 June 2018 / Accepted: 14 June 2018 / Published: 17 June 2018
(This article belongs to the Special Issue Obesity and Urban Environments)
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Abstract

Background: Regular physical activity is an important preventive factor of cardiovascular disease. Proximity and density of public open spaces are important modifying factors on the practice of physical activity. This article explores the cross-sectional relationship between access to public open spaces (POS) and leisure time physical activity (LTPA) in elderly participants at high cardiovascular risk from PREDIMED-Baleares. Method: 428 elderly subjects at high cardiovascular risk, participating in the PREDIMED trial, from Palma de Mallorca (Spain) were assessed using Geographic Information Systems, and access to POS was determined. The quantity and intensity of LTPA was calculated using the Minnesota Leisure-Time Physical Activity Questionnaire. In order investigate the association between access to POS and LTPA, generalized linear regression models were used. Results: Better access to POS was not consistently associated with total LTPA. Only distance to the nearest park showed a borderline significant positive associated with total LTPA and moderate-vigorous LTPA but was not associated with light LTPA. Conclusions: Although living near POS was not associated to total LTPA, higher levels of moderate-vigorous LTPA were associated to distances to the nearest park. Future work should be conducted on a larger sample size, integrating a longitudinal design, and greater heterogeneity in POS access and introducing objective measures of physical activity. View Full-Text
Keywords: physical activity; leisure; public open space; GIS; elderly; PREDIMED trial physical activity; leisure; public open space; GIS; elderly; PREDIMED trial
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Colom, A.; Fiol, M.; Ruiz, M.; Compa, M.; Morey, M.; Moñino, M.; Romaguera, D. Association between Access to Public Open Spaces and Physical Activity in a Mediterranean Population at High Cardiovascular Risk. Int. J. Environ. Res. Public Health 2018, 15, 1285.

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