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Open AccessArticle

Association of Perceived Built Environment Attributes with Objectively Measured Physical Activity in Community-Dwelling Ambulatory Patients with Stroke

1
Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami 664-0028, Japan
2
Department of Public Health, Kobe University Graduate School of Health Sciences, Kobe 654-0142, Japan
3
Cardiovascular Stroke Renal Project (CRP), Kobe 654-0142, Japan
4
PREVENT Inc., Nagoya 461-0004, Japan
5
Faculty of Sport Sciences, Waseda University, Tokorozawa 359-1192, Japan
6
Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women’s University, Kobe 658-0001, Japan
7
Behavioural Epidemiology Laboratory, Baker Heart and Diabetes Institute, Melbourne, VIC 3004, Australia
8
Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia
9
Department of Neurosurgery, Itami Kousei Neurosurgical Hospital, Itami 664-0028, Japan
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(20), 3908; https://doi.org/10.3390/ijerph16203908
Received: 25 September 2019 / Revised: 9 October 2019 / Accepted: 13 October 2019 / Published: 15 October 2019
There is little evidence on how perceptions of the built environment may influence physical activity among post-stroke patients. This study aimed to explore the associations between perceived built environment attributes and objectively measured physical activity outcomes in community-dwelling ambulatory patients with stroke. This cross-sectional study recruited patients who could walk outside without assistance. We assessed both objectively measured physical activity outcomes such as number of steps and duration of moderate-to-vigorous physical activity (MVPA) with an accelerometer and the patients’ perceived surrounding built environment with the International Physical Activity Questionnaire Environmental Module. Sixty-one patients (67.0 years old) were included. The multiple linear regression analysis showed significant associations of the presence of sidewalks (β = 0.274, p = 0.016) and access to recreational facilities (β = 0.284, p = 0.010) with the number of steps taken (adjusted R2 = 0.33). In contrast, no significant associations were found between perceived built environment attributes and MVPA. These findings may help to suggest an approach to promote appropriate physical activity in patients with stroke depending on their surrounding built environment. View Full-Text
Keywords: physical activity; urban design; cerebrovascular disease; stroke rehabilitation physical activity; urban design; cerebrovascular disease; stroke rehabilitation
MDPI and ACS Style

Kanai, M.; Izawa, K.P.; Kubo, H.; Nozoe, M.; Mase, K.; Koohsari, M.J.; Oka, K.; Shimada, S. Association of Perceived Built Environment Attributes with Objectively Measured Physical Activity in Community-Dwelling Ambulatory Patients with Stroke. Int. J. Environ. Res. Public Health 2019, 16, 3908.

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