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Examining the Associations between Walk Score, Perceived Built Environment, and Physical Activity Behaviors among Women Participating in a Community-Randomized Lifestyle Change Intervention Trial: Strong Hearts, Healthy Communities

1
Division of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA
2
Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA 02111, USA
3
College of Education, Health and Human Development, Montana State University, Bozeman, MT 59717, USA
4
Bassett Healthcare Network, Cooperstown, NY 13326, USA
5
Hampshire College, Amherst, MA 01002, USA
6
Exercise and Physical Activity Resource Center, University of California, San Diego, CA 92093, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(5), 849; https://doi.org/10.3390/ijerph16050849
Received: 31 January 2019 / Revised: 2 March 2019 / Accepted: 6 March 2019 / Published: 8 March 2019
(This article belongs to the Special Issue Built Environments, Food Environments, and Public Health)
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Abstract

Little is known about the relationship between perceived and objective measures of the built environment and physical activity behavior among rural populations. Within the context of a lifestyle-change intervention trial for rural women, Strong Hearts, Healthy Communities (SHHC), we examined: (1) if Walk Score (WS), an objective built environment measure, was associated with perceived built environment (PBE); (2) if WS and PBE were associated with moderate-to-vigorous physical activity (MVPA); and (3) if MVPA changes were modified by WS and/or PBE. Accelerometers and questionnaires were used to collect MVPA and PBE. Bivariate analyses and linear mixed models were used for statistical analyses. We found that WS was positively associated with perceived proximity to destinations (p < 0.001) and street shoulder availability (p = 0.001). MVPA was generally not associated with WS or PBE. Compared to controls, intervention group participants increased MVPA if they lived in communities with the lowest WS (WS = 0), fewer perceived walkable destinations, or extremely safe perceived traffic (all p < 0.05). Findings suggest that WS appears to be a relevant indicator of walkable amenities in rural towns; results also suggest that the SHHC intervention likely helped rural women with the greatest dearth of built environment assets to improve MVPA. View Full-Text
Keywords: built environment; physical activity; Walk Score; obesity; rural health; intervention built environment; physical activity; Walk Score; obesity; rural health; intervention
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Lo, B.K.; Graham, M.L.; Folta, S.C.; Paul, L.C.; Strogatz, D.; Nelson, M.E.; Parry, S.A.; Carfagno, M.E.; Wing, D.; Higgins, M.; Seguin, R.A. Examining the Associations between Walk Score, Perceived Built Environment, and Physical Activity Behaviors among Women Participating in a Community-Randomized Lifestyle Change Intervention Trial: Strong Hearts, Healthy Communities. Int. J. Environ. Res. Public Health 2019, 16, 849.

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