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Int. J. Environ. Res. Public Health 2019, 16(5), 854; https://doi.org/10.3390/ijerph16050854

Mediterranean Built Environment and Precipitation as Modulator Factors on Physical Activity in Obese Mid-Age and Old-Age Adults with Metabolic Syndrome: Cross-Sectional Study

1
Instituto de Investigación Sanitaria Illes Balears (IdISBa), University Hospital Son Espases, Palma de 07120 Mallorca, Spain
2
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, 28029 Madrid, Spain
3
Servicio de SIG y Teledetección, Vicerectorat d’Innovació i Transferència, Universitat de les Illes Balears, 07120 Palma de Mallorca, Spain
4
Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Málaga—Instituto de Investigación en Biomedicina (IBIMA), 29071 Málaga, Spain
5
Centro Oceanográfico de Baleares, Instituto Español de Oceanografía, 07015 Palma, Spain
6
Departamento de Salud Pública, Facultad de Medicina, Universidad de Málaga—Instituto de Investigación en Biomedicina (IBIMA), 29010 Málaga, Spain
7
Grup d’investigació en Salut Pública de les Illes Balears (GISPIB)—IdiSBa, Servei de promoció de la salut, DG Salut Pública i Participació, Conselleria de Salut, 07010 Palma, Spain
8
Unit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de Investigaciones Médicas Municipal d’Investigació Mèdica (IMIM), 08003 Barcelona, Spain
9
Hospital Universitari Sant Joan de Reus, Human Nutrition Unit, IISPV, Department of Biochemistry and Biotechnology, Rovira i Virgili University, 43204 Reus, Spain
*
Authors to whom correspondence should be addressed.
Received: 23 January 2019 / Revised: 25 February 2019 / Accepted: 4 March 2019 / Published: 8 March 2019
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Abstract

When promoting physical activity (PA) participation, it is important to consider the plausible environmental determinants that may affect this practice. The impact of objectively-measured public open spaces (POS) and walk-friendly routes on objectively-measured and self-reported PA was explored alongside the influence of rainy conditions on this association, in a Mediterranean sample of overweight or obese senior adults with metabolic syndrome. Cross-sectional analyses were undertaken on 218 PREDIMED-Plus trial participants aged 55–75 years, from the city of Palma, in Mallorca (Spain). Indicators of access to POS and walk-friendly routes were assessed in a 1.0 and 0.5 km sausage network walkable buffers around each participant’s residence using geographic information systems. Mean daily minutes of self-reported leisure-time brisk walking, and accelerometer objectively-measured moderate-to-vigorous PA in bouts of at least 10 min (OM-MVPA) were measured. To investigate the association between access to POS and walk-friendly routes with PA, generalized additive models with a Gaussian link function were used. Interaction of rainy conditions with the association between access to POS and walk-friendly routes with OM-MVPA was also examined. Better access to POS was not statistically significantly associated with self-reported leisure-time brisk walking or OM-MVPA. A positive significant association was observed only between distance of walk-friendly routes contained or intersected by buffer and OM-MVPA, and was solely evident on non-rainy days. In this elderly Mediterranean population, only access to walk-friendly routes had an influence on accelerometer-measured PA. Rainy conditions during the accelerometer wear period did appear to modify this association. View Full-Text
Keywords: physical activity; accelerometer; leisure; walking; built environment; public open space; GIS; weather; elderly; senior adults; PREDIMED-Plus trial physical activity; accelerometer; leisure; walking; built environment; public open space; GIS; weather; elderly; senior adults; PREDIMED-Plus trial
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Colom, A.; Ruiz, M.; Wärnberg, J.; Compa, M.; Muncunill, J.; Barón-López, F.J.; Benavente-Marín, J.C.; Cabeza, E.; Morey, M.; Fitó, M.; Salas-Salvadó, J.; Romaguera, D. Mediterranean Built Environment and Precipitation as Modulator Factors on Physical Activity in Obese Mid-Age and Old-Age Adults with Metabolic Syndrome: Cross-Sectional Study. Int. J. Environ. Res. Public Health 2019, 16, 854.

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