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Article

Longitudinal Association of Built Environment Pattern with Physical Activity in a Community-Based Cohort of Elderly Hong Kong Chinese: A Latent Profile Analysis

1
Institute of Future Cities, The Chinese University of Hong Kong, Hong Kong 99077, China
2
Jockey Club Centre for Osteoporosis Care and Control, The Chinese University of Hong Kong, Hong Kong 99077, China
3
Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong 99077, China
4
CUHK Jockey Club Institute of Ageing, The Chinese University of Hong Kong, Hong Kong 99077, China
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(12), 4275; https://doi.org/10.3390/ijerph17124275
Received: 29 March 2020 / Revised: 11 June 2020 / Accepted: 12 June 2020 / Published: 15 June 2020
(This article belongs to the Special Issue Health Inequalities in Ageing Societies and the Impact on Ageing Well)
A large number of studies have focused on the associations between single built environment (BE) characteristics and physical activity (PA). Combinations of BE characteristics offer a more comprehensive approach to identify the BE–PA associations. We aimed to examine the BE–PA associations in a cohort of elderly Hong Kong Chinese. Between 2001 and 2003, 3944 participants (65–98 years of age) were recruited and followed for a mean of 7.8 years. BE characteristics were assessed via geographic information system. PA levels were obtained using the Physical Activity Scale for the Elderly questionnaire at baseline and three follow-ups. Latent profile analysis was first conducted to classify the BE characteristics, and linear mixed-effects models were then used to explore the longitudinal associations between the BE classes and changes in the PA levels. Three classes of BE were identified. Class 3 (characterized by greater green space and sky view factor) demonstrated a significant decline in household PA (β = −1.26, 95% confidence interval: −2.20, −0.33) during the study period, and a slower decline in walking PA (1.19 (0.42, 1.95)) compared with Class 2 (characterized by a greater proportion of residential land use). Our results indicate that BE patterns characterized by high green space and a sky view factor may help promote the walking PA level. View Full-Text
Keywords: built environment; built environment pattern; physical activity; latent profile analysis; cohort study built environment; built environment pattern; physical activity; latent profile analysis; cohort study
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MDPI and ACS Style

Lin, J.-S.; Chan, F.Y.-F.; Leung, J.; Yu, B.; Lu, Z.-H.; Woo, J.; Kwok, T.; Lau, K.K.-L. Longitudinal Association of Built Environment Pattern with Physical Activity in a Community-Based Cohort of Elderly Hong Kong Chinese: A Latent Profile Analysis. Int. J. Environ. Res. Public Health 2020, 17, 4275. https://doi.org/10.3390/ijerph17124275

AMA Style

Lin J-S, Chan FY-F, Leung J, Yu B, Lu Z-H, Woo J, Kwok T, Lau KK-L. Longitudinal Association of Built Environment Pattern with Physical Activity in a Community-Based Cohort of Elderly Hong Kong Chinese: A Latent Profile Analysis. International Journal of Environmental Research and Public Health. 2020; 17(12):4275. https://doi.org/10.3390/ijerph17124275

Chicago/Turabian Style

Lin, Jie-Sheng, Faye Y.-F. Chan, Jason Leung, Blanche Yu, Zhi-Hui Lu, Jean Woo, Timothy Kwok, and Kevin K.-L. Lau 2020. "Longitudinal Association of Built Environment Pattern with Physical Activity in a Community-Based Cohort of Elderly Hong Kong Chinese: A Latent Profile Analysis" International Journal of Environmental Research and Public Health 17, no. 12: 4275. https://doi.org/10.3390/ijerph17124275

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