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

Author

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  • Masashi Kanai

    (Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami 664-0028, Japan
    Department of Public Health, Kobe University Graduate School of Health Sciences, Kobe 654-0142, Japan
    Cardiovascular Stroke Renal Project (CRP), Kobe 654-0142, Japan
    PREVENT Inc., Nagoya 461-0004, Japan)

  • Kazuhiro P. Izawa

    (Department of Public Health, Kobe University Graduate School of Health Sciences, Kobe 654-0142, Japan
    Cardiovascular Stroke Renal Project (CRP), Kobe 654-0142, Japan
    Faculty of Sport Sciences, Waseda University, Tokorozawa 359-1192, Japan)

  • Hiroki Kubo

    (Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami 664-0028, Japan)

  • Masafumi Nozoe

    (Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women’s University, Kobe 658-0001, Japan)

  • Kyoshi Mase

    (Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women’s University, Kobe 658-0001, Japan)

  • Mohammad Javad Koohsari

    (Faculty of Sport Sciences, Waseda University, Tokorozawa 359-1192, Japan
    Behavioural Epidemiology Laboratory, Baker Heart and Diabetes Institute, Melbourne, VIC 3004, Australia
    Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3010, Australia)

  • Koichiro Oka

    (Cardiovascular Stroke Renal Project (CRP), Kobe 654-0142, Japan
    Faculty of Sport Sciences, Waseda University, Tokorozawa 359-1192, Japan)

  • Shinichi Shimada

    (Department of Public Health, Kobe University Graduate School of Health Sciences, Kobe 654-0142, Japan
    Cardiovascular Stroke Renal Project (CRP), Kobe 654-0142, Japan
    Department of Neurosurgery, Itami Kousei Neurosurgical Hospital, Itami 664-0028, Japan)

Abstract

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 R 2 = 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.

Suggested Citation

  • Masashi Kanai & Kazuhiro P. Izawa & Hiroki Kubo & Masafumi Nozoe & Kyoshi Mase & Mohammad Javad Koohsari & Koichiro Oka & Shinichi Shimada, 2019. "Association of Perceived Built Environment Attributes with Objectively Measured Physical Activity in Community-Dwelling Ambulatory Patients with Stroke," IJERPH, MDPI, vol. 16(20), pages 1-8, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:20:p:3908-:d:276587
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    References listed on IDEAS

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    1. Hiroyuki Kikuchi & Tomoki Nakaya & Tomoya Hanibuchi & Noritoshi Fukushima & Shiho Amagasa & Koichiro Oka & James F. Sallis & Shigeru Inoue, 2018. "Objectively Measured Neighborhood Walkability and Change in Physical Activity in Older Japanese Adults: A Five-Year Cohort Study," IJERPH, MDPI, vol. 15(9), pages 1-14, August.
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    Cited by:

    1. Masashi Kanai & Kazuhiro P. Izawa & Hiroki Kubo & Masafumi Nozoe & Kyoshi Mase & Shinichi Shimada, 2020. "Association of Health Utility Score with Physical Activity Outcomes in Stroke Survivors," IJERPH, MDPI, vol. 18(1), pages 1-9, December.
    2. Jiemei Luo & Edwin H. W. Chan & Jinfeng Du & Linxia Feng & Peng Jiang & Ying Xu, 2022. "Developing a Health-Spatial Indicator System for a Healthy City in Small and Midsized Cities," IJERPH, MDPI, vol. 19(6), pages 1-20, March.

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