Neighborhood active aging infrastructure and cognitive function: A mixed-methods study of older Americans.
Aging in place
Cognitive aging
Leisure
Mixed-methods
Neighborhood environment
Physical activity
Journal
Preventive medicine
ISSN: 1096-0260
Titre abrégé: Prev Med
Pays: United States
ID NLM: 0322116
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
received:
17
11
2020
revised:
20
05
2021
accepted:
29
05
2021
pubmed:
5
6
2021
medline:
4
8
2021
entrez:
4
6
2021
Statut:
ppublish
Résumé
Physical exercise benefits cognitive functioning and can protect against neurodegeneration. Neighborhood environments may be pivotal to physically active aging, and thus help shape older adults' cognitive function. This mixed-methods study investigated where older adults exercised outside the home, and whether availability of these neighborhood sites was associated with cognitive function. We thematically analyzed qualitative data from semi-structured interviews in 2015 with 125 older adults (mean age = 71) in the Minneapolis (MN) metropolitan area. Results identified nearby public parks, fitness/sports amenities, and walkable destinations as motivators for recreational exercise and active transit among participants. These findings informed quantitative analysis of the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study, a national sample of older Black and white Americans (n = 21,151; mean age at assessment = 67; data collected 2006-2017). We used generalized additive multilevel models to examine whether neighborhood features that qualitative participants identified as encouraging physical activity were associated with elevated levels of cognitive function. Results indicated that residing in neighborhoods with greater availability of local parks, access to recreational amenities, and business density was associated with higher levels of cognitive function. We found no evidence to suggest a significant association between availability of these neighborhood resources and rate of cognitive decline. This study identifies specific neighborhood active aging infrastructure that may support cognitive function among older adults aging in place.
Identifiants
pubmed: 34087319
pii: S0091-7435(21)00238-3
doi: 10.1016/j.ypmed.2021.106669
pmc: PMC8316307
mid: NIHMS1711461
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
106669Subventions
Organisme : NIA NIH HHS
ID : F32 AG064815
Pays : United States
Organisme : NIA NIH HHS
ID : RF1 AG057540
Pays : United States
Organisme : NINDS NIH HHS
ID : U01 NS041588
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR002240
Pays : United States
Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.
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