What is the role of leisure-time physical activity in the association between neighborhood environmental characteristics and hypertension in older adults? The EpiFloripa Aging Cohort study.

Autor:	de Zorzi VN; Postgraduation Program in Physical Education, Federal University of Santa Catarina, R. Eng. Agronômico Andrei Cristian Ferreira, s/n - 88040-900, Florianópolis, Brazil., de Paiva Neto FT; Postgraduation Program in Physical Education, Federal University of Santa Catarina, R. Eng. Agronômico Andrei Cristian Ferreira, s/n - 88040-900, Florianópolis, Brazil.; Hospital Israelita Albert Einstein. Av. Albert Einstein, 627/701 - Morumbi, São Paulo SP, 05652-900, Brazil., Hubbler Figueiró T; Postgraduation Program in Public Health, Federal University of Santa Catarina, R. Eng. Agronômico Andrei Cristian Ferreira, s/n - 88040-900, Florianópolis, Brazil., Macedo DA; Postgraduation Program in Physical Education, Federal University of Santa Catarina, R. Eng. Agronômico Andrei Cristian Ferreira, s/n - 88040-900, Florianópolis, Brazil., Alves LG; Postgraduation Program in Physical Education, Federal University of Santa Catarina, R. Eng. Agronômico Andrei Cristian Ferreira, s/n - 88040-900, Florianópolis, Brazil., Tozetto WR; Postgraduation Program in Physical Education, Federal University of Santa Catarina, R. Eng. Agronômico Andrei Cristian Ferreira, s/n - 88040-900, Florianópolis, Brazil., d'Orsi E; Postgraduation Program in Public Health, Federal University of Santa Catarina, R. Eng. Agronômico Andrei Cristian Ferreira, s/n - 88040-900, Florianópolis, Brazil., Rech CR; Postgraduation Program in Physical Education, Federal University of Santa Catarina, R. Eng. Agronômico Andrei Cristian Ferreira, s/n - 88040-900, Florianópolis, Brazil.
Jazyk:	angličtina
Zdroj:	Preventive medicine reports [Prev Med Rep] 2024 Oct 18; Vol. 47, pp. 102909. Date of Electronic Publication: 2024 Oct 18 (Print Publication: 2024).
DOI:	10.1016/j.pmedr.2024.102909
Abstrakt:	Background: Research suggests a link between the urban built environment and blood pressure, potentially mediated by physical activity. This study aims to investigate the relationship between perceived neighborhood characteristics and blood pressure in older adults, as well as the mediating role of walking in this relationship. Methods: Data from the third wave of the EpiFloripa Aging Cohort Study in Florianopolis, Brazil (2017-2019; n = 1335) were used for this cross-sectional analysis. Blood pressure was measured using digital devices, and hypertension diagnosis relied on healthcare professionals' information. The neighborhood environment was assessed with the Abbreviated Neighborhood Environment Walkability Scale, while walking was evaluated with the International Physical Activity Questionnaire. Multilevel logistic regression analyzed the association between the neighborhood environment, blood pressure, and hypertension. Structural equation modeling assessed the mediation effect of walking. Results: Hypertension prevalence was 85.3 %, with 69.0 % having objectively measured elevated blood pressure. Results showed that older adults perceiving better infrastructure for physical activity (OR: 0.88; CI: 0.78-0.99), increased safety in their neighborhood (OR: 0.88; CI: 0.79-0.99), traffic security (OR: 0.88; CI: 0.78-0.99) and better overall perception of the environment (OR: 0.73; IC: 0.55-0.98) had a lower likelihood of self-reported hypertension. The association between self-reported hypertension and overall perception of the environment was partially explained by leisure-time walking (β = -0.01; p < 0.05). Conclusion: Our findings suggest that public policies promoting the establishment of safe and supportive spaces for physical activity emerge as essential measures in the prevention and management of hypertension in older adults. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 The Authors. Published by Elsevier Inc.)
Databáze:	MEDLINE
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