College of Built Environments Archives - Page 40 of 51

Increased Walking’s Additive and No Substitution Effect on Total Physical Activity

Kang, Bumjoon; Moudon, Anne V.; Hurvitz, Philip M.; Saelens, Brian E. (2018). Increased Walking’s Additive and No Substitution Effect on Total Physical Activity. Medicine & Science In Sports & Exercise, 50(3), 468 – 475.

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Abstract

Purpose We assessed the associations between a change in time spent walking and a change in total physical activity (PA) time within an urban living adult sample to test for additive or substitution effects. Methods Participants living in the greater Seattle area were assessed in 2008-2009 and again 1-2 yr later (2010-2011). At each time point, they wore accelerometers and GPS units and recorded trips and locations in a travel diary for seven consecutive days. These data streams were combined to derive a more objective estimate of walking and total PA. Participants also completed the International Physical Activity Questionnaire to provide self-reported estimates of walking and total PA. Regression analyses assessed the associations between within-participant changes in objective and self-reported walking and total PA. Results Data came from 437 participants. On average, a 1-min increase in total walking was associated with an increase in total PA of 1 min, measured by objective data, and 1.2-min, measured by self-reported data. A similar additive effect was consistently found with utilitarian, transportation, or job-related walking, measured by both objective and self-reported data. For recreational walking, the effect of change was mixed between objective and self-reported results. Conclusion Both objective and self-reported data confirmed an additive effect of utilitarian and total walking on PA.

Keywords

Accelerometers; Global Positioning System; Metropolitan Areas; Questionnaires; Recreation; Self-evaluation; Time; Walking; Physical Activity; Accelerometer; Gps; Ipaq; Longitudinal Study; Self-reported Measures; Light-rail Construction; Built Environment; Accelerometer Data; Older-adults; Urban Form; Transit Use; Travel; Neighborhood; Interventions; Calibration

Why Neighborhood Park Proximity Is Not Associated with Total Physical Activity

Stewart, Orion T.; Moudon, Anne Vernez; Littman, Alyson J.; Seto, Edmund; Saelens, Brian E. (2018). Why Neighborhood Park Proximity Is Not Associated with Total Physical Activity. Health & Place, 52, 163 – 169.

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Abstract

This study explored how parks within the home neighborhood contribute to total physical activity (PA) by isolating park-related PA. Seattle-area adults (n = 634) were observed using time-matched accelerometer, Global Positioning System (GPS), and travel diary instruments. Of the average 42.3 min of daily total PA, only 11% was related to parks. Both home neighborhood park count and area were associated with park-based PA, but not with PA that occurred elsewhere, which comprised 89% of total PA. This study demonstrates clear benefits of neighborhood parks for contributing to park-based PA while helping explain why proximity to parks is rarely associated with overall PA.

Keywords

Physical Activity; Parks; Urban Planning; Environmental Health; Global Positioning System; Built Environment; Green Space; Recreation; Social Determinants Of Health; Health Research; Accelerometer Data; Self-selection; United-states; Public Parks; Older Women; Walking; Adults; Facilities

The Moving to Health (M2H) Approach to Natural Experiment Research: A Paradigm Shift for Studies on Built Environment and Health

Drewnowski, A.; Arterburn, D.; Zane, J.; Aggarwal, A.; Gupta, S.; Hurvitz, P. M.; Moudon, A., V; Bobb, J.; Cook, A.; Lozano, P.; Rosenberg, D. (2019). The Moving to Health (M2H) Approach to Natural Experiment Research: A Paradigm Shift for Studies on Built Environment and Health. Ssm-population Health, 7.

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Abstract

Improving the built environment (BE) is viewed as one strategy to improve community diets and health. The present goal is to review the literature on the effects of BE on health, highlight its limitations, and explore the growing use of natural experiments in BE research, such as the advent of new supermarkets, revitalized parks, or new transportation systems. Based on recent studies on movers, a paradigm shift in built-environment health research may be imminent. Following the classic Moving to Opportunity study in the US, the present Moving to Health (M2H) strategy takes advantage of the fact that changing residential location can entail overnight changes in multiple BE variables. The necessary conditions for applying the M2H strategy to Geographic Information Systems (GIS) databases and to large longitudinal cohorts are outlined below. Also outlined are significant limitations of this approach, including the use of electronic medical records in lieu of survey data. The key research question is whether documented changes in BE exposure can be linked to changes in health outcomes in a causal manner. The use of geo-localized clinical information from regional health care systems should permit new insights into the social and environmental determinants of health.

Keywords

Body-mass Index; Neighborhood Food Environment; Residential Property-values; Cardiometabolic Risk-factors; New-york-city; Physical-activity; Obesity Rates; King County; Weight-gain; Land-use; Built Environment (be); Geographic Information Systems (gis); Electronic Medical Records; Natural Experiments; Obesity; Diabetes; Residential Mobility

Immediate Behavioral Response to the June 17, 2013 Flash Floods in Uttarakhand, North India

Lindell, Michael K.; Arlikatti, Sudha; Huang, Shih-kai. (2019). Immediate Behavioral Response to the June 17, 2013 Flash Floods in Uttarakhand, North India. International Journal Of Disaster Risk Reduction, 34, 129 – 146.

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Abstract

The 2013 Uttarakhand flash flood was such a surprise for those at risk that the predominant source of information for their risk was environmental cues and, secondarily, peer warnings rather than official warnings. Of those who received warnings, few received information other than the identity of the flood threat. A survey of 316 survivors found that most people's first response was to immediately evacuate but some stayed to receive additional information, confirm their warnings, or engage in evacuation preparations. Unfortunately, engaging in these milling behaviors necessarily delayed their final evacuations. Mediation analysis revealed that psychological reactions mediated the relationship between information sources and behavioral responses. Further analyses revealed that immediate evacuation and evacuation delay were both predicted best by information search and positive affect, but correlation analyses indicated that a number of other models were also plausible. Final evacuation was best predicted by immediate evacuation and, to a significantly lesser extent, household together. Overall, results suggest that the Protective Action Decision Model (PADM) should be considered a useful framework for examining household responses to flash floods in developing countries like India. It supports the conclusion that a household's first warning source is a function of two distinct detection and dissemination systems within a community-an official system and an informal system. However, it fails to capture what pre-impact emergency preparedness entails for rapid onset events in a developing country context. Further research is needed to determine the relative importance of situational and cultural characteristics in producing these observed differences.

Keywords

Risk Perception; Mental Models; Warnings; Evacuation; Disaster; Tsunami; Communication; Earthquake; Beliefs; Hazard; Flash Flood; Warning; Psychological Reactions; India

Urban Systems Design Case Study: Tokyo’s Sumida Ward

Tobey, Michael B.; Binder, Robert B.; Yoshida, Takahiro; Yamagata, Yoshiki. (2019). Urban Systems Design Case Study: Tokyo’s Sumida Ward. Smart Cities, 2(4), 453 – 470.

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Meeting the needs of increasing environmental and systematic pressures in urban settlements requires the use of integrated and wholistic approaches. The Urban Systems Design (USD) Conceptual Framework joins the metric-based modeling of rationalized methods with human-driven goals to form a combined iterative design and analysis loop. The framework processes information for the fundamental element of cities-humans-to large-scale modeling and decision-making occurring in district- and ward-level planning. There is a need in the planning and design profession to better integrate these efforts at a greater scale to create smart communities that are inclusive and comprehensive in aspects from data management to energy and transportation networks. The purpose of this study is to examine the applicability of this method as it pertains to a model and design integrated approach. Northern Sumida Ward, located in Tokyo, exemplifies the contextualized needs of Tokyo, and Japan, while forming a coherent internal community. Focusing on methodology, our process explores the creation of typologies, metric-based analysis, and design-based approaches that are integrated into modeling. The results of the analyses provide initial evidence regarding the validity of the USD approach in modeling changes to complex systems at differing design scales, connecting various qualities of the built environment, building and urban forms, and diagnostic comparisons between baseline and change conditions. Because of some inconsistencies and the need for further evidence gathering, the methods and processes show that there is much work to be done to strengthen the model and to continue building a more productive field of USD. However, in this framework's continuing evolution, there is increasing evidence that combining the planning and design of urban systems creates a more resilient, economically viable, sustainable, and comfortable city.

Keywords

Urban Planning; Resilience; Sustainability; Economics; Human Factors; Tokyo; Planning Support System; Gis

Interpretations of Aftershock Advice and Probabilities After the 2013 Cook Strait Earthquakes, Aotearoa New Zealand

Doyle, Emma E. H.; McClure, John; Potter, Sally H.; Lindell, Michael K.; Becker, Julia S.; Fraser, Stuart A.; Johnston, David M. (2020). Interpretations of Aftershock Advice and Probabilities After the 2013 Cook Strait Earthquakes, Aotearoa New Zealand. International Journal Of Disaster Risk Reduction, 49.

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Abstract

Probabilistic statements can be a valuable tool for natural hazard risk communication, including forecasts. However, individuals often have a poor understanding of such probabilistic forecasts caused by them distorting their interpretations of event likelihoods towards the end of the time window and discounting the risk today. We investigated the use of an 'anchoring' time statement to mitigate this bias via an opportunistic survey run after the 2013 Cook Strait earthquakes, near Wellington, New Zealand. Participants rated their interpretations of likelihoods for an immediate aftershock forecast, and for an earthquake in the future. We explored the influence of aftershock and information concern, emotions and felt shaking, gender and education, as well as preparedness actions. The anchoring time window statement mitigated the skew in interpretations for the short (24 h to within 1 week) aftershock forecast statement. However, the skew still existed for the longer future earthquake forecast (7 days to within 1 year). We also found that heightened sensory experience (felt shaking) or emotional reactions (nervousness, fear, alertness) during the earthquakes was associated with an increase in the perceived likelihoods of future events. Gender was found to significantly influence results, with females rating higher levels of information concern and anxiety, and recording higher perceived likelihoods for the immediate aftershock forecast. Findings, including the importance of 'anchoring' time windows within a forecast to encourage immediate preparedness actions, support recommendations for effective crafting of these forecasts and warnings.

Keywords

False Discovery Rate; Risk Perceptions; Natural Hazards; Communication; Uncertainty; Model; Preparedness; Information; Experiences; Intentions; Likelihood; Probabilities; Forecasts; Earthquakes; Emotions; Concern; Gender; Actions

Diverse Approaches to the Preservation of Built Vernacular Heritage: Case Study of Post-Disaster Reconstruction of the Xijie Historic District in Dujiangyan City, China

Kou, Huaiyun; Chalana, Manish; Zhou, Jian. (2020). Diverse Approaches to the Preservation of Built Vernacular Heritage: Case Study of Post-Disaster Reconstruction of the Xijie Historic District in Dujiangyan City, China. Journal Of Architectural Conservation, 26(1), 71 – 86.

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Abstract

Preservation of the built vernacular heritage contributes to maintaining a 'sense of place' and cultural diversity; yet, it is often ignored in preservation practices that favour high styled architectures and monumental sites. In China, although the understanding of the value of vernacular expression has shown some progress, technical and methodological efforts are still necessary to address the diversity and complexity of vernacular heritage. In this paper, the Xijie Historic District in Dujiangyan City in China provides an example for the preservation of the built vernacular heritage in the context of neighbourhood revitalization during a post-earthquake reconstruction project. Five types of intervention are examined in this paper, including the repair and restoration of the monuments, restoration of historic buildings, rehabilitation of traditional houses, contextual design of new buildings, and demolition to provide public space and facilities. In particular, the measures implemented to meet the residents' needs while maintaining the diversity of the built vernacular heritage are inspected. This study concludes with three recommendations: the classification of vernacular environments and employment of diverse measures to each type; the adaptation of the vernacular environment to meet residents' expectations and aspirations; and recognition of the development and reasonable control of the changes.

Keywords

Historic Districts; Preservation Of Historic Buildings; Cultural Pluralism; Preservation Of Cultural Property; Preservation Of Monuments; Preservation Of Architecture; Housing Rehabilitation; Wenchuan Earthquake, China, 2008; China; Built Vernacular Heritage; Community; Diversity; Historic District; Historic Preservation

Small Increments in Diet Cost Can Improve Compliance with the Dietary Guidelines for Americans

Rose, Chelsea M.; Gupta, Shilpi; Buszkiewicz, James; Ko, Linda K.; Mou, Jin; Cook, Andrea; Moudon, Anne Vernez; Aggarwal, Anju; Drewnowski, Adam. (2020). Small Increments in Diet Cost Can Improve Compliance with the Dietary Guidelines for Americans. Social Science & Medicine, 266.

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Abstract

Adherence to the Dietary Guidelines for Americans (DGA) may involve higher diet costs. This study assessed the relation between two measures of food spending and diet quality among adult participants (N = 768) in the Seattle Obesity Study (SOS III). All participants completed socio-demographic and food expenditure surveys and the Fred Hutch food frequency questionnaire. Dietary intakes were joined with local supermarket prices to estimate individual-level diet costs. Healthy Eating Index (HEI-2015) scores measured compliance with DGA. Multiple linear regressions using Generalized Estimating Equations with robust standard errors showed that lower food spending was associated with younger age, Hispanic ethnicity, and lower socioeconomic status. Even though higher HEI-2015 scores were associated with higher diet costs per 2000 kcal, much individual variability was observed. A positive curvilinear relationship was observed in adjusted models. At lower cost diets, a $100/ month increase in cost (from $150 to $250) was associated with a 20.6% increase in HEI-2015. For higher levels of diet cost (from $350 to $450) there were diminishing returns (2.8% increase in HEI2015). These findings indicate that increases in food spending at the lower end of the range have the most potential to improve diet quality.

Keywords

Healthy Eating Index; Income Inequality; Quality; Obesity; Adults; Expenditure; Disparities; Strategy; Outcomes; Scores; Food Expenditures; Diet Costs; Food Shopping; Diet Quality; Hei-2015; Ses

Does the Built Environment Have Independent Obesogenic Power? Urban Form and Trajectories of Weight Gain

Buszkiewicz, James H.; Bobb, Jennifer F.; Hurvitz, Philip M.; Arterburn, David; Moudon, Anne Vernez; Cook, Andrea; Mooney, Stephen J.; Cruz, Maricela; Gupta, Shilpi; Lozano, Paula; Rosenberg, Dori E.; Theis, Mary Kay; Anau, Jane; Drewnowski, Adam. (2021). Does the Built Environment Have Independent Obesogenic Power? Urban Form and Trajectories of Weight Gain. International Journal Of Obesity, 45(9), 1914 – 1924.

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Abstract

Objective To determine whether selected features of the built environment can predict weight gain in a large longitudinal cohort of adults. Methods Weight trajectories over a 5-year period were obtained from electronic health records for 115,260 insured patients aged 18-64 years in the Kaiser Permanente Washington health care system. Home addresses were geocoded using ArcGIS. Built environment variables were population, residential unit, and road intersection densities captured using Euclidean-based SmartMaps at 800-m buffers. Counts of area supermarkets and fast food restaurants were obtained using network-based SmartMaps at 1600, and 5000-m buffers. Property values were a measure of socioeconomic status. Linear mixed effects models tested whether built environment variables at baseline were associated with long-term weight gain, adjusting for sex, age, race/ethnicity, Medicaid insurance, body weight, and residential property values. Results Built environment variables at baseline were associated with differences in baseline obesity prevalence and body mass index but had limited impact on weight trajectories. Mean weight gain for the full cohort was 0.06 kg at 1 year (95% CI: 0.03, 0.10); 0.64 kg at 3 years (95% CI: 0.59, 0.68), and 0.95 kg at 5 years (95% CI: 0.90, 1.00). In adjusted regression models, the top tertile of density metrics and frequency counts were associated with lower weight gain at 5-years follow-up compared to the bottom tertiles, though the mean differences in weight change for each follow-up year (1, 3, and 5) did not exceed 0.5 kg. Conclusions Built environment variables that were associated with higher obesity prevalence at baseline had limited independent obesogenic power with respect to weight gain over time. Residential unit density had the strongest negative association with weight gain. Future work on the influence of built environment variables on health should also examine social context, including residential segregation and residential mobility.

Keywords

Body-mass Index; Physical-activity; Food Environment; Structural Racism; Obesity; Neighborhoods; Associations; Health; Walkability; Exposure; Environment Models; Minority & Ethnic Groups; Urban Environments; Regression Analysis; Regression Models; Residential Density; Body Mass Index; Property Values; Body Weight Gain; Government Programs; Body Weight; Electronic Medical Records; Electronic Health Records; Fast Food; Buffers; Real Estate; Body Mass; Body Size; Socioeconomics; Health Care

Physical Activity Measurement in Children Who Use Mobility Assistive Devices: Accelerometry and Global Positioning System

Kerfeld, Cheryl I.; Hurvitz, Philip M.; Bjornson, Kristie F. (2021). Physical Activity Measurement in Children Who Use Mobility Assistive Devices: Accelerometry and Global Positioning System. Pediatric Physical Therapy, 33(2), 92 – 99.

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Abstract

Purpose: To explore the usefulness of combining accelerometry, global positioning systems, and geographic information systems, to describe the time spent in different locations and physical activity (PA) duration/count levels by location for 4 children with cerebral palsy (CP) who use assistive devices (AD). Methods: A descriptive multiple-case study. Results: Combining the 3 instruments was useful in describing and differentiating duration by location, and amount and location of PA across differing functional levels and AD. For example, the child classified with a Gross Motor Function Classification System (GMFCS) level II exhibited large amounts of PA in community settings. In contrast, the child classified with a GMFCS level V had small amounts of PA and spent most measured time at home. Conclusions: Combined accelerometry, global positioning system, and geographic information system have potential to capture time spent and amount/intensity of PA relative to locations within daily environments for children with CP who use AD.

Keywords

Cerebral-palsy; Objective Measures; Fitness; Youth; Disabilities; Adolescents; Exercise; Adults; Accelerometer; Cerebral Palsy; Environment; Global Positioning System; Mobility Assistive Devices; Physical Activity