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Perceived Urban Environment Attributes and Device-Measured Physical Activity in Latin American: An 8-Nation Study

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Fisberg, Mauro
Ferrari, Gerson Luis de Moraes
Werneck, André de Oliveira
da Silva, Danilo Rodrigues
Kovalskys, Irina
Gómez Salas, Georgina
Rigotti, Attilio
Cortés Sanabria, Lilia Yadira
Yépez García, Martha Cecilia
Liria Domínguez, María Reyna

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Introduction Attributes of the neighborhood-built environment are associated with self-reported physical activity, but only a few studies have concentrated on device-measured physical activity in Latin America. This study examines the associations of perceived neighborhood-built environment attributes, device-measured sedentary time, and light-intensity and moderate-to-vigorous physical activity in adults from 8 Latin American countries. Methods Data from Estudio Latinoamericano de Nutrición y Salud adult study, an observational multicountry study (N=2,478), were analyzed in 2020. Data were collected between 2014 and 2015. Perceived neighborhood-built environment attributes were measured using the Neighbourhood Environment Walkability Survey. Sedentary time, light-intensity physical activity, and moderate-to-vigorous physical activity data were collected using accelerometers. Results No associations between perceived neighborhood-built environment attributes and sedentary time were found. Positive perceptions of walking/cycling facilities (β=6.50, 95% CI=2.12, 10.39) were associated with more light-intensity physical activity. Perceptions of better aesthetics (Argentina) and better walking/cycling facilities (Brazil and Ecuador) were positively associated with light-intensity physical activity. Land use mix–diversity (β=0.14, 95% CI=0.03, 0.25), walking/cycling facilities (β=0.16, 95% CI=0.05, 0.27), aesthetics (β=0.16, 95% CI=0.02, 0.30), and safety from traffic (β=0.18, 95% CI=0.05, 0.24) were positively associated with moderate-to-vigorous physical activity. Land use mix–diversity, street connectivity, and safety from traffic were positively associated with moderate-to-vigorous physical activity in Venezuela. Conclusions These findings have implications for policy recommendations, which can guide policies to promote physical activity in the region. Land use mix–diversity, walking/cycling facilities, aesthetics, and safety from traffic can maintain or increase the levels of light-intensity and moderate-to-vigorous physical activity among Latin American adults.

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AMÉRICA LATINA, NUTRICIÓN, SALUD, ADULTO, COMUNIDAD

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https://www.sciencedirect.com/science/article/pii/S0749379721005365?via%3Dihub

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