Influence of Neighborhood Characteristics on Physical Activity, Health, and Quality of Life of Older Adults: A Path Analysis

Background: As life expectancy and health expenditure consumed by older people increase, maintaining a better health and quality of life for older adults has become an important social issue. Research indicates that physical activity may help address this challenge. Moreover, it is believed that imp...

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Autores principales: Zhengying Liu, Astrid Kemperman, Harry Timmermans
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:bdfde6346b9f44b990842fe48cef7a772021-11-30T19:13:09ZInfluence of Neighborhood Characteristics on Physical Activity, Health, and Quality of Life of Older Adults: A Path Analysis2296-256510.3389/fpubh.2021.783510https://doaj.org/article/bdfde6346b9f44b990842fe48cef7a772021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.783510/fullhttps://doaj.org/toc/2296-2565Background: As life expectancy and health expenditure consumed by older people increase, maintaining a better health and quality of life for older adults has become an important social issue. Research indicates that physical activity may help address this challenge. Moreover, it is believed that improved quality of life and health benefits from physical activity can be achieved through interventions in the neighborhood environments. However, existing knowledge has often been based on bivariate relationships between these factors, and few studies have formally examined the extent to which any association between neighborhood environments, health, and quality of life may be mediated by the level of physical activity. This paper aims to investigate the direct and indirect influence of neighborhood characteristics on the health and quality of life of older adults, taking into account physical activity behavior and socio-demographic characteristics in a more comprehensive framework.Methods: Data were collected using a survey among 363 older adults aged 60 years and over in China. A path analysis was used that derives all direct and indirect relationships between the variables.Results: Leisure-time physical activity levels played a mediating role in the relation between social capital and health as well as quality of life. Moreover, the study confirmed direct relationships between neighborhood characteristics such as neighborhood aesthetics and traffic safety and health as well as quality of life. However, the effect of neighborhood characteristics on health and quality of life through transport-related physical activity levels was not found.Conclusions: Leisure-time physical activity instead of transport-related physical activity should be considered a priority when developing interventions aiming to promote healthy aging. Additionally, neighborhood characteristics are important in promoting healthy aging, even though they have no or less impacts on older adults' health and quality of life through physical activity.Zhengying LiuAstrid KempermanHarry TimmermansFrontiers Media S.A.articleneighborhood characteristicsphysical activityhealthquality of lifeolder adultspath analysisPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution DOAJ
collection DOAJ
language EN
topic neighborhood characteristics
physical activity
health
quality of life
older adults
path analysis
Public aspects of medicine
RA1-1270
spellingShingle neighborhood characteristics
physical activity
health
quality of life
older adults
path analysis
Public aspects of medicine
RA1-1270
Zhengying Liu
Astrid Kemperman
Harry Timmermans
Influence of Neighborhood Characteristics on Physical Activity, Health, and Quality of Life of Older Adults: A Path Analysis
description Background: As life expectancy and health expenditure consumed by older people increase, maintaining a better health and quality of life for older adults has become an important social issue. Research indicates that physical activity may help address this challenge. Moreover, it is believed that improved quality of life and health benefits from physical activity can be achieved through interventions in the neighborhood environments. However, existing knowledge has often been based on bivariate relationships between these factors, and few studies have formally examined the extent to which any association between neighborhood environments, health, and quality of life may be mediated by the level of physical activity. This paper aims to investigate the direct and indirect influence of neighborhood characteristics on the health and quality of life of older adults, taking into account physical activity behavior and socio-demographic characteristics in a more comprehensive framework.Methods: Data were collected using a survey among 363 older adults aged 60 years and over in China. A path analysis was used that derives all direct and indirect relationships between the variables.Results: Leisure-time physical activity levels played a mediating role in the relation between social capital and health as well as quality of life. Moreover, the study confirmed direct relationships between neighborhood characteristics such as neighborhood aesthetics and traffic safety and health as well as quality of life. However, the effect of neighborhood characteristics on health and quality of life through transport-related physical activity levels was not found.Conclusions: Leisure-time physical activity instead of transport-related physical activity should be considered a priority when developing interventions aiming to promote healthy aging. Additionally, neighborhood characteristics are important in promoting healthy aging, even though they have no or less impacts on older adults' health and quality of life through physical activity.
format article
author Zhengying Liu
Astrid Kemperman
Harry Timmermans
author_facet Zhengying Liu
Astrid Kemperman
Harry Timmermans
author_sort Zhengying Liu
title Influence of Neighborhood Characteristics on Physical Activity, Health, and Quality of Life of Older Adults: A Path Analysis
title_short Influence of Neighborhood Characteristics on Physical Activity, Health, and Quality of Life of Older Adults: A Path Analysis
title_full Influence of Neighborhood Characteristics on Physical Activity, Health, and Quality of Life of Older Adults: A Path Analysis
title_fullStr Influence of Neighborhood Characteristics on Physical Activity, Health, and Quality of Life of Older Adults: A Path Analysis
title_full_unstemmed Influence of Neighborhood Characteristics on Physical Activity, Health, and Quality of Life of Older Adults: A Path Analysis
title_sort influence of neighborhood characteristics on physical activity, health, and quality of life of older adults: a path analysis
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/bdfde6346b9f44b990842fe48cef7a77
work_keys_str_mv AT zhengyingliu influenceofneighborhoodcharacteristicsonphysicalactivityhealthandqualityoflifeofolderadultsapathanalysis
AT astridkemperman influenceofneighborhoodcharacteristicsonphysicalactivityhealthandqualityoflifeofolderadultsapathanalysis
AT harrytimmermans influenceofneighborhoodcharacteristicsonphysicalactivityhealthandqualityoflifeofolderadultsapathanalysis
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