The Associations Between Access to Recreational Facilities and Adherence to the American Heart Association's Physical Activity Guidelines in US Adults

Physical activity decreases the risk of long-term health consequences including cardiac diseases. According to the American Health Association (AHA), adults should perform at least 75 min of vigorous physical activity (PA) or 150 min of moderate PA per week to impact long-term health. Results of pre...

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Autores principales:	Larissa Andrade, Ryan Geffin, Mark Maguire, Pura Rodriguez, Grettel Castro, Ahmad Alkhatib, Noël C. Barengo
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	open space access recreational facilities built environment sedentarism compliance Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/dc446c3fa2f74c2e870a6348f57841cf
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spelling	oai:doaj.org-article:dc446c3fa2f74c2e870a6348f57841cf2021-11-30T19:12:28ZThe Associations Between Access to Recreational Facilities and Adherence to the American Heart Association's Physical Activity Guidelines in US Adults2296-256510.3389/fpubh.2021.660624https://doaj.org/article/dc446c3fa2f74c2e870a6348f57841cf2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.660624/fullhttps://doaj.org/toc/2296-2565Physical activity decreases the risk of long-term health consequences including cardiac diseases. According to the American Health Association (AHA), adults should perform at least 75 min of vigorous physical activity (PA) or 150 min of moderate PA per week to impact long-term health. Results of previous studies are varied and have yet to integrate perceived access to facilities with AHA PA guidelines. We investigated whether access to free or low-cost recreational facilities was associated with meeting the AHA PA guidelines.Methodology: This cross-sectional study utilized data extracted from the Family Life, Activity, Sun, Health, and Eating (FLASHE) database collected in 2017 (n = 1,750). The main exposure variable was access to free or low-cost recreational facilities. The main outcome variable was meeting the AHA guidelines of 150 min moderate PA or 75 min vigorous PA per week. Covariates included age, sex, level of education, overall health, BMI, ethnicity, hours of work per week, income, and time living at current address. Unadjusted and adjusted logistic regression analysis were used to calculate measures of odds ratio (OR) and corresponding 95% confidence interval (CI).Results: Of the 1,750 included participants, 61.7% (n = 1,079) reported to have access to recreational facilities. Of those with access to facilities, 69.9% met AHA PA guidelines while 30.4% did not. After adjusting for covariates, participants who reported access to recreational facilities were 42% more likely to meet AHA PA guidelines compared with participants who did not (adjusted OR 1.42; 95% CI 1.14–1.76). Secondary results suggest that healthier individuals were more likely to have met AHA PA guidelines.Conclusions: Having access to free or low-cost recreational facilities such as parks, walking trails, bike paths and courts was associated with meeting the AHA PA guidelines. Increasing prevalence and awareness of neighborhood recreational facilities could assist in access to these facilities and increase the ability of individuals to meet AHA PA guidelines. Future research should determine which types of recreational facilities impact physical activity strongest and discover methods of increasing their awareness.Larissa AndradeRyan GeffinMark MaguirePura RodriguezGrettel CastroAhmad AlkhatibNoël C. BarengoNoël C. BarengoNoël C. BarengoFrontiers Media S.A.articleopen space accessrecreational facilitiesbuilt environmentsedentarismcompliancePublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	open space access recreational facilities built environment sedentarism compliance Public aspects of medicine RA1-1270
spellingShingle	open space access recreational facilities built environment sedentarism compliance Public aspects of medicine RA1-1270 Larissa Andrade Ryan Geffin Mark Maguire Pura Rodriguez Grettel Castro Ahmad Alkhatib Noël C. Barengo Noël C. Barengo Noël C. Barengo The Associations Between Access to Recreational Facilities and Adherence to the American Heart Association's Physical Activity Guidelines in US Adults
description	Physical activity decreases the risk of long-term health consequences including cardiac diseases. According to the American Health Association (AHA), adults should perform at least 75 min of vigorous physical activity (PA) or 150 min of moderate PA per week to impact long-term health. Results of previous studies are varied and have yet to integrate perceived access to facilities with AHA PA guidelines. We investigated whether access to free or low-cost recreational facilities was associated with meeting the AHA PA guidelines.Methodology: This cross-sectional study utilized data extracted from the Family Life, Activity, Sun, Health, and Eating (FLASHE) database collected in 2017 (n = 1,750). The main exposure variable was access to free or low-cost recreational facilities. The main outcome variable was meeting the AHA guidelines of 150 min moderate PA or 75 min vigorous PA per week. Covariates included age, sex, level of education, overall health, BMI, ethnicity, hours of work per week, income, and time living at current address. Unadjusted and adjusted logistic regression analysis were used to calculate measures of odds ratio (OR) and corresponding 95% confidence interval (CI).Results: Of the 1,750 included participants, 61.7% (n = 1,079) reported to have access to recreational facilities. Of those with access to facilities, 69.9% met AHA PA guidelines while 30.4% did not. After adjusting for covariates, participants who reported access to recreational facilities were 42% more likely to meet AHA PA guidelines compared with participants who did not (adjusted OR 1.42; 95% CI 1.14–1.76). Secondary results suggest that healthier individuals were more likely to have met AHA PA guidelines.Conclusions: Having access to free or low-cost recreational facilities such as parks, walking trails, bike paths and courts was associated with meeting the AHA PA guidelines. Increasing prevalence and awareness of neighborhood recreational facilities could assist in access to these facilities and increase the ability of individuals to meet AHA PA guidelines. Future research should determine which types of recreational facilities impact physical activity strongest and discover methods of increasing their awareness.
format	article
author	Larissa Andrade Ryan Geffin Mark Maguire Pura Rodriguez Grettel Castro Ahmad Alkhatib Noël C. Barengo Noël C. Barengo Noël C. Barengo
author_facet	Larissa Andrade Ryan Geffin Mark Maguire Pura Rodriguez Grettel Castro Ahmad Alkhatib Noël C. Barengo Noël C. Barengo Noël C. Barengo
author_sort	Larissa Andrade
title	The Associations Between Access to Recreational Facilities and Adherence to the American Heart Association's Physical Activity Guidelines in US Adults
title_short	The Associations Between Access to Recreational Facilities and Adherence to the American Heart Association's Physical Activity Guidelines in US Adults
title_full	The Associations Between Access to Recreational Facilities and Adherence to the American Heart Association's Physical Activity Guidelines in US Adults
title_fullStr	The Associations Between Access to Recreational Facilities and Adherence to the American Heart Association's Physical Activity Guidelines in US Adults
title_full_unstemmed	The Associations Between Access to Recreational Facilities and Adherence to the American Heart Association's Physical Activity Guidelines in US Adults
title_sort	associations between access to recreational facilities and adherence to the american heart association's physical activity guidelines in us adults
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/dc446c3fa2f74c2e870a6348f57841cf
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The Associations Between Access to Recreational Facilities and Adherence to the American Heart Association's Physical Activity Guidelines in US Adults

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