Outdoor walking and physical activity and their relationship with neighbourhood walkability in older adults with self-reported difficulty in walking outdoors

dc.contributor.authorChan, Hong
dc.contributor.examiningcommitteeWebber, Sandra (Physical Therapy)en_US
dc.contributor.examiningcommitteeSalbach, Nancy (Physical Therapy)en_US
dc.contributor.examiningcommitteeSylvestre, Gina (University of Winnipeg)en_US
dc.contributor.supervisorBarclay, Ruth
dc.date.accessioned2022-08-12T15:04:13Z
dc.date.available2022-08-12T15:04:13Z
dc.date.copyright2022-08-09
dc.date.issued2022-06-23
dc.date.submitted2022-08-10T04:33:37Zen_US
dc.date.submitted2022-08-12T03:29:28Zen_US
dc.degree.disciplineRehabilitation Sciencesen_US
dc.degree.levelMaster of Science (M.Sc.)en_US
dc.description.abstractIntroduction: Neighbourhood walkability has been suggested to influence walking behaviors. However, few studies focused on their relationships in Canadian older adults. The aims of this study were (1) to compare outdoor walking and moderate-to-vigorous physical activity time (MVPA) time in older adults with self-reported difficulty in different cities in Canada; (2) to estimate the associations between outdoor walking and subscale scores and the total scores of neighbourhood walkability; and (3) to estimate the associations between MVPA time and subscale scores and the total scores of neighbourhood walkability. Methods: This was a secondary data analysis of the Getting Older adults OUTdoors (GO-OUT) study. We used data from the baseline evaluation from 190 participants who had self-reported difficulty in outdoor walking in Edmonton (n=51), Winnipeg (n=53), Toronto (n=50), and Montreal (n=36). We compared the between-city differences in outdoor walking and MVPA time. We also attempted to use parametric tests to investigate the relationships between neighbourhood walkability, assessed by Neighbourhood Environmental Walkability Scale (NEWS), and outdoor walking and MVPA. Since the assumptions of normality, homogeneity of variances and homoscedasticity were all violated, Kruskal-Wallis test and Spearman’s rho were conducted. Results: We found (1) significant differences in MVPA time but not outdoor walking time between participants who resided in Edmonton, Winnipeg, Toronto, and Montreal, and (2) significant but weak associations between land-use mix diversity and land-use mix access, and outdoor walking (Spearman’s rho = 0.172 to 0.233) and (3) between residential density, land-use mix access and street connectivity and MVPA time (Spearman’s rho = -0.235 to 0.208). Conclusion: Several aspects of neighbourhood walkability play a significant role in outdoor walking and MVPA time among community-dwelling older adults. Understanding the relationships between neighbourhood walkability and outdoor walking and MVPA can help identify facilitators and barriers to walking, which could in turn influence their walking habits in the neighbourhood.en_US
dc.description.noteOctober 2022en_US
dc.identifier.urihttp://hdl.handle.net/1993/36675
dc.language.isoengen_US
dc.rightsopen accessen_US
dc.subjectwalkabilityen_US
dc.subjectwalkingen_US
dc.subjectoutdooren_US
dc.subjectenvironmenten_US
dc.subjectphysical activityen_US
dc.subjectolder adultsen_US
dc.titleOutdoor walking and physical activity and their relationship with neighbourhood walkability in older adults with self-reported difficulty in walking outdoorsen_US
dc.typemaster thesisen_US
local.subject.manitobayesen_US
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