環境因素與高齡者步行行為之系統性文獻回顧

廖邕; 林倩宇; 朴勝泰; 岡浩一朗

doi:10.3966/102472972018125104001

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P411 - 424

社会科学 > 体育学

DOI： 10.6222/pej

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环境因素与高龄者步行行为之系统性文献回顾

A systematic review of environmental factors and older adults' walking behavior

廖邕(Yung Liao) ；林倩宇(Chien-Yu Lin) ；朴胜泰(Hyuntae Park) ；冈浩一朗(Koichiro Oka)

体育学报； 51 卷 4 期 (2018 / 12 / 01) ， P411 - 424

繁体中文 DOI： 10.3966/102472972018125104001

建成环境；自觉环境；身体活动；老化； built environment ； perceived environment ； physical activity ； aging

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摘要 │ 参考文献 (47) │ 被引用文献 (4) │ 国际计量

摘要〈TOP〉

并列摘要〈TOP〉

Introduction: Physical inactivity is a behavioral risk factor of elderly's health. Walking behavior has been recognized as a suggested form of physical activity for older adults. Evidence shows that environment is a determinants of older adults' walking behavior. According to Ecological model, this study aims to review the literature between environment and older adults' walking, including objectively-measured built environment and perceived environment. Methods: This study using systematic review to better understand the associations of objectively-measured and subjectively environmental factors with older adults' objective and subjective walking behavior, in order to provide future suggestions. Results: Among 19 included studies, 17 were quantitative studies using cross-sectional design. Overall, included studies used walkability as core concept of environmental factors. The results showed that density, safety, land use mix and friendly environment is positively associated with different types of walking behavior among older adults. Besides, more studies using questionnaire to assess older adults' walking behavior, fewer studies have used objective measures. Conclusion: First, more qualitative studies are still needed to better understand the perceived barriers and facilitators of walking behavior among older adults. In addition, self-selection should be included as a key confounder to clarify the influence of environment on walking behavior. Moreover, prospective or quasi experimental design not only can minimize the self-selection bias (active individuals tend to choose neighborhoods conductive to physical activity), as well as improving evidence related to causality. Third, studies can be beneficial to utilize both objective and subjective measures of walking behavior for accuracy. Fourth, the definition of buffer zone varied in different studies and thus it is difficult to define the neighborhood environment of older adults. Fifth, for considering the limitation of environmental measures, Walk score^® website is a novel tool for measuring walkability. However, the validity of Walk score^® website should be further tested in Asian countries. Finally, considering the different culture, residential density and infrastructure between Asian and Western Countries, it is important to further provide the indicators of Walkability for Asian countries.

参考文献 ( 47 ) 〈TOP〉

Barnett, A.,Cerin, E.,Zhang, C. J. P.,Sit, C. H. P.,Johnston, J. M.,Cheung, M. M. C.,Lee, R. S. Y.(2016).Associations between the neighbourhood environment characteristics and physical activity in older adults with specific types of chronic conditions: The ALECS cross-sectional study.International Journal of Behavioral Nutrition and Physical Activity,13,53.
Barnett, D. W.,Barnett, A.,Nathan, A.,Van Cauwenberg, J.,Cerin, E.(2017).Built environmental correlates of older adults' total physical activity and walking: A systematic review and meta-analysis.International Journal of Behavioral Nutrition and Physical Activity,14(1),103.
Carr, L. J.,Dunsiger, S. I.,Marcus, B. H.(2010).Walk score as a global estimate of neighborhood walkability.American Journal of Preventive Medicine,39(5),460-463.
Caspersen, C. J.,Powell, K. E.,Christenson, G. M.(1985).Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research.Public Health Reports,100(2),126-131.
Cerin, E.,Sit, C. H.,Zhang, C. J.,Barnett, A.,Cheung, M. M.,Lai, P. C.,Lee, R. S.(2016).Neighbourhood environment, physical activity, quality of life and depressive symptoms in Hong Kong older adults: A protocol for an observational study.BMJ Open,6(1),e010384.

被引用文献 ( 4 ) 〈TOP〉

程瑞福,林恩赐,方怡尧(2022)。生态学模式应用於社区高龄者运动方案之介入效益。中华体育季刊，36(3)，233-242。
刘宗翰,陈韦翰,相子元,林羿志,李尹鑫(2020)。下肢肢段参数与自主转换速度的相关分析。体育学报，53(4)，429-438。
乐冠妤,陈慧峰,张文荣(2023)。高龄者健康行为之计量文献分析（1990－2022）。运动研究，32(2)，11-37。
(2024)。以生态瞬时评估探讨成人每日步行数与户外情境接触对於每日情感的关系。户外游憩研究，37(1)，1-32。

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