Is walkability associated with a lower cardiometabolic risk?
Date
2013
Authors
Coffee, N.
Howard, N.
Paquet, C.
Hugo, G.
Daniel, M.
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Journal article
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Health and Place, 2013; 21:163-169
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Neil T. Coffee, Natasha Howard, Catherine Paquet, Graeme Hugo and Mark Daniel
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Abstract
Walkability of residential environments has been associated with more walking. Given the health benefits of walking, it is expected that people living in locations with higher measured walkability should have a lower risk of cardiometabolic diseases. This study tested the hypothesis that higher walkability was associated with a lower cardiometabolic risk (CMR) for two administrative spatial units and three road buffers. Data were from the North West Adelaide Health Study first wave of data collected between 2000 and 2003. CMR was expressed as a cumulative sum of six clinical risk markers, selected to reflect components of the metabolic syndrome. Walkability was based on an established methodology and operationalised as dwelling density, intersection density, land-use mix and retail footprint. Walkability was associated with lower CMR for the three road buffer representations of the built environment but not for the two administrative spatial units. This may indicate a limitation in the use of administrative spatial units for analyses of walkability and health outcomes.
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© 2013 Elsevier Ltd. All rights reserved.