Exploring the cross-sectional association between outdoor recreational facilities and leisure-time physical activity: the role of usage and residential self-selection
Abstract Background The availability of outdoor recreational facilities is associated with increased leisure-time physical activity (PA). We investigated how much of this association is attributable to selection effects, and explored whether usage of recreational facilities was an explanatory mechan...
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Language: | English |
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2018-06-01
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Series: | International Journal of Behavioral Nutrition and Physical Activity |
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Online Access: | http://link.springer.com/article/10.1186/s12966-018-0689-x |
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record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Joreintje D. Mackenbach Maria G. Matias de Pinho Eline Faber Nicole den Braver Rosa de Groot Helene Charreire Jean-Michel Oppert Helga Bardos Harry Rutter Sofie Compernolle Ilse De Bourdeaudhuij Jeroen Lakerveld |
spellingShingle |
Joreintje D. Mackenbach Maria G. Matias de Pinho Eline Faber Nicole den Braver Rosa de Groot Helene Charreire Jean-Michel Oppert Helga Bardos Harry Rutter Sofie Compernolle Ilse De Bourdeaudhuij Jeroen Lakerveld Exploring the cross-sectional association between outdoor recreational facilities and leisure-time physical activity: the role of usage and residential self-selection International Journal of Behavioral Nutrition and Physical Activity Built environment Motivations Multilevel analysis Perceptions Selection effects Usage |
author_facet |
Joreintje D. Mackenbach Maria G. Matias de Pinho Eline Faber Nicole den Braver Rosa de Groot Helene Charreire Jean-Michel Oppert Helga Bardos Harry Rutter Sofie Compernolle Ilse De Bourdeaudhuij Jeroen Lakerveld |
author_sort |
Joreintje D. Mackenbach |
title |
Exploring the cross-sectional association between outdoor recreational facilities and leisure-time physical activity: the role of usage and residential self-selection |
title_short |
Exploring the cross-sectional association between outdoor recreational facilities and leisure-time physical activity: the role of usage and residential self-selection |
title_full |
Exploring the cross-sectional association between outdoor recreational facilities and leisure-time physical activity: the role of usage and residential self-selection |
title_fullStr |
Exploring the cross-sectional association between outdoor recreational facilities and leisure-time physical activity: the role of usage and residential self-selection |
title_full_unstemmed |
Exploring the cross-sectional association between outdoor recreational facilities and leisure-time physical activity: the role of usage and residential self-selection |
title_sort |
exploring the cross-sectional association between outdoor recreational facilities and leisure-time physical activity: the role of usage and residential self-selection |
publisher |
BMC |
series |
International Journal of Behavioral Nutrition and Physical Activity |
issn |
1479-5868 |
publishDate |
2018-06-01 |
description |
Abstract Background The availability of outdoor recreational facilities is associated with increased leisure-time physical activity (PA). We investigated how much of this association is attributable to selection effects, and explored whether usage of recreational facilities was an explanatory mechanism. Methods We analysed data from 5199 participants in the SPOTLIGHT survey residing in five European urban regions. Adults completed a survey and a Google Street View-based virtual audit was conducted to objectively measure the availability of outdoor recreational facilities in the residential neighbourhood. We used negative binomial GEE models to examine the association between objective and subjective availability of outdoor recreational facilities and leisure-time PA, and explored whether this association was attenuated after adjustment for socioeconomic status and preference for neighbourhoods with recreational facilities (as indicators of self-selection). We examined whether reported use of recreational facilities was associated with leisure-time PA (as explanatory mechanism), and summarized the most important motivations for (not) using recreational facilities. Results Subjective – but not objective – availability of outdoor recreational facilities was associated with higher levels of total leisure-time PA. After adjustment for self-selection (which attenuated the association by 25%), we found a 25% difference in weekly minutes of total leisure-time PA between individuals with and without self-reported availability of outdoor recreational facilities. For our study population, this translates to about 28 min per week. Participants who reported outdoor recreational facilities to be present but indicated not to use them (RR = 1.19, 95% CI = 1.03;1.22), and those reporting outdoor recreational facilities to be present and to use them (RR = 1.33, 95% CI = 1.22, 1.45) had higher levels of total leisure-time PA than those who reported outdoor recreational facilities not to be present. Proximity to outdoor recreational facilities was the most important motivation for use. Conclusion The modest attenuation in the association between availability of outdoor recreational facilities and self-reported leisure-time PA suggests that individuals’ higher activity levels may be due more to the perceived availability of outdoor recreational facilities than to self-selection. The use of these facilities seemed to be an important underlying mechanism, and proximity was the main motivator for using recreational facilities. |
topic |
Built environment Motivations Multilevel analysis Perceptions Selection effects Usage |
url |
http://link.springer.com/article/10.1186/s12966-018-0689-x |
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doaj-3569a805106e43648086ee777da0f4af2020-11-25T00:09:32ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682018-06-0115111110.1186/s12966-018-0689-xExploring the cross-sectional association between outdoor recreational facilities and leisure-time physical activity: the role of usage and residential self-selectionJoreintje D. Mackenbach0Maria G. Matias de Pinho1Eline Faber2Nicole den Braver3Rosa de Groot4Helene Charreire5Jean-Michel Oppert6Helga Bardos7Harry Rutter8Sofie Compernolle9Ilse De Bourdeaudhuij10Jeroen Lakerveld11Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical CenterDepartment of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical CenterDepartment of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical CenterDepartment of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical CenterDepartment of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical CenterEquipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, Inserm (U1153), Inra (U1125), Cnam, Université Paris 13Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, Inserm (U1153), Inra (U1125), Cnam, Université Paris 13Department of Preventive Medicine, Faculty of Public Health, University of DebrecenCentre for Global Chronic Conditions, London School of Hygiene and Tropical MedicineDepartment of Movement and Sport Sciences, Ghent UniversityDepartment of Movement and Sport Sciences, Ghent UniversityDepartment of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical CenterAbstract Background The availability of outdoor recreational facilities is associated with increased leisure-time physical activity (PA). We investigated how much of this association is attributable to selection effects, and explored whether usage of recreational facilities was an explanatory mechanism. Methods We analysed data from 5199 participants in the SPOTLIGHT survey residing in five European urban regions. Adults completed a survey and a Google Street View-based virtual audit was conducted to objectively measure the availability of outdoor recreational facilities in the residential neighbourhood. We used negative binomial GEE models to examine the association between objective and subjective availability of outdoor recreational facilities and leisure-time PA, and explored whether this association was attenuated after adjustment for socioeconomic status and preference for neighbourhoods with recreational facilities (as indicators of self-selection). We examined whether reported use of recreational facilities was associated with leisure-time PA (as explanatory mechanism), and summarized the most important motivations for (not) using recreational facilities. Results Subjective – but not objective – availability of outdoor recreational facilities was associated with higher levels of total leisure-time PA. After adjustment for self-selection (which attenuated the association by 25%), we found a 25% difference in weekly minutes of total leisure-time PA between individuals with and without self-reported availability of outdoor recreational facilities. For our study population, this translates to about 28 min per week. Participants who reported outdoor recreational facilities to be present but indicated not to use them (RR = 1.19, 95% CI = 1.03;1.22), and those reporting outdoor recreational facilities to be present and to use them (RR = 1.33, 95% CI = 1.22, 1.45) had higher levels of total leisure-time PA than those who reported outdoor recreational facilities not to be present. Proximity to outdoor recreational facilities was the most important motivation for use. Conclusion The modest attenuation in the association between availability of outdoor recreational facilities and self-reported leisure-time PA suggests that individuals’ higher activity levels may be due more to the perceived availability of outdoor recreational facilities than to self-selection. The use of these facilities seemed to be an important underlying mechanism, and proximity was the main motivator for using recreational facilities.http://link.springer.com/article/10.1186/s12966-018-0689-xBuilt environmentMotivationsMultilevel analysisPerceptionsSelection effectsUsage |