Do walking-friendly built environments influence frailty and long-term care insurance service needs?

Seigo Mitsutake, Tatsuro Ishizaki, Yuri Yokoyama, Mariko Nishi, Mohammad Javad Koohsari, Koichiro Oka, Shohei Yano, Takumi Abe, Akihiko Kitamura

研究成果: Article査読

抄録

Our study examined the associations between neighborhood walkability, frailty, and the incidence of long-term care insurance (LTCI) service needs using a prospective cohort survey in a suburban town in Japan. The final sample for analyses comprised 2867 community-dwelling older adults (mean age: 73.0 years). Neighborhood walkability was measured using the Walk Score®. A total of 387 participants (13.5%) exhibited frailty. The odds of frailty, adjusted for the covariates (sex, age, educational status, marital status, residential status, employment status, subjective economic status) among participants who lived in somewhat walkable/very walkable areas, was 0.750 (95% Confidence Interval, CI: 0.597–0.943) versus those who lived in car-dependent areas. During the 23-month follow-up, 102 participants needed LTCI services (19.0 per 1000 person-years), 41 of whom (21.0 per 1000 person-years) lived in car-dependent areas, and 61 of whom (17.9 per 1000 person-years) lived in somewhat walkable/very walkable areas. As compared with participants who lived in car-dependent areas, the incidence of LTCI service needs was not significantly lower than that of those who lived in somewhat walkable/very walkable areas. Walk Score® can provide the critical information for the strategies to improve walkability and prevent older adults’ frailty in less walkable areas, contributing to achieving the United Nation’s Sustainable Development Goals (SDGs).

本文言語English
論文番号5632
ジャーナルSustainability (Switzerland)
13
10
DOI
出版ステータスPublished - 2021 5 2

ASJC Scopus subject areas

  • 地理、計画および開発
  • 再生可能エネルギー、持続可能性、環境
  • 環境科学(その他)
  • エネルギー工学および電力技術
  • 管理、モニタリング、政策と法律

フィンガープリント

「Do walking-friendly built environments influence frailty and long-term care insurance service needs?」の研究トピックを掘り下げます。これらがまとまってユニークなフィンガープリントを構成します。

引用スタイル