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      The contribution of travel-related urban zones, cycling and pedestrian networks and green space to commuting physical activity among adults – a cross-sectional population-based study using geographical information systems

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          Abstract

          Background

          The current political agenda aims to promote active environments and physical activity while commuting to work, but research on it has provided mixed results. This study examines whether the proximity of green space and people’s residence in different travel-related urban zones contributes to commuting physical activity.

          Methods

          Population-based cross-sectional health examination survey, Health 2011 study, and geographical information system (GIS) data were utilized. The GIS data on green space and travel-related urban zones were linked to the individuals of the Health 2011 study, based on their home geocoordinates. Commuting physical activity was self-reported. Logistic regression models were applied, and age, gender, education, leisure-time and occupational physical activity were adjusted. Analyses were limited to those of working age, living in the core-urban areas of Finland and having completed information on commuting physical activity ( n = 2 098).

          Results

          Home location in a pedestrian zone of a main centre (odds ratio = 1.63; 95 % confidence interval = 1.06–2.51) or a pedestrian zone of a sub-centre (2.03; 1.09–3.80) and higher proportion of cycling and pedestrian networks (3.28; 1.71–6.31) contributed to higher levels of commuting physical activity. The contribution remained after adjusting for all the environmental attributes and individuals. Based on interaction analyses, women living in a public transport zone were almost two times more likely to be physically active while commuting compared to men. A high proportion of recreational green space contributed negatively to the levels of commuting physical activity (0.73; 0.57–0.94) after adjusting for several background factors. Based on interaction analyses, individuals aged from 44 to 54 years and living in sub-centres, men living in pedestrian zones of sub-centres, and those individuals who are physically inactive during leisure-time were less likely to be physically active while commuting.

          Conclusions

          Good pedestrian and cycling infrastructure may play an important role in promoting commuting physical activity among the employed population, regardless of educational background, leisure-time and occupational physical activity. Close proximity to green space and a high proportion of green space near the home may not be sufficient to initiate commuting physical activity in Finland, where homes surrounded by green areas are often situated in car-oriented zones far from work places.

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          Most cited references37

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          Estimation of Regression Coefficients When Some Regressors are not Always Observed

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            Relationship between the physical environment and different domains of physical activity in European adults: a systematic review

            Background In the past decade, various reviews described the relationship between the physical environment and different physical activity (PA) domains. Yet, the majority of the current review evidence relies on North American/Australian studies, while only a small proportion of findings refer to European studies. Given some clear environmental differences across continents, this raises questions about the applicability of those results in European settings. This systematic review aimed at summarizing Europe-specific evidence on the relationship between the physical environment and different PA domains in adults. Methods Seventy eligible papers were identified through systematic searches across six electronic databases. Included papers were observational studies assessing the relationship between several aspects of the physical environment and PA in European adults (18-65y). Summary scores were calculated to express the strength of the relationship between each environmental factor and different PA domains. Results Convincing evidence on positive relationships with several PA domains was found for following environmental factors: walkability, access to shops/services/work and the composite factor environmental quality. Convincing evidence considering urbanization degree showed contradictory results, dependent on the observed PA domain. Transportation PA was more frequently related to the physical environment than recreational PA. Possible evidence for a positive relationship with transportation PA emerged for walking/cycling facilities, while a negative relationship was found for hilliness. Some environmental factors, such as access to recreational facilities, aesthetics, traffic- and crime-related safety were unrelated to different PA domains in Europe. Conclusions Generally, findings from this review of European studies are in accordance with results from North American/Australian reviews and may contribute to a generalization of the relationship between the physical environment and PA. Nevertheless, the lack of associations found regarding access to recreational facilities, aesthetics and different forms of safety are likely to be Europe-specific findings and need to be considered when appropriate interventions are developed. More research assessing domain-specific relationships with several understudied environmental attributes (e.g., residential density) is needed.
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              Landscape and well-being: a scoping study on the health-promoting impact of outdoor environments.

              The present literature review conceptualises landscape as a health resource that promotes physical, mental, and social well-being. Different health-promoting landscape characteristics are discussed. This article is based on a scoping study which represents a special kind of qualitative literature review. Over 120 studies have been reviewed in a five-step-procedure, resulting in a heuristic device. A set of meaningful pathways that link landscape and health have been identified. Landscapes have the potential to promote mental well-being through attention restoration, stress reduction, and the evocation of positive emotions; physical well-being through the promotion of physical activity in daily life as well as leisure time and through walkable environments; and social well-being through social integration, social engagement and participation, and through social support and security. This scoping study allows us to systematically describe the potential of landscape as a resource for physical, mental and social well-being. A heuristic framework is presented that can be applied in future studies, facilitating systematic and focused research approaches and informing practical public health interventions.
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                Author and article information

                Contributors
                tomi.maki-opas@thl.fi
                katja.borodulin@thl.fi
                heli.valkeinen@thl.fi
                sari.stenholm@utu.fi
                a.kunst@amc.uva.nl
                thomas.abel@ispm.unibe.ch
                tommi.harkanen@thl.fi
                leena.kopperoinen@ymparisto.fi
                pekka.itkonen@hel.fi
                ritva.prattala@thl.fi
                sakari.karvonen@thl.fi
                seppo.koskinen@thl.fi
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                11 August 2016
                11 August 2016
                2016
                : 16
                : 760
                Affiliations
                [1 ]National Institute for Health and Welfare (THL), Helsinki, Finland
                [2 ]Department of Public Health, University of Turku, Turku, Finland
                [3 ]University of Amsterdam, Academic Medical Centre (AMC), Amsterdam, The Netherlands
                [4 ]University of Bern, Institute for Social and Preventive Medicine, Bern, Switzerland
                [5 ]Finnish Environment Institute (SYKE), Helsinki, Finland
                [6 ]City of Helsinki, Helsinki City Rescue Department, Helsinki, Finland
                Article
                3264
                10.1186/s12889-016-3264-x
                4982435
                27516181
                f7073da9-9740-4b3a-ad62-e1921eb2b926
                © The Author(s). 2016

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 29 January 2016
                : 5 July 2016
                Funding
                Funded by: This study did not receive funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100005878, Terveyden Tutkimuksen Toimikunta;
                Award ID: #266759
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/501100005878, Terveyden Tutkimuksen Toimikunta;
                Award ID: #273850
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/501100005878, Terveyden Tutkimuksen Toimikunta;
                Award ID: #264944
                Award Recipient :
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2016

                Public health
                transport-related physical activity,green space,built environment,socioecological model,population study,gis,finland

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