American Journal of Preventive Medicine
Volume 37, Issue 4 , Pages 293-298 , October 2009

The Built Environment and Physical Activity Levels: The Harvard Alumni Health Study

  • I.-Min Lee, MBBS, ScD

      Affiliations

    • Division of Preventive Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts
    • Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts
    • Corresponding Author InformationAddress correspondence and reprint requests to: I-Min Lee, MBBS, ScD, Brigham and Women's Hospital and Harvard Medical School, 900 Commonwealth Avenue East, Boston MA 02215
    • ,
  • Reid Ewing, PhD

      Affiliations

    • Department of City and Metropolitan Planning, University of Utah, Salt Lake City, Utah
    • ,
  • Howard D. Sesso, ScD

      Affiliations

    • Division of Preventive Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts
    • Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts

References 

  1. Haskell WL, Lee IM, Pate RR, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation. 2007;116:1081–1093
  2. Physical Activity Guidelines Advisory Committee. Physical Activity Guidelines Advisory Committee report, 2008. Washington DC: USDHHS; 2008;
  3. In:  Lee I-M editors. Epidemiologic methods in physical activity studies. New York: Oxford University Press; 2009;
  4. Troiano RP, Berrigan D, Dodd KW, Masse LC, Tilert T, McDowell M. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40:181–188
  5. Matthews CE, Chen KY, Freedson PS, et al. Amount of time spent in sedentary behaviors in the United States, 2003–2004. Am J Epidemiol. 2008;167:875–881
  6. The Writing Group for the Activity Counseling Trial Research Group. Effects of physical activity counseling in primary care: the Activity Counseling Trial: a randomized controlled trial. JAMA. 2001;286:677–687
  7. Knowler WC, Barrett-Connor E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346:393–403
  8. Ewing R. Can the physical environment determine physical activity levels?. Exerc Sport Sci Rev. 2005;33:69–75
  9. Heath GW, Brownson RC, Kruger J, Miles R, Powell KE, Ramsey LTthe Task Force on Community Preventive Services. The effectiveness of urban design and land use and transport policies and practices to increase physical activity: a systematic review. J Physical Activity and Health. 2006;3(S1):S55–S76
  10. Wendel-Vos W, Droomers M, Kremers S, Brug J, van Lenthe F. Potential environmental determinants of physical activity in adults: a systematic review. Obes Rev. 2007;8:425–440
  11. Hanson S. Active living research in light of the TRB/IOM report. J Physical Activity and Health. 2006;3(S1):S258–S266
  12. Sallis J, Owen N. Ecological models of health behavior. In:  Glanz K,  Rimer BK,  Lewis FM editor. Health behavior and health education: theory, research & practice. San Francisco CA: Jossey-Bass; 2002;p. 462–484
  13. Ball K, Timperio AF, Crawford DA. Understanding environmental influences on nutrition and physical activity behaviors: where should we look and what should we count?. Int J Behav Nutr Phys Act. 2006;3:33
  14. Brug J, Kremers SP, Lenthe F, Ball K, Crawford D. Environmental determinants of healthy eating: in need of theory and evidence. Proc Nutr Soc. 2008;67:307–316
  15. Transportation Research Board, Institute of Medicine of the National Academies. Does the built environment influence physical activity? (Examining the evidence). TRB Special Report 282 Washington DC: National Academy of Sciences; 2005;www.trb.org/publications/sr/sr282.pdf
  16. Sallis JF, Story M, Lou D. Study designs and analytic strategies for environmental and policy research on obesity, physical activity, and diet: recommendations from a meeting of experts. Am J Prev Med. 2009;36(2S):S72–S77
  17. Lee I-M, Paffenbarger RS. Design of present-day epidemiologic studies of physical activity and health. In:  Lee I-M editors. Epidemiologic methods in physical activity studies. New York: Oxford University Press; 2009;p. 100–123
  18. Ewing R, Schmid T, Killingsworth R, Zlot A, Raudenbush S. Relationship between urban sprawl and physical activity, obesity, and morbidity. Am J Health Promot. 2003;18:47–57
  19. Ewing R, Schieber RA, Zegeer CV. Urban sprawl as a risk factor in motor vehicle occupant and pedestrian fatalities. Am J Public Health. 2003;93:1541–1545
  20. Plantinga AJ, Bernell S. The association between urban sprawl and obesity: is it a two-way street?. J Regional Science. 2007;47:857–879
  21. Trowbridge MJ, McDonald NC. Urban sprawl and miles driven daily by teenagers in the United States. Am J Prev Med. 2008;34:202–206
  22. Sturm R, Cohen DA. Suburban sprawl and physical and mental health. Public Health. 2004;118:488–496
  23. Ewing R, Brownson RC, Berrigan D. Relationship between urban sprawl and weight of United States youth. Am J Prev Med. 2006;31:464–474
  24. Doyle S, Kelly-Schwartz A, Schlossberg M, Stockard J. Active community environments and health: The relationship of walkable and safe communities to individual health. J Am Planning Association. 2006;72:19–31
  25. Joshu CE, Boehmer TK, Brownson RC, Ewing R. Personal, neighbourhood and urban factors associated with obesity in the United States. J Epidemiol Community Health. 2008;62:202–208
  26. Lee IM, Paffenbarger RS, Hsieh CC. Time trends in physical activity among college alumni, 1962–1988. Am J Epidemiol. 1992;135:915–925
  27. Albanes D, Conway JM, Taylor PR, Moe PW, Judd J. Validation and comparison of eight physical activity questionnaires. Epidemiology. 1990;1:65–71
  28. Washburn RA, Smith KW, Goldfield SR, McKinlay JB. Reliability and physiologic correlates of the Harvard Alumni Activity Survey in a general population. J Clin Epidemiol. 1991;44:1319–1326
  29. Ainsworth BE, Leon AS, Richardson MT, Jacobs DR, Paffenbarger RS. Accuracy of the College Alumnus Physical Activity Questionnaire. J Clin Epidemiol. 1993;46:1403–1411
  30. Bonnefoy M, Normand S, Pachiaudi C, Lacour JR, Laville M, Kostka T. Simultaneous validation of ten physical activity questionnaires in older men: a doubly labeled water study. J Am Geriatr Soc. 2001;49:28–35
  31. Breslow NE, Day NE. Statistical methods in cancer research I: the analysis of case-control studies. Lyon France: International Agency for Research on Cancer; 1980;IARC Scientific Pub No. 32
  32. Snedecor GW, Cochran WG. Statistical methods. Ames IA: Iowa State University Press; 1967;
  33. CDC. The guide to community preventive services: tobacco use and prevention. Am J Prev Med. 2001;20(S):1–88
  34. Saelens BE, Sallis JF, Frank LD. Environmental correlates of walking and cycling: findings from the transportation, urban design, and planning literatures. Ann Behav Med. 2003;25:80–91
  35. Sallis JF, Bauman A, Pratt M. Environmental and policy interventions to promote physical activity. Am J Prev Med. 1998;15:379–397
  36. Humpel N, Owen N, Leslie E. Environmental factors associated with adults' participation in physical activity: a review. Am J Prev Med. 2002;22:188–199
  37. Ewing R, Bartholomew K, Winkelman S, Walters J, Chen D. Environmental determinism versus self-selection. Growing cooler: the evidence on urban development and climate change. Chicago IL: Urban Land Institute; 2007;
  38. Frank LD, Saelens BE, Powell KE, Chapman JE. Stepping towards causation: do built environments or neighborhood and travel preferences explain physical activity, driving, and obesity?. Soc Sci Med. 2007;65:1898–1914
  39. Owen N, Cerin E, Leslie E, et al. Neighborhood walkability and the walking behavior of Australian adults. Am J Prev Med. 2007;33:387–395
  40. Linenger JM, Chesson CV, Nice DS. Physical fitness gains following simple environmental change. Am J Prev Med. 1991;7:298–310
  41. Painter K. The influence of street lighting improvements on crime, fear and pedestrian street use, after dark. Landsc Urban Plan. 1996;35:193–201
  42. Macbeth AG. Bicycle lanes in Toronto. ITE Journal. 1999;69:38–46
  43. Papas MA, Alberg AJ, Ewing R, Helzlsouer KJ, Gary TL, Klassen AC. The built environment and obesity. Epidemiol Rev. 2007;29:129–143
  44. Kirtland KA, Porter DE, Addy CL, et al. Environmental measures of physical activity supports (Perception versus reality). Am J Prev Med. 2003;24:323–331
  45. McGinn AP, Evenson KR, Herring AH, Huston SL, Rodriguez DA. Exploring associations between physical activity and perceived and objective measures of the built environment. J Urban Health. 2007;84:162–184
  46. Nagel CL, Carlson NE, Bosworth M, Michael YL. The relation between neighborhood built environment and walking activity among older adults. Am J Epidemiol. 2008;168:461–468

PII: S0749-3797(09)00412-7

doi: 10.1016/j.amepre.2009.06.007

American Journal of Preventive Medicine
Volume 37, Issue 4 , Pages 293-298 , October 2009

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