Neighborhood Green Land Cover and Neighborhood-Based Walking in U.S. Older Adults


      Greenspace exposure has been associated with physical activity, but few studies have investigated its association with physical activity in the residential neighborhood. This study investigates whether greater amounts of neighborhood open space and forest are associated with neighborhood-based walking in older adults.


      In 2020, cross-sectional analyses were conducted on those aged ≥65 years from the 2017 National Household Travel Survey. Minutes of neighborhood walking per day were derived from travel diaries. Green land cover measures from the 2011 National Land Cover Dataset were linked to respondent data by the U.S. census tract. Adjusted linear regression models, using weights accounting for survey sampling, tested the associations between the percentage of green land cover in the neighborhood (open space, forest) and minutes of neighborhood walking per day. Adjusted models were stratified to examine whether the associations varied by an individual- and neighborhood-level SES, sex, and race/ethnicity.


      Respondents (N=72,753) were aged 74 (SD=7) years on average. Greater percentage of open space was associated with more neighborhood walking in African Americans (estimate=0.069, 95% CI=0.005, 0.133). Greater percentage of forest was associated with more neighborhood walking in the overall sample (estimate=0.028, 95% CI=0.006, 0.050), women (estimate=0.025, 95% CI=0.005, 0.045), and Whites (estimate=0.034, 95% CI=0.004, 0.064).


      Type of neighborhood green land cover (open space versus forest) may be differentially associated with neighborhood walking depending on race/ethnicity. This study suggests a possible association between greater neighborhood open space and greater walking among African Americans that must be confirmed in future studies.
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        • Ortman JM
        • Velkoff VA
        • Hogan H.
        An aging nation: the older population in the United States.
        United States Census Bureau, Suitland-Silver Hill, MDMay 2014 (Published)
        • Colby SL
        • Ortman JM.
        The baby boom cohort in the United States: 2012 to 2060.
        United States Census Bureau, Suitland-Silver Hill, MDMay 2014 (Published)
        • Benjamin EJ
        • Virani SS
        • Callaway CW
        • et al.
        Heart disease and stroke statistics-2018 update: a report from the American Heart Association [published correction appears in Circulation. 2018;137(12):e493].
        Circulation. 2018; 137: e67-e492
        • Malambo P
        • Kengne AP
        • De Villiers A
        • Lambert EV
        • Puoane T.
        Built environment, selected risk factors and major cardiovascular disease outcomes: a systematic review.
        PLoS One. 2016; 11e0166846
        • Jia X
        • Yu Y
        • Xia W
        • et al.
        Cardiovascular diseases in middle aged and older adults in China: the joint effects and mediation of different types of physical exercise and neighborhood greenness and walkability.
        Environ Res. 2018; 167: 175-183
        • Leritz EC
        • McGlinchey RE
        • Kellison I
        • Rudolph JL
        • Milberg WP.
        Cardiovascular disease risk factors and cognition in the elderly.
        Curr Cardiovasc Risk Rep. 2011; 5: 407-412
        • Burzynska AZ
        • Chaddock-Heyman L
        • Voss MW
        • et al.
        Physical activity and cardiorespiratory fitness are beneficial for white matter in low-fit older adults.
        PLoS One. 2014; 9e107413
        • Markevych I
        • Schoierer J
        • Hartig T
        • et al.
        Exploring pathways linking greenspace to health: theoretical and methodological guidance.
        Environ Res. 2017; 158: 301-317
        • Luke A
        • Dugas LR
        • Durazo-Arvizu RA
        • Cao G
        • Cooper RS.
        Assessing physical activity and its relationship to cardiovascular risk factors: NHANES 2003-2006.
        BMC Public Health. 2011; 11: 387
        • Current guidelines
        HHS, Office of Disease Prevention and Health Promotion.
        2019 ( Published Updated February 19, 2021. Accessed October 15, 2020)
        • Hupin D
        • Roche F
        • Gremeaux V
        • et al.
        Even a low-dose of moderate-to-vigorous physical activity reduces mortality by 22% in adults aged ≥60 years: a systematic review and meta-analysis.
        Br J Sports Med. 2015; 49: 1262-1267
        • Barnett DW
        • Barnett A
        • Nathan A
        • Van Cauwenberg J
        • Cerin E
        • Council on Environment and Physical Activity (CEPA) – Older Adults working group
        Built environmental correlates of older adults’ total physical activity and walking: a systematic review and meta-analysis.
        Int J Behav Nutr Phys Act. 2017; 14: 103
        • Berke EM
        • Koepsell TD
        • Moudon AV
        • Hoskins RE
        • Larson EB.
        Association of the built environment with physical activity and obesity in older persons.
        Am J Public Health. 2007; 97: 486-492
        • Li F
        • Fisher KJ
        • Brownson RC
        • Bosworth M.
        Multilevel modelling of built environment characteristics related to neighbourhood walking activity in older adults.
        J Epidemiol Community Health. 2005; 59: 558-564
        • Li F
        • Harmer PA
        • Cardinal BJ
        • et al.
        Built environment, adiposity, and physical activity in adults aged 50-75.
        Am J Prev Med. 2008; 35: 38-46
        • Gong Y
        • Gallacher J
        • Palmer S
        • Fone D.
        Neighbourhood green space, physical function and participation in physical activities among elderly men: the Caerphilly Prospective study.
        Int J Behav Nutr Phys Act. 2014; 11: 40
        • Halonen JI
        • Pulakka A
        • Pentti J
        • et al.
        Cross-sectional associations of neighbourhood socioeconomic disadvantage and greenness with accelerometer-measured leisure-time physical activity in a cohort of ageing workers.
        BMJ Open. 2020; 10e038673
        • Astell-Burt T
        • Feng X
        • Kolt GS.
        Green space is associated with walking and moderate-to-vigorous physical activity (MVPA) in middle-to-older-aged adults: findings from 203 883 Australians in the 45 and Up Study.
        Br J Sports Med. 2014; 48: 404-406
        • Procter-Gray E
        • Leveille SG
        • Hannan MT
        • Cheng J
        • Kane K
        • Li W.
        Variations in community prevalence and determinants of recreational and utilitarian walking in older age.
        J Aging Res. 2015; 2015382703
        • Michael Y
        • Beard T
        • Choi D
        • Farquhar S
        • Carlson N.
        Measuring the influence of built neighborhood environments on walking in older adults.
        J Aging Phys Act. 2006; 14: 302-312
        • Cain KL
        • Millstein RA
        • Sallis JF
        • et al.
        Contribution of streetscape audits to explanation of physical activity in four age groups based on the Microscale Audit of Pedestrian Streetscapes (MAPS).
        Soc Sci Med. 2014; 116: 82-92
        • Chong S
        • Mazumdar S
        • Ding D
        • et al.
        Neighbourhood greenspace and physical activity and sedentary behaviour among older adults with a recent diagnosis of type 2 diabetes: a prospective analysis.
        BMJ Open. 2019; 9e028947
        • Hall KS
        • McAuley E.
        Individual, social environmental and physical environmental barriers to achieving 10 000 steps per day among older women.
        Health Educ Res. 2010; 25: 478-488
        • Hawkesworth S
        • Silverwood RJ
        • Armstrong B
        • et al.
        Investigating associations between the built environment and physical activity among older people in 20 UK towns.
        J Epidemiol Community Health. 2018; 72: 121-131
      1. Downloads. U.S. Department of Transportation Federal Highway Administration. Accessed October 15, 2020.

        • Manson S
        • Schroeder J
        • Van Riper D
        • Ruggles S.
        IPUMS National Historical Geographic Information System: version 14.0 [database].
        IPUMS, Minneapolis, MN2019
        Date accessed: October 15, 2020
        • Wickham J
        • Homer C
        • Vogelmann J
        • et al.
        The Multi-Resolution Land Characteristics (MRLC) consortium—20 years of development and integration of USA national land cover data.
        Remote Sens (Basel). 2014; 6: 7424-7441
        • Wickham J
        • Stehman SV
        • Gass L
        • et al.
        Thematic accuracy assessment of the 2011 National Land Cover Database (NLCD).
        Remote Sens Environ. 2017; 191: 328-341
        • Besser LM
        • Chang LC
        • Kluttz J.
        Individual and neighborhood characteristics associated with neighborhood walking among U.S. older adults.
        Prev Med Rep. 2021; 21101291
      2. About the Neighborhood Atlas, University of Wisconsin School of Medicine and Public Health.
        2018 (Published)
        • Bedimo-Rung AL
        • Mowen AJ
        • Cohen DA.
        The significance of parks to physical activity and public health: a conceptual model.
        Am J Prev Med. 2005; 28: 159-168
        • Knapp M
        • Gustat J
        • Darensbourg R
        • Myers L
        • Johnson C.
        The relationships between park quality, park usage, and levels of physical activity in low-income, African American neighborhoods.
        Int J Environ Res Public Health. 2018; 16: 85
        • Shores KA
        • West ST.
        Physical activity outcomes associated with African American park visitation in four community parks.
        J Park Recreat Admi. 2008; 26: 75-92
        • Centers for Disease Control and Prevention
        Health, United States spotlight: racial and ethnic disparities in heart disease.
        Centers for Disease Control and Prevention, Atlanta, GAApril 2019 (Published)
        • Adkins A
        • Barillas-Longoria G
        • Martínez DN
        • Ingram M.
        Differences in social and physical dimensions of perceived walkability in Mexican American and non-Hispanic white walking environments in Tucson, Arizona.
        J Transp Health. 2019; 14100585
        • Courtin E
        • Knapp M.
        Social isolation, loneliness and health in old age: a scoping review.
        Health Soc Care Community. 2017; 25: 799-812
        • Fakoya OA
        • McCorry NK
        • Donnelly M.
        Loneliness and social isolation interventions for older adults: a scoping review of reviews.
        BMC Public Health. 2020; 20: 129
        • Barnett A
        • Zhang CJP
        • Johnston JM
        • Cerin E.
        Relationships between the neighborhood environment and depression in older adults: a systematic review and meta-analysis.
        Int Psychogeriatr. 2018; 30: 1153-1176
        • Beyer KM
        • Kaltenbach A
        • Szabo A
        • Bogar S
        • Nieto FJ
        • Malecki KM.
        Exposure to neighborhood green space and mental health: evidence from the survey of the health of Wisconsin.
        Int J Environ Res Public Health. 2014; 11: 3453-3472
        • Stevenson MP
        • Schilhab T
        • Bentsen P.
        Attention Restoration Theory II: a systematic review to clarify attention processes affected by exposure to natural environments.
        J Toxicol Environ Health B. 2018; 21: 227-268