{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T23:57:36Z","timestamp":1781135856466,"version":"3.54.1"},"reference-count":57,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Mult Scler"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Higher levels of physical activity (PA) among youth with multiple sclerosis (MS) associate with lower levels of disease activity, and better psychosocial outcomes. Yet, youth with MS remain inactive. Built-environment features may explain low PA and inform intervention design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This cross-sectional study examined associations between built-environment features and PA levels among youth with MS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Youth (\u2a7d18\u2009years) with MS completed the Godin Leisure-Time Exercise Questionnaire (GLTEQ) for overall PA and a health contribution score (HCS; moderate &amp; vigorous PA) in metabolic equivalents (METs). Built-environment features (intersections, green space, Walk\/Transit Score) were linked to postal codes using the CANUE repository. Associations were analyzed using Spearman\u2019s correlation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>\n                      Our sample included 59 youth (median age 15\u2009\u00b1\u20093\u2009years; 61% female). Median GLTEQ and HCS scores were 43\u2009\u00b1\u200944 and 35\u2009\u00b1\u200942 METs\/minutes\/week. Greater greenspace at 500\u2009m positively associated with GLTEQ and HCS (\n                      <jats:italic toggle=\"yes\">\n                        r\n                        <jats:sub>s<\/jats:sub>\n                      <\/jats:italic>\n                      \u2009=\u20090.33,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.012;\n                      <jats:italic toggle=\"yes\">\n                        r\n                        <jats:sub>s<\/jats:sub>\n                      <\/jats:italic>\n                      \u2009=\u20090.30,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.020). Number of Intersections at 1000\u2009m negatively correlated with GLTEQ and HCS (\n                      <jats:italic toggle=\"yes\">\n                        r\n                        <jats:sub>s<\/jats:sub>\n                      <\/jats:italic>\n                      \u2009=\u2009\u20130.39,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.002;\n                      <jats:italic toggle=\"yes\">\n                        r\n                        <jats:sub>s<\/jats:sub>\n                      <\/jats:italic>\n                      \u2009=\u2009\u20130.35,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.006). Walk and Transit Score were not significantly associated with PA (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&gt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We found associations between PA levels and greenspace and intersection density. Reasons for this require further investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13524585251407505","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T04:52:32Z","timestamp":1768971152000},"page":"677-686","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Built-environment correlates of physical activity in youth with multiple sclerosis"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9800-8964","authenticated-orcid":false,"given":"Sonika","family":"Kumari","sequence":"first","affiliation":[{"name":"Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada; Department of Pediatrics Division of Neurology, The Hospital for Sick Children, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0887-1380","authenticated-orcid":false,"given":"Samantha","family":"Stephens","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Division of Neurology, The Hospital for Sick Children, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7327-8244","authenticated-orcid":false,"given":"Paul Yejong","family":"Yoo","sequence":"additional","affiliation":[{"name":"Program in Neurosciences and Mental Health, SickKids Research Institute, The Hospital for Sick Children, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly P","family":"Arbour-Nicitopoulos","sequence":"additional","affiliation":[{"name":"Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian M","family":"Feldman","sequence":"additional","affiliation":[{"name":"Child Health Evaluative Sciences Program, Department of Pediatrics, Division of Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1774-4810","authenticated-orcid":false,"given":"Marcia L","family":"Finlayson","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Therapy, Queen\u2019s University, Kingston, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1855-5595","authenticated-orcid":false,"given":"Ruth Ann","family":"Marrie","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Dalhousie University, Halifax, NS, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5894-2290","authenticated-orcid":false,"given":"Robert","family":"Motl","sequence":"additional","affiliation":[{"name":"Kinesiology and Nutrition, University of Illinois at Chicago, Chicago,IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"To","sequence":"additional","affiliation":[{"name":"Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5393-7417","authenticated-orcid":false,"given":"E Ann","family":"Yeh","sequence":"additional","affiliation":[{"name":"Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada; Department of Pediatrics Division of Neurology, The Hospital for Sick Children, Toronto, ON, Canada; Program in Neurosciences and Mental Health, SickKids Research Institute, The Hospital for Sick Children, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2019.01.040"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awp278"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2019.1546"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000001939"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2022.103745"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/acrefore\/9780190236557.013.212"},{"key":"e_1_3_3_8_2","first-page":"37","volume-title":"International encyclopedia of education","author":"Bronfenbrenner U","year":"1994","unstructured":"Bronfenbrenner U. 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