{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:06:06Z","timestamp":1787184366530,"version":"build-2736575974"},"reference-count":41,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2022,10,29]],"date-time":"2022-10-29T00:00:00Z","timestamp":1667001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Some cross-sectional evidence suggests that the objectively measured built environment can encourage walking among older adults. We examined the associations between objectively measured built environment with change in self-reported walking among older women by using data from the Study of Osteoporotic Fractures (SOF). We evaluated the longitudinal associations between built environment characteristics and walking among 1253 older women (median age = 71 years) in Portland, Oregon using generalized estimating equation models. Built environment characteristics included baseline values and longitudinal changes in distance to the closest bus stop, light rail station, commercial area, and park. A difference of 1 km in the baseline distance to the closest bus stop was associated with a 12% decrease in the total number of blocks walked per week during follow-up (e\u03b2 = 0.88, 95% CI: 0.78, 0.99). Our study provided limited support for an association between neighborhood transportation and changes in walking among older women. Future studies should consider examining both objective measures and perceptions of the built environment.<\/jats:p>","DOI":"10.3390\/ijerph192114168","type":"journal-article","created":{"date-parts":[[2022,10,30]],"date-time":"2022-10-30T04:57:34Z","timestamp":1667105854000},"page":"14168","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The Association between Changes in Built Environment and Changes in Walking among Older Women in Portland, Oregon"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9904-6601","authenticated-orcid":false,"given":"Justin","family":"Guan","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, PA 19104, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3355-5558","authenticated-orcid":false,"given":"Jana A.","family":"Hirsch","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, PA 19104, USA"},{"name":"Urban Health Collaborative, Philadelphia, PA 19104, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loni Philip","family":"Tabb","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, PA 19104, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa A.","family":"Hillier","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Northwest Center for Health Research, Portland, OR 97227, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne L.","family":"Michael","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, PA 19104, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Bird, E.L., Ige, J.O., Pilkington, P., Pinto, A., Petrokofsky, C., and Burgess-Allen, J. (2018). Built and natural environment planning principles for promoting health: An umbrella review. BMC Public Health, 18.","DOI":"10.1186\/s12889-018-5870-2"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"103","DOI":"10.2174\/1745017901410010103","article-title":"Built Environment and Elderly Population Health: A Comprehensive Literature Review","volume":"10","author":"Garin","year":"2014","journal-title":"Clin. Pract. Epidemiology Ment. Health"},{"key":"ref_3","unstructured":"U.S. Environmental Protection Agency (2020, February 25). Basic Information about the Built Environment, Available online: https:\/\/www.epa.gov\/smm\/basic-information-about-built-environment."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e12171","DOI":"10.1111\/opn.12171","article-title":"The built environment and older adults: A literature review and an applied approach to engaging older adults in built environment improvements for health","volume":"13","author":"Tuckett","year":"2017","journal-title":"Int. J. Older People Nurs."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1186\/s12966-017-0558-z","article-title":"Built environmental correlates of older adults\u2019 total physical activity and walking: A systematic review and meta-analysis","volume":"14","author":"Barnett","year":"2017","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s12966-017-0471-5","article-title":"The neighbourhood physical environment and active travel in older adults: A systematic review and meta-analysis","volume":"14","author":"Cerin","year":"2017","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1123\/japa.2012-0137","article-title":"Relationships between the built environment and walking and weight status among older women in three U.S. States","volume":"22","author":"Troped","year":"2014","journal-title":"J. Aging Phys. Act."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1007\/s12160-016-9852-2","article-title":"Direct and Indirect Associations Between the Built Environment and Leisure and Utilitarian Walking in Older Women","volume":"51","author":"Troped","year":"2016","journal-title":"Ann. Behav. Med."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Yun, H.Y. (2019). Environmental Factors Associated with Older Adult\u2019s Walking Behaviors: A Systematic Review of Quantitative Studies. Sustainability, 11.","DOI":"10.3390\/su11123253"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Chudyk, A.M., McKay, H.A., Winters, M., Sims-Gould, J., and Ashe, M.C. (2017). Neighborhood walkability, physical activity, and walking for transportation: A cross-sectional study of older adults living on low income. BMC Geriatr., 17.","DOI":"10.1186\/s12877-017-0469-5"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.jaging.2015.07.002","article-title":"Walk-friendly suburbs for older adults? Exploring the enablers and barriers to walking in a large suburban municipality in Canada","volume":"35","author":"Mitra","year":"2015","journal-title":"J. Aging Stud."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1158\/1055-9965.EPI-16-0827","article-title":"Contextual Correlates of Physical Activity among Older Adults: A Neighborhood Environment-Wide Association Study (NE-WAS)","volume":"26","author":"Mooney","year":"2017","journal-title":"Cancer Epidemiol. Biomark. Prev."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"816106","DOI":"10.4061\/2011\/816106","article-title":"The Urban Built Environment and Mobility in Older Adults: A Comprehensive Review","volume":"2011","author":"Rosso","year":"2011","journal-title":"J. Aging Res."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1123\/japa.2013-0151","article-title":"The Built Environment, Physical Activity, and Aging in the United States: A State of the Science Review","volume":"23","author":"Haselwandter","year":"2015","journal-title":"J. Aging Phys. Act."},{"key":"ref_15","unstructured":"Federal Interagency Forum on Aging-Related Statistics (2016). Older Americans 2016: Key Indicators of Well-Being, Federal Interagency Forum on Aging-Related Statistics."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1001\/archinte.167.2.155","article-title":"Evaluating the Value of Repeat Bone Mineral Density Measurement and Prediction of Fractures in Older Women","volume":"167","author":"THillier","year":"2007","journal-title":"Arch. Intern. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1056\/NEJM199503233321202","article-title":"Risk Factors for Hip Fracture in White Women","volume":"332","author":"Cummings","year":"1995","journal-title":"N. Engl. J. Med."},{"key":"ref_18","unstructured":"(2021, August 24). SOF: Study of Osteoporotic Fractures. Available online: https:\/\/sofonline.ucsf.edu\/."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1111\/j.1525-1497.2001.00506.x","article-title":"Predictors of Physical Activity in Community-dwelling Elderly White Women","volume":"16","author":"Walsh","year":"2001","journal-title":"J. Gen. Intern. Med."},{"key":"ref_20","unstructured":"Haight, A., and Oregonian, T. (2009). Portland Gets its Reward: Most Sustainable City. Oregonlive, Available online: https:\/\/www.oregonlive.com\/environment\/2009\/03\/portland_will_be_recognized_as.html."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1111\/j.1532-5415.2005.53103.x","article-title":"Just Get Out the Door! Importance of Walking Outside the Home for Maintaining Mobility: Findings from the Women\u2019s Health and Aging Study","volume":"53","author":"Simonsick","year":"2005","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1703","DOI":"10.1001\/archinte.161.14.1703","article-title":"A Prospective Study of Physical Activity and Cognitive Decline in Elderly Women","volume":"161","author":"Yaffe","year":"2001","journal-title":"Arch. Intern. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"74","DOI":"10.4278\/0890-1171-18.1.74","article-title":"The Relationship between Convenience of Destinations and Walking Levels in Older Women","volume":"18","author":"King","year":"2003","journal-title":"Am. J. Health Promot."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1123\/japa.14.3.302","article-title":"Measuring the Influence of Built Neighborhood Environments on Walking in Older Adults","volume":"14","author":"Michael","year":"2006","journal-title":"J. Aging Phys. Act."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"203141","DOI":"10.1155\/2012\/203141","article-title":"Built Environment and Its Influences on Walking among Older Women: Use of Standardized Geographic Units to Define Urban Forms","volume":"2012","author":"Siu","year":"2012","journal-title":"J. Environ. Public Health"},{"key":"ref_26","unstructured":"National Institute of Aging (2017). Aging in Place: Growing Older at Home. Natl. Inst. Ageing, Available online: https:\/\/www.nia.nih.gov\/health\/aging-place-growing-older-home."},{"key":"ref_27","unstructured":"United States Census Bureau (1990). 1990 Detailed Housing Characteristics."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1976","DOI":"10.2337\/diacare.25.11.1976","article-title":"Neighborhood Characteristics and Components of the Insulin Resistance Syndrome in Young Adults","volume":"25","author":"Roux","year":"2002","journal-title":"Diabetes Care"},{"key":"ref_29","first-page":"1","article-title":"mice: Multivariate Imputation by Chained Equations in R","volume":"45","year":"2011","journal-title":"J. Stat. Softw."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Fitzmaurice, G.M., Laird, N.M., and Ware, J.H. (2011). Applied Longitudinal Analysis, Wiley. [2nd ed.].","DOI":"10.1002\/9781119513469"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"2005","DOI":"10.1080\/02664763.2012.699954","article-title":"Practical modeling strategies for unbalanced longitudinal data analysis","volume":"39","author":"Colosimo","year":"2012","journal-title":"J. Appl. Stat."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v015.i02","article-title":"The R Packagegeepackfor Generalized Estimating Equations","volume":"15","author":"Halekoh","year":"2006","journal-title":"J. Stat. Softw."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/S0895-4356(00)00314-0","article-title":"Adjusting for multiple testing\u2014When and how?","volume":"54","author":"Bender","year":"2001","journal-title":"J. Clin. Epidemiol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1093\/aje\/kwt312","article-title":"Comparison of Random Forest and Parametric Imputation Models for Imputing Missing Data Using MICE: A CALIBER Study","volume":"179","author":"Shah","year":"2014","journal-title":"Am. J. Epidemiol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.1093\/aje\/kwq260","article-title":"Multiple Imputation for Missing Data via Sequential Regression Trees","volume":"172","author":"Burgette","year":"2010","journal-title":"Am. J. Epidemiol."},{"key":"ref_36","unstructured":"R Core Team (2020). R: A Language and Environment for Statistical Computing, R Foundation for Statistical Computing. Available online: https:\/\/www.R-project.org\/."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"654","DOI":"10.2105\/AJPH.2009.172031","article-title":"Physical Activity Resources and Changes in Walking in a Cohort of Older Men","volume":"100","author":"Michael","year":"2010","journal-title":"Am. J. Public Health"},{"key":"ref_38","first-page":"76","article-title":"Living in a Well-Serviced Urban Area Is Associated With Maintenance of Frequent Walking Among Seniors in the VoisiNuAge Study","volume":"67","author":"Gauvin","year":"2012","journal-title":"J. Gerontol. Ser. B Psychol. Sci. Soc. Sci."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1093\/aje\/kwt263","article-title":"Longitudinal Associations Between Neighborhood Recreational Facilities and Change in Recreational Physical Activity in the Multi-Ethnic Study of Atherosclerosis, 2000\u20132007","volume":"179","author":"Ranchod","year":"2013","journal-title":"Am. J. Epidemiol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1093\/aje\/kwu218","article-title":"Changes in the Built Environment and Changes in the Amount of Walking Over Time: Longitudinal Results From the Multi-Ethnic Study of Atherosclerosis","volume":"180","author":"Hirsch","year":"2014","journal-title":"Am. J. Epidemiol."},{"key":"ref_41","unstructured":"S. for H. (ASH) Office of the Surgeon General (2020, July 27). Surgeon General Strategies for Making Communities More Walkable, Available online: https:\/\/www.hhs.gov\/surgeongeneral\/reports-and-publications\/physical-activity-nutrition\/walking-sectors\/index.html."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/21\/14168\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:05:49Z","timestamp":1760144749000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/21\/14168"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,29]]},"references-count":41,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2022,11]]}},"alternative-id":["ijerph192114168"],"URL":"https:\/\/doi.org\/10.3390\/ijerph192114168","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,29]]}}}