Environment-Stratified Age-Period-Cohort Effects on the Prevalence of Walking Among Older Adults

in Journal of Aging and Physical Activity

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Dong Ha Kim
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Heewon Kang
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Seunghyun Yoo
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DOI:
https://doi.org/10.1123/japa.2020-0448
Keywords:
age-friendly city; cohort analysis; health disparities; rural-urban; time-trend
First Published Online:
24 Jul 2021
In Print:
Volume 30: Issue 1
Page Range:
18–24
Restricted access

Walking promotes active aging; however, walking prevalence changes among older adults by age and environmental conditions remain unclear. Age-period-cohort (APC) differences in walking trends among Korean older adults were examined. Data included adults aged ≥ 65 years (n = 592,235) from the nationally representative Korean Community Health Survey. Regional units examined were metropolitan cities, small- and medium-sized cities, and rural areas. Environment-stratified APC modeling was applied for walking prevalence (walking days/time during the past week). From 2008 to 2017, the walking prevalence gap between regional units widened. Decreasing trends were most apparent in rural areas, including by birth year. In all areas, walking decreased with increased age. No distinct period effects were found. Each effect’s magnitude was larger in rural areas than cities. Differential APC effects by environmental conditions likely influence walking prevalence changes among older adults. Walking promotion for older adults should consider APC effects and environmental conditions.

Kim and Yoo are with the Department of Public Health Sciences, Graduate School of Public Health, Seoul National University, Seoul, Korea. Kang and Yoo are with the Institute of Health and Environment, Seoul National University, Seoul, Korea.

Yoo (syoo@snu.ac.kr) is corresponding author.

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  • Bae, Y., Yi, C.Y., Lee, S.K., Im, Y., Ko, Y.S., & Kim, S. (2016). A study on transport inclusion index to reduce social exclusion and its application. Sejong: Korea Research Institute for Human Settlements.

    • Search Google Scholar
    • Export Citation

  • Bolano, D., Berchtold, A., & Bürge, E. (2019). The heterogeneity of disability trajectories in later life: Dynamics of activities of daily living performance among nursing home residents. Journal of Aging and Health, 31(7), 1315–1336. PubMed ID: 29808732 doi:10.1177/0898264318776071

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Carstensen, B., Plummer, M., Laara, E., & Hills, M. (2008). Epi: A package for statistical analysis in epidemiology. R package version, 1(8). http://www.pubhealth.ku.dk/~bxc/Epi/

    • Search Google Scholar
    • Export Citation

  • Deng, T., & Nelson, J.D. (2013). Bus Rapid Transit implementation in Beijing: An evaluation of performance and impacts. Research in Transportation Economics, 39(1), 108–113. doi:10.1016/j.retrec.2012.06.002

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Ferrucci, L., Cooper, R., Shardell, M., Simonsick, E.M., Schrack, J.A., & Kuh, D. (2016). Age-related change in mobility: Perspectives from life course epidemiology and geroscience. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences, 71(9), 1184–1194. doi:10.1093/gerona/glw043

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Foster, S., Knuiman, M., Villanueva, K., Wood, L., Christian, H., & Giles-Corti, B. (2014). Does walkable neighbourhood design influence the association between objective crime and walking? International Journal of Behavioral Nutrition and Physical Activity, 11(1), 100. doi:10.1186/s12966-014-0100-5

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Han, I.G., & Choi, B.M. (2014). A study on urban planning in accordance with urban type in the times of low population growth. Journal of the Korean Regional Development Association, 26(4), 59–70.

    • Search Google Scholar
    • Export Citation

  • Holford, T.R. (1991). Understanding the effects of age, period, and cohort on incidence and mortality rates. Annual Review of Public Health, 12(1), 425–457. doi:10.1146/annurev.pu.12.050191.002233

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Hsu, H.C. (2012). Trajectories and covariates of life satisfaction among older adults in Taiwan. Archives of Gerontology and Geriatrics, 55(1), 210–216. PubMed ID: 21907421 doi:10.1016/j.archger.2011.08.011

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Jacob, C., Baird, J., Barker, M., Cooper, C., & Hanson, M. (2015). The importance of a life course approach to health: Chronic disease risk from preconception through adolescence and adulthood. Southampton, UK: University of Southampton.

    • Search Google Scholar
    • Export Citation

  • Jia, Y., Ding, D., Gebel, K., Chen, L., Zhang, S., Ma, Z., & Fu, H. (2019). Effects of new dock-less bicycle-sharing programs on cycling: A retrospective study in Shanghai. BMJ Open, 9(2), e024280. PubMed ID: 30782900 doi:10.1136/bmjopen-2018-024280

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Kang, H., & Cho, S.I. (2020). Cohort effects of tobacco control policy: Evidence to support a tobacco-free norm through smoke-free policy. Tobacco Control, 29(1), 96–102. PubMed ID: 30554163 doi:10.1136/tobaccocontrol-2018-054536

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Kang, I.H. (2019). An empirical study of the state and urban shrinkage in Korean small cities. Journal of The Korean Regional Development Association, 31(5), 45–71.

    • Search Google Scholar
    • Export Citation

  • Kim, D.H., Chung, C.K., Lee, J., Kim, K.K., JeKarl, J., & Yoo, S. (2018). A systems thinking approach to explore the structure of urban walking and health promotion in Seoul. Korean Journal of Health Education and Promotion, 35(5), 1–16. doi:10.14367/kjhep.2018.35.5.1

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Kim, D.H., & Yoo, S. (2019). How does the built environment in compact metropolitan cities affect health? A Systematic review of Korean studies. International Journal of Environmental Research and Public Health, 16(16), 2921. doi:10.3390/ijerph16162921

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Kim, Y., Sung, J., & Min, K. (2018). Rural residents’ use of transportation services and improvement tasks. Naju: Korea Rural Economic Institute.

    • Search Google Scholar
    • Export Citation

  • Kim, Y.S., & Park, B.S. (2013). A study on the stands of transportation improving mobility of Uiseong. Korea Association of Local Administration, 10(2), 143–169.

    • Search Google Scholar
    • Export Citation

  • Kimata, C., Willcox, B., & Rodriguez, B.L. (2018). Effects of walking on coronary heart disease in elderly men with diabetes. Geriatrics, 3(2), 21. PubMed ID: 29904639 doi:10.3390/geriatrics3020021

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Kong, Y.K. (2018). Characteristics and meanings of rural leisure culture in the 1960s—Through the case of Daecheon diary. Journal of Koreanology, 66, 297–334.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Lee, S., & Jeong, S. (2019). Effects of “Walking City, Seoul” policy and directions for future researches. Seoul, South Korea: The Seoul Institute.

    • Search Google Scholar
    • Export Citation

  • Lim, H.J., Cheng, Y., Kabir, R., & Thorpe, L. (2020). Trajectories of depression and their predictors in a population-based study of Korean older adults. The International Journal of Aging and Human Development, 0091415020944405. Advance online publication. doi:10.1177/0091415020944405

    • Search Google Scholar
    • Export Citation

  • Lim, H.J., Min, D.K., Thorpe, L., & Lee, C.H. (2017). Trajectories of life satisfaction and their predictors among Korean older adults. BMC Geriatrics, 17(1), 1–14. doi:10.1186/s12877-017-0485-5

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Litman, T.A. (2017). Economic value of walkability. Victoria, Canada: Victoria Transport Policy Institute.

  • Makizako, H., Shimada, H., Tsutsumimoto, K., Lee, S., Hotta, R., Nakakubo, S., … Suzuki, T. (2015). Cognitive functioning and walking speed in older adults as predictors of limitations in self-reported instrumental activity of daily living: Prospective findings from the Obu Study of Health Promotion for the Elderly. International Journal of Environmental Research and Public Health, 12(3), 3002–3013. PubMed ID: 25768239 doi:10.3390/ijerph120303002

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Marquet, O., & Miralles-Guasch, C. (2015). Neighbourhood vitality and physical activity among the elderly: The role of walkable environments on active ageing in Barcelona, Spain. Social Science & Medicine, 135, 24–30. PubMed ID: 25939073 doi:10.1016/j.socscimed.2015.04.016

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Marshall, V.W. (1983). Generations, age groups and cohorts: Conceptual distinctions. Canadian Journal on Aging, 2(2), 51–62. doi:10.1017/S0714980800015701

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Millward, H., Spinney, J., & Scott, D. (2013). Active-transport walking behavior: Destinations, durations, distances. Journal of Transport Geography, 28, 101–110. doi:10.1016/j.jtrangeo.2012.11.012

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Min, S.H., & Park, J.H. (2012). The status and policy agenda for the elderly migration. Anyang: Korea Research Institute for Human Settlements.

    • Search Google Scholar
    • Export Citation

  • Ministry of Land, Infrastructure and Transport. (2017). Pedestrian Safety and Convenience Enhancement Act. Retrieved from https://elaw.klri.re.kr/kor_service/lawView.do?hseq=45750&lang=ENG

    • Search Google Scholar
    • Export Citation

  • Ministry of the Interior and Safety. (2017). Local Autonomy Act. Retrieved from https://elaw.klri.re.kr/kor_mobile/viewer.do?hseq=44511&type=sogan&key=15

    • Search Google Scholar
    • Export Citation

  • OECD Statistics. (2020). Metropolitan areas. Retrieved from https://stats.oecd.org/Index.aspx?DataSetCode=CITIES

  • OECD. (2014). Compact city policies: Korea: Towards sustainable and inclusive growth. Paris: OECD Publishing. doi:10.1787/9789264225503-en

  • OECD. (2017). OECD environmental performance reviews: Korea 2017. Paris: OECD Publishing. doi:10.1787/9789264268265-en

  • Osoba, M.Y., Rao, A.K., Agrawal, S.K., & Lalwani, A.K. (2019). Balance and gait in the elderly: A contemporary review. Laryngoscope Investigative Otolaryngology, 4(1), 143–153. PubMed ID: 30828632 doi:10.1002/lio2.252

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Phillipson, C., & Baars, J. (2007). Social theory and social ageing. In Ageing in Society (pp. 68–84). London: Sage Publications Ltd.

    • Search Google Scholar
    • Export Citation

  • Riley, M.W., Johnson, M., & Foner A. (Eds.). (1972). Aging and society: A sociology of age stratification. New York, NY: Russell Sage Foundation.

    • Search Google Scholar
    • Export Citation

  • Ryder, N.B. (1985). The cohort as a concept in the study of social change. In W.M. Mason, & S. Fienberg (Eds.,) Cohort analysis in social research (pp. 9–44). New York, NY: Springer.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Sacco, P., Unick, G.J., Kuerbis, A., Koru, A.G., & Moore, A.A. (2015). Alcohol-related diagnoses in hospital admissions for all causes among middle-aged and older adults: Trends and cohort differences from 1993 to 2010. Journal of Aging and Health, 27(8), 1358–1374. PubMed ID: 25903980 doi:10.1177/0898264315583052

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Scheidt, R.J., & Windley, P.G. (2006). Environmental gerontology: Progress in the post-Lawton era. In J.E. Birren, K. Warner Schaie, R.P. Abeles, M. Gatz, & T.A. Salthouse (Eds.,) Handbook of the psychology of aging (pp. 105–125). New York, NY: Academic Press.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Shin, Y.K., & Kim, J.K. (2009). The formation and spatial characteristics of public architecture in Seoul since 20th century—In case of Seoul city hall, Seoul central post office building, and Seoul metropolitan railway station. Journal of the Architectural Institute of Korea Planning & Design, 25(4), 107–118.

    • Search Google Scholar
    • Export Citation

  • Singleton, P.A., & Wang, L. (2014). Safety and security in discretionary travel decision making: Focus on active travel mode and destination choice. Transportation Research Record, 2430(1), 47–58. doi:10.3141/2430-06

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Spinney, J.E., Millward, H., & Scott, D. (2012). Walking for transport versus recreation: A comparison of participants, timing, and locations. Journal of Physical Activity and Health, 9(2), 153–162. PubMed ID: 21934161 doi:10.1123/jpah.9.2.153

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Statistics Canada. (2018). Participation in outdoor activities, by type of household, Canada, every 2 years (percent) [Database]. Retrieved from https://www150.statcan.gc.ca/t1/tbl1/en/tv.action?pid=3810012201&pickMembers%5B0%5D=2.5

    • Search Google Scholar
    • Export Citation

  • Statistics Korea. (2018). Trend in the prevalence of walking in Korea. Retrieved from http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11702_N054

    • Search Google Scholar
    • Export Citation

  • Stephens, C. (2017). From success to capability for healthy ageing: Shifting the lens to include all older people. Critical Public Health, 27(4), 490–498. doi:10.1080/09581596.2016.1192583

    • Crossref
    • Search Google Scholar
    • Export Citation

  • The Scottish Government. (2019). Scotland’s People Annual Report 2018. Edinburgh, UK: The Scottish Government.

  • Timonen, V. (2016). Beyond successful and active ageing: A theory of model ageing. Bristol, UK: Policy Press.

  • Varma, V.R., Tan, E.J., Wang, T., Xue, Q.L., Fried, L.P., Seplaki, C.L., … Carlson, M.C. (2014). Low-intensity walking activity is associated with better health. Journal of Applied Gerontology, 33(7), 870–887. PubMed ID: 24652915 doi:10.1177/0733464813512896

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Wahl, H.W., & Oswald, F. (2010). Environmental perspectives on ageing. In The SAGE handbook of social gerontology. (pp. 111–124). London, UK: Sage.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Wahl, H.W., & Weisman, G.D. (2003). Environmental gerontology at the beginning of the new millennium: Reflections on its historical, empirical, and theoretical development. The Gerontologist, 43(5), 616–627. PubMed ID: 14570958 doi:10.1093/geront/43.5.616

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Wang, Y., Chau, C.K., Ng, W.Y., & Leung, T.M. (2016). A review on the effects of physical built environment attributes on enhancing walking and cycling activity levels within residential neighborhoods. Cities, 50, 1–15. doi:10.1016/j.cities.2015.08.004

    • Crossref
    • Search Google Scholar
    • Export Citation

  • World Health Organization. (2010). Global recommendations on physical activity for health. Geneva, Switzerland: Author.

  • World Health Organization. (2017). Global strategy and action plan on ageing and health. Geneva, Switzerland: Author.

  • Yim, S. (2019). Local small cities’s population reduction and the characteristics of their growth and decline. Journal of the Korean Geographical Society, 54(3), 365–386.

    • Search Google Scholar
    • Export Citation

  • Yoo, S., & Kim, D.H. (2017). Perceived urban neighborhood environment for physical activity of older adults in Seoul, Korea: A multimethod qualitative study. Preventive Medicine, 103, S90–S98. doi:10.1016/j.ypmed.2016.12.033

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Zhang, P.D., Lv, Y.B., Li, Z.H., Yin, Z.X., Li, F.R., Wang, J.N., … Mao, C. (2020). Age, period, and cohort effects on activities of daily living, physical performance, and cognitive functioning impairment among the oldest-old in China. The Journals of Gerontology: Series A, 75(6), 1214–1221. doi:10.1093/gerona/glz196

    • Crossref
    • Search Google Scholar
    • Export Citation
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