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研究生: 黃弘欽
Huang, Hung-Chin
論文名稱: 城鄉高齡者認知環境、身體活動與久坐行為之研究
The association of perceived environmental and physical activity, sedentary behavior in urban and rural older adults
指導教授: 張少熙
Chang, Shao-Hsi
學位類別: 碩士
Master
系所名稱: 體育學系
Department of Physical Education
論文出版年: 2015
畢業學年度: 103
語文別: 中文
論文頁數: 103
中文關鍵詞: 休閒時間身體活動久坐時間老年人認知環境
英文關鍵詞: physical activity, sedentary time, older adult, environmental factor
論文種類: 學術論文
相關次數: 點閱:202下載:40
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  • 目的:身體活動量不足與久坐行為是影響高齡著健康的危險因子,而城鄉差距被視為是影響個體行為發展的主要原因,因此本研究旨在探討城市與鄉村地區高齡者社會人口因素、認知環境因素與休閒時間身體活動、久坐行為之關係。方法:針對臺北市及嘉縣65歲以上高齡者進行分層隨機抽樣,抽取1068人進行電話訪問調查 (有效樣本為983人) ,資料蒐集包括社會人口因素、認知環境因素、休閒時間身體活動及久坐行為等,並以描述性統計、無母數檢定及二元邏輯斯迴歸進行統計分析。結果:一、臺北市高齡者休閒時間身體活動量較高;二、臺北市年紀較大及女性高齡族群較容易身體活動量不足;三、嘉義縣有全職工作及肥胖高齡族群較容易身體活動量不足;四、年紀較輕、低教育程度、獨居及肥胖高齡族群較容易從事久坐行為;五、嘉義縣低教育程度高齡族群較容易從事久坐行為;六、臺北市住家附近適合騎腳踏車的場所、良好社會環境、環境美觀及夜晚治安不安全等認知環境因素與身體活動量不足達顯著相關;七、嘉義縣住家附近設有人行道、良好社會環境、環境美觀及免費休閒場所等認知環境因素與身體活動量不足達顯著相關;八、臺北市所有認知環境因素與久坐行為未達顯著相關;九、嘉義縣住家附近有免費休閒場所及家中擁有機動車等認知環境因素與久坐行為達顯著相關。結論:未來針對全臺灣縣市提升高齡者休閒時間身體活動量的方案,應先針對鄉村地區的高齡者,進一步改善城市及鄉村地區之高齡者久坐問題,且建議各縣市政府及相關單位設計改變行為策略及方案時,應先針對目標族群進行篩選,並加強環境因素對於行為改變的相關研究。

    Physical inactivity and sedentary behavior are the risk factor affecting the health of older adults. To increase the understanding of the high-risk groups that engage in physical inactivity and sedentary behavior, this study investigated the relationship between socio-demographic factors, environmental factors and physical activity, sedentary time in older Taiwanese men and women who living in Taipei City or Chia-Yi County. The present study using stratified random sampling, we recruited 1,068 older adults aged 65 years and above to answer a questionnaire (valid sample: 983). The collected data comprised socio-demographic factors, environmental factors, average daily sedentary time, and amount of leisure time physical activity. The data were subsequently analyzed using descriptive statistics, Mann-Whitney-Wilcoxon test and binary logistic regression. According to the results, we found the: a) A higher proportion of physical activity were observed in Taipei City older adults; b) The factors older and female were significantly correlated with physical inactivity among Taipei City older adults; c) The factors full-job status and obesity were significantly correlated with physical inactivity among Chia-Yi County older adults; d) The factors younger, low education level, live alone and obesity were significantly correlated with sedentary time among Taipei City older adults; e) The older adults who had low education level was significantly correlated with sedentary time among Chia-Yi County older adults; f) The environmental factors bicycle path, seeing people being active, aesthetics and night safety were significantly correlated with physical inactivity among Taipei City older adults; g) The environmental factors such as sidewalk, seeing people being active, aesthetics and free leisure facilities were significantly correlated with physical inactivity among Chia-Yi County older adults; h) All of the environmental factors were not significantly correlated with sedentary time; i) The environmental factors such as free leisure facilities and owned motorized vehicles were significantly correlated with sedentary time among Chia-Yi County older adults. Future interventions and policies for reducing physical inactivity and sedentary time of older adults should initially focus on socio-demographic and environmental factors.

    目 次 中文摘要 i 英文摘要 ii 謝 誌 iv 目 次 v 表 次 vii 圖 次 viii 第壹章 緒論 1 第一節 背景與動機 1 第二節 研究目的 5 第三節 研究問題 5 第四節 研究範圍與限制 6 第五節 研究重要性 7 第六節 名詞操作性定義 8 第貳章 文獻探討 9 第一節 城市與鄉村 9 第二節 影響個體行為的環境因素 17 第三節 身體活動量之相關研究 22 第四節 久坐行為之相關研究 28 第五節 身體活動與久坐行為之社會人口關聯因素 33 第六節 本章總結 37 第參章 研究方法 39 第一節 研究架構 39 第二節 研究流程 40 第三節 研究對象 42 第四節 研究工具 42 第五節 實施步驟與程序 46 第六節 資料處理與分析 47 第肆章 結果與討論 48 第一節 城鄉高齡者社會人口因素現況 48 第二節 城鄉高齡者認知環境因素現況 54 第三節、城鄉高齡者休閒時間身體活動與久坐行為之無母數檢定 60 第四節、城鄉高齡者社會人口因素與身體活動之關係 62 第五節、城鄉高齡者社會人口因素與久坐行為之關係 64 第六節、城鄉高齡者認知環境因素與身體活動之關係 66 第七節、城鄉高齡者認知環境因素與久坐行為之關係 69 第八節、本章總結 71 第伍章 結論與建議 80 第一節 結論 80 第二節 建議 82 引用文獻 85 附錄 99 附錄一 正式電訪問卷 99

    內政部 (2013) 。人口統計年報。臺北市:作者。
    內政部 (2014) 。第十次國民生命表。臺北市:作者。
    內政部戶政司 (2015) 。民國104年1月戶口統計資料分析。臺北市:作者。
    內政部統計處 (2013) 。102年縣市指標。臺北市:作者。
    行政院主計處 (2007) 。中華民國統計地區標準分類。臺北市:作者。
    行政院國民健康局 (2001)。國民健康訪問調查。臺北市:作者。
    行政院經濟建設委員會 (2012) 。中華民國2012年至2060年人口推計。臺北市:作者。
    行政院衛生署國民健康局 (2009) 。老人健康促進計畫2009-2010。臺北市:作者。
    行政院衛生署國民健康局 (2009)。老人健康促進計畫2009-2010。臺北市:作者。
    行政院環境保護署 (2014) 。土地面積、人口及密度 2014年08月統計報表。臺北市:作者。
    行政院體育委員會 (2012) 。101年運動城市調查。臺北市:作者。
    吳佳儀 (2002) 。社區老人社區老人睡眠品質與身體活動、憂鬱之相關性探討 (未出版碩士論文)。臺灣大學,臺北市。
    吳美玲、鄭廷瑋、張婉婷、陳昇詳、林曉均 (2008) 。探討社區老人運動不足之相關因素。國立臺北護理學院醫護管理系與臺大醫院北護分院產學合作計畫,臺北市。
    李大正、楊靜利、王德睦 (2011) 。人口老化與全民健保支出:死亡距離取向的分析。人口學刊,43,1-35。
    李月萍、陳清惠 (2010) 。社區老人休閒活動研究現況。護理雜誌,57(1),82-88。
    李玲玲、陳妙星、張淑琴、邱郁耘 (2012)。實證老人規律運動衛教指引發展。志為護理-慈濟護理雜誌,12(2),66-79。
    李晶、林子郁 (2010) 。高齡者休閒環境城鄉差異之研究-以板橋市和西港鄉爲例。人文社會科學研究,4(2),55-80。
    周慧娟 (2005) 。老年人身體活動量與第二型糖尿病之相關探討 (未出版碩士論文)。長庚大學,桃園縣。
    林季蓉、林瀛洲、賴政秀、郭家驊、周適偉、黃美涓 (2007) 。臺灣地區成年人居住區域別對體適能狀態的影響。臺灣復健醫學雜誌,35(3),145-151。
    林紀玲 (2014) 。不同城鄉中高齡族群運動參與、休閒動機與休閒阻礙之研究。休閒觀光與運動健康學報,4(4),87-100。
    胡巧欣 (2011) 。老年人身體活動、代謝症候群與健康生活品質相關之研究。運動與遊憩研究,5(4),99-113。
    胡勝正 (2006) 。縮短城鄉差距-均衡國家資源分配。總統府月會報告。
    張淑旻 (2004) 。城鄉國小學童英語學習情況之研究 (未出版碩士論文) 。國立新竹教育大學,新竹市。
    張隆順 (1982) 。社區老人休閒活動之理論與實施。社區發展季刊,17,33。
    教育部 (2006) 。老人教育:政策白皮書。臺北市:作者。
    教育部體育署 (2014) 。103年運動城市調查。臺北市:作者。
    梁繼權、許詩典、陳晶瑩、陳慶餘 (2002) 。都市與鄉村社區老人健康狀態。臺灣醫學,6(4),523-534。
    郭世傑、古博文、周碧瑟 (2013) 。中年及老年人閒暇時間身體活動的改變對全因死亡率之影響。大專體育學刊,16(2),250-260。
    陳肇華 (2009) 。城鄉高中職學生參與休閒活動及阻礙因素之研究 (未出版碩士論文) 。國立臺灣師範大學,臺北市。
    彭雪英 (2010) 。以加速度計步器解析社區老年人之身體活動。臺灣公共衛生雜誌,29(1),33-45。
    曾柔芳 (2005) 。自評式身體活動量與心血管疾病危險因子之相關探討 (未出版碩士論文)。長庚大學,桃園縣。
    黃純德、蕭思郁、陳韻婷、劉秀月、林怡如、陳弘森、嚴雅音、周振英 (2007) 。臺灣中部地區0-6歲兒童齲齒與口腔清潔行為之城鄉差距。中華牙醫學雜誌26(2),200-208。
    黃淑貞、洪文綺、殷蘊雯、邱雅莉、林怡君 (2009) 。城鄉兒童主要照顧者自覺環境因素與身體活動之關係研究。健康促進與衛生教育學報,31,51-80。
    黃淑貞、盧俊吉、洪文綺、邱雅莉 (2009) 。環境因素和社會支持與都市地區國小學童身體活動之相關研究。健康促進與衛生教育學報,32,107-123。
    黃翠卿、黃娟娟 (2012) 。城鄉學童體適能表現差異之研究。屏東教大體育,15,11-24。
    黃譯司 (2013) 。五都改制前後之鄉與區治理比較-以六龜(鄉)區為例 (未出版碩士論文)。國立中山大學,高雄市。
    劉影梅 (2004) 。國際身體活動量表臺灣中文版之發展與信效度驗證 (未出版碩士論文)。國立臺灣大學,臺北市。
    劉錦謀、趙坤郁、周峻忠、林正常 (2010) 。影響社區居民運動參與之動態社區環境因素。文化體育學刊,11,11-22。
    歐恬維 (2010) 。不同身體活動量老年女性體適能與心智功能之比較研究 (未出版碩士論文)。國立臺灣師範大學,臺北市。
    蔡本元 (2007) 。對國中學生學業成就之影響 (未出版碩士論文)。私立元智大學,桃園縣。
    衛生福利部統計處 (2013) 。民國101年國民醫療保健支出。取自衛生福利統計專區:http://www.mohw.gov.tw/CHT/DOS/Statistic.aspx?f_list_no=312&fod_list_no=4534
    鄭健雄 (2008) 。城鄉居民休閒生活型態與其健康關係之研究。運動與遊憩研究,2(3),65-77。
    蕭淑芬 (2003) 。中老年人運動行為與醫療就診記錄關係之研究 (未出版碩士論文)。國立臺灣師範大學,臺北市。
    賴桑雲 (1999) 。學習型組織在臺灣省國民小學發展現況之調查研究 (未出版碩士論文)。中國文化大學,臺北市。
    龍冠海 (1986) 。社會學。臺北市:臺灣商務。
    謝亞倫 (1996) 。臺灣地區都市化程度與癌症死亡率關係之研究 (未出版碩士論文)。國立高雄醫學大學,高雄市。
    魏素芬 (1997) 。城鄉老人休閒活動之探討 (未出版碩士論文)。國立臺灣大學,臺北市。
    羅啟宏 (1992) 。臺灣省鄉鎮發展類型之研究,臺灣經濟月刊,190,41-68。

    Ainsworth, B. E., Haskell, W. L., & Whitt, M. C. (2000). Compendium of physical activities: an update of activity codes and MET intensities. Medicine and Science in Sports and Exercise, 32(9), 498-504.
    American College of Sports Medicine. (2009). Exercise and physical activity for older adults. Medicine & Science in sports & exercise, 41(7), 1510-1530.
    Arnadottir, S. A., Gunnarsdottir, E. D., & Lundin-Olsson, L. (2009). Are rural older Icelanders less physically active than those living in urban areas? A population-based study. Scandinavian Journal of Public Health, 37(4), 409-417.
    Bamana, A., Tessier, S., & Vuillemin, A. (2008). Association of perceived environment with meeting public health recommendations for physical activity in seven European countries. Journal of Public Health, 30(3), 274-281.
    Barker, R. G. (1968). Ecological psychology. CA: Stanford University Press.
    Barnett, A., Cerin, E., Cheung, M. C., & Chan, W. M. (2015). An in-depth pilot study on patterns, destinations, and purposes of walking in Hong Kong older adults. Journal of Aging and Physical Activity, 23(1), 144-152.
    Bauman, A., Ainsworth, B. E., Sallis, J. F., Hagstromer, M., Craig, C. L., Bull, F. C., … Sjostrom, M. (2011). The descriptive epidemiology of sitting. A 20-country comparison using the International Physical Activity Questionnaire (IPAQ). American Journal of Preventive Medicine, 41(2), 228-235.
    Bennie, J. A., Chau, J. Y., van der Ploeg, H. P., Stamatakis, E., Do, A., & Bauman, A. (2013). The prevalence and correlates of sitting in European adults - A comparison of 32 Eurobarometer-participating countries. International Journal of Behavioral Nutrition and Physical Activity, 10, 107.
    Bey, L., & Hamilton, M. T. (2013). Suppression of skeletal muscle lipoprotein lipase activity during physical inactivity: a molecular reason to maintain daily low-intensity activity. The Journal of Physiology, 551(2), 673-682.
    Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. MA: Harvard University Press.
    Brown, W. J., Bauman, A. E., & Owen, N. (2009). Stand up, sit down, keep moving: turning circles in physical activity research. British Journal of Sports Medicine, 43, 86-88.
    Carlson, S. A., Fulton, J. E., Schoenborn, C. A., & Loustalot, F. (2010). Trend and prevalence estimates based on the 2008 physical activity guidelines for americans. American journal of preventive medicine, 39(4), 305-313.
    Caspersen, C. J., Powell, K. E., & Christensen, G. M. (1985). Physical activity, exercise, and physical fitness: Definitions for healthy-related research. Public Healthy Report, 100,126-131.
    Cerin, E., Lee, K. Y., Barnett, A., Sit, C. H., Cheung, M. C., Chan, W. M., & Johnston, J. M. (2013). Walking for transportation in Hong Kong Chinese urban elders: a cross-sectional study on what destinations matter and when. International Journal of Behavioral Nutrition and Physical Activity, 10, 78.
    Cerin, E., Mellecker, R., Macfarlane, D. J., Barnett, A., Cheung, M. C., Sit, C. H., & Chan, W. M. (2013). Socioeconomic status, neighborhood characteristics, and walking within the neighborhood among older Hong Kong Chinese. Journal of Aging and Health, 25(8), 1425-1444.
    Clark, B. K., Peeters, G. M., Gomersall, S. R., Pavey, T. G., & Brown, W. J. (2014). Nine year changes in sitting time in young and mid-aged Australian women: findings from the Australian Longitudinal Study for Women's Health. Preventive Medicine, 64, 1-7.
    Cleland, V., Sodergren, M., Otahal, P., Timperio, A., Ball, K., Crawford, D., Salmon, J., & McNaughton, S. A. (2015). Associations between the perceived environment and physical activity among adults aged 55-65 years: does urban-rural area of residence matter? Journal of Aging and Physical Activity, 23(1), 55-63.
    Cramm, J. M., & Lee, J. (2014). Smoking, physical activity and healthy aging in India. BMC Public Health, 14, 526.
    de Koning, J. L., Stathi, A., & Fox, K. R. (2015). Similarities and Differences in the Determinants of Trips Outdoors Performed by UK Urban-and Rural-living Older Adults, Journal of Aging and Physical Activity.
    Depp, C. A., Mausbach, B. T., Harvey, P. D., Bowie, C. R., Wolyniec, P. S., Thornquist, M. H., …Patterson, T. L. (2010). Social competence and observer-rated social functioning in bipolar disorder. Bipolar Disorders, 12(8), 843-850.
    Durazo, E.M., Jones, M. R., Wallace, S. P., Van Arsdal, J., & Aydin, M., Stewart, C. (2011). The health status and unique health challenges of rural older adults in California. Policy Brief UCLA Cent Health Policy Res, (7), 1-8.
    Eyler, A. A., Brownson, R. C., Bacak, S. J., & Housemann, R. A. (2003). The epidemiology of walking for physical activity in the United States. Medicine and Science in Sports and Exercise, 35(9), 1529-1536.
    Fan, J. X., Wen, M., & Kowaleski-Jones, L. (2014). Rural-urban differences in objective and subjective measures of physical activity: findings from the National Health and Nutrition Examination Survey (NHANES) 2003-2006. Preventing Chronic Disease, 21(11),141.
    Fitzsimons, C. F., Kirk, A., Baker, G., Michie, F., Kane, C., & Mutrie, N. (2013) Using an individualised consultation and activPAL™ feedback to reduce sedentary time in older Scottish adults: results of a feasibility and pilot study. Preventive Medicine, 57(5), 718-720.
    Fogelholm, M., Valve, R., Absetz, P., Heinonen, H., Uutela, A., Patja, K., …Talja, M. (2006). Rural-urban differences in health and health behaviour: A baseline description of a community health-promotion programme for the elderly. Scandinavian Journal of Public Health, 34(6), 632-640.
    Frank, L. D., Saelens, B. E., Powell, K. E., & Chapman, J. E. (2007). Stepping towards causation: do built environments or neighborhood and travel preferences explain physical activity, driving, and obesity? Social Science & Medicine, 65(9):1898-1914.
    Frank, L., Kerr, J., Chapman, J., & Sallis, J. (2007). Urban form relationships with walk trip frequency and distance among youth. American Journal of Health Promotion, 21(4), 305-311.
    Gao, X., Nelson, M. E., & Tucker, K. L. (2007). Television viewing is associated with prevalence of metabolic syndrome in hispanic elders. Diabetes care, 30(3), 694-700.
    Gardiner, P. A., Clark, B. K., Healy, G. N., Eakin, E. G., Winkler, E. A., & Owen, N. (2011) Measuring older adults' sedentary time: reliability, validity, and responsiveness. Medicine and Science in Sports and Exercise,43(11), 2127-2133.
    Giles-Corti, B., Timperio, A., Bull, F., & Pikora, T. (2005). Understanding physical activity environmental correlates: Increased specificity for ecological models. Exercise and Sport Sciences Reviews, 33(4), 175-181.
    Glass, T. A., & McAtee, M. J. (2006). Behavioral science at the crossroads in public health: Extending horizons, envisioning the future. Social Science & Medicine,62(7),1650-1671.
    Golubic, R., Martin, K. R., Ekelund, U., Hardy, R., Kuh, D., Wareham, N., Cooper, R., …NSHD scientific and data collection teams. (2014). Levels of physical activity among a nationally representative sample of people in early old age: results of objective and self-reported assessments. International Journal of Behavioral Nutrition and Physical Activity, 11, 58.
    Grontved, A., & Hu, F. B. (2011). Television viewing and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality: A meta-analysis. Jama, 305(23), 2448-2455.
    Hallal, P. C., Andersen, L. B., Bull, F. C., Guthold, R., Haskell, W., & Ekelund, U. (2012) Global physical activity levels: Surveillance progress, pitfalls, and prospects. The Lancet, 380(9838), 247-257
    Hamilton, M. T., Hamilton, D. G., & Zderic, T. W. (2004). Exercise physiology versus inactivity physiology: an essential concept for understanding lipoprotein lipase regulation. Exercise and Sport Sciences Reviews, 32(4), 161-166.
    Hamilton, M. T., Hamilton, D. G., & Zderic, T. W.(2007). Role of low energy expenditure and sitting in obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease. Diabetes, 56(11), 2655-2667.
    Hamilton, M. T., Healy, G. N., Dunstan, D. W., Zderic, T. W., & Owen, N. (2008). Too little exercise and too much sitting: inactivity Physiology and the need for new recommendations on sedentary behavior. Current Cardiovascular Risk Reports, 2(4), 292-298.
    Hart, T. L., Swartz, A. M., Cashin, S. E., & Strath, S. J. (2011). How many days of monitoring predict physical activity and sedentary behaviour in older adults? International Journal of Behavioral Nutrition and Physical Activity, 16(8), 62.
    Haskell, W. L., Lee, I. M., Pate, R. R., Powell, K. E., Blair, S. N., Franklin, B. A., … Bauman, A. (2007). Physical activity and public health : Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation, 116(9), 1081-1093.
    Hiddle, P., Van der Ploeg, H. P., Chey, T., Korda, R. J., Banks, E., & Bauman, A. (2012). Sitting time and all-cause mortality risk in 222,497 Australian adults. Archives of Internal Medicine, 172(6), 494-500.
    Humpel, N., Owen, N., & Leslie, E. (2002). Environmental factors associated with adults’ participation in physical activity: A review. American Journal of Preventative Medicine, 22, 188-199.
    Imbeault, P., Makvandi, E., Batal, M., Gagnon-Arpin, I., Grenier, J., Chomienne, & M. H., Bouchard, L. (2013). Physical inactivity among Francophones and Anglophones in Canada. Canadian Journal of Public Health, 104(1), 26-30.
    Inoue, S. L., Murase, N., Shimomitsu, T., Ohya, Y., Odagiri, Y., Takamiya, T., …& Sallis, J. F. (2009). Association of physical activity and neighborhood environment among Japanese adults. Preventive Medicine, 48(4), 321-325.
    Kikuchi, H., Inoue, S., Sugiyama, T., Owen, N., Oka, K., & Shimomitsu, T. (2013). Correlates of prolonged television viewing time in older Japanese men and women. BMC public health, 13(1), 213.
    Kohl, H. W., Craig, C. L., Lambert, E. V., Inoue, S., Alkandari, J. R., Leetongin, G., & Kahlmeier S. (2012). The pandemic of physical inactivity: global action for public health. The Lancet, 380(9838), 294-305.
    Koohsari, M. J., Sugiyama, T., Kaczynski, A. T., & Owen, N. (2014). Associations of leisure-time sitting in cars with neighborhood walkability. Journal of Physical Activity and Health, 11(6), 1129-1132.
    Lewin, K., & Cartwright, D. (1951). Field Theory in Social Science. N Y: Harper.
    Liao, Y., Harada, K., Shibata, A., Ishii, K., Oka, K., Nakamura, Y., Inoue, S., & Shimomitsu, T. (2011). Perceived environmental factors associated with physical activity among normal-weight and overweight Japanese men. International Journal of Environmental Research and Public Health, 8(4), 931-943.
    Liao, Y., Harada, K., Shibata, A., Ishii, K., Oka, K., Nakamura, Y., …Shimomitsu, T. (2012). Association of self-reported physical activity patterns and socio-demographic factors among normal-weight and overweight Japanese Men. BMC Public Health, 12, 278.
    Lin, Y. C., Yeh, M. C., Chen, Y. M., & Huang, L. H. (2010). Physical activity status and gender differences in community-dwelling older adults with chronic diseases. The Journal of Nursing Research, 18(2), 88-97.
    Löllgen, H., Böckenhoff, A., & Knapp, G. (2009). Physical activity and all-cause mortality: an updated meta-analysis with different intensity categories. International Journal of Sports Medicine, 30(3), 213-324.
    Matthews, C.E., George, S.M., Moore, S.C., Bowles, H.R., Blair, A., Park, Y., Troiano, R.P., Hollenbeck, A., & Schatzkin, A. (2012). Amount of time spent in sedentary behaviors and cause-specific mortality in US adults. The American Journal of Clinical Nutrition, 95, 437-445.
    Mesters, I., Wahl, S., & Van Keulen, H. M. (2014). Socio-demographic, medical and social-cognitive correlates of physical activity behavior among older adults (45-70 years): a cross-sectional study. BMC Public Health, 14, 647.
    Moos, R. H. (1980). Social-Ecological Perspectives on Health. In G. C. Stone, F. Cohen, & N. E. Adler (eds.), Health Psychology: A Handbook. San Francisco: Jossey-Bass.
    Moran, M., Van Cauwenberg, J., Hercky-Linnewiel, R., Cerin, E., Deforche, B., & Plaut, P. (2014). Understanding the relationships between the physical environment and physical activity in older adults: a systematic review of qualitative studies. International Journal of Behavioral Nutrition and Physical Activity, 11, 79.
    Mouton, C. P., Calmbach, W. L., Dhanda, R., Espino, D. V., & Hazuda, H.(2000). Barriers and benefits to leisure-time physical activity among older Mexican Americans. Archives of Family Medicine, 9(9), 892-897.
    Nelson, M. E., Rejeski, W. J., Blair, S. N., Duncan, P. W., Judge, J. O., King, A. C., & Castaneda-Sceppa, C. (2007). Physical activity and public health in older adults: Recommendation from the american college of sports medicine and the american heart association. Circulation, 116(9), 1094.
    Owen, N., Healy, G. N., Matthews, C. E., & Dunstan, D. W. (2010). Too much sitting: the population health science of sedentary behavior. Exercise and Sport Sciences Reviews, 38(3), 105-113.
    Owen, N., Humpel, N., Leslie, E., Bauman, A., & Sallis, J. F. (2004). Understanding environmental influences on walking: Review and research agenda. American Journal of Preventive Medicine, (1), 67-76.
    Owen, N., Leslie, E., Salmon, J., & Fotheringham, M. J. (2000). Environmental determinants of physical activity and sedentary behavior. Exercise and Sport Sciences Reviews, 28,153-158.
    Owen, N., Sugiyama, T., Eakin, E. E., Gardiner, P. A., Tremblay, M. S., & Sallis, J. F. (2011). Adults' sedentary behavior: Determinants and interventions. American journal of preventive medicine, 41(2), 189-196.
    Park, S., & Park, Y. H. (2010). Predictors of physical activity in Korean older adults: distinction between urban and rural areas. Journal of Korean Academy of Nursing, 40(2), 191-201.
    Pavey, T. G., Peeters, G. G., & Brown, W. J. (2012). Sitting-time and 9-year all-cause mortality in older women. British journal of sports medicine, 0, 1-5.
    Pratt, M., Sarmiento, O. L., Montes, F., Ogilvie, D., Marcus, B. H., Perez, L. G., & Brownson, R. C. (2012). The implications of megatrends in information and communication technology and transportation for changes in global physical activity. The Lancet, 380(9838),282-293.
    Saelens, B. E., & Handy, S. L. (2008). Built environment correlates of walking: a review. Medicine and Science in Sports and Exercise, 40(7), 550-566.
    Sallis, J. F., & Glanz, K. (2009). Physical activity and food environments: Solutions to the obesity epidemic. The Milbank Quarterly, 87(1), 123-154.
    Sallis, J. F., & Owen, N. (2002). Ecological models of health behavior. pp. 462-484. In K. Glanz, B.K. Rimer, & F.M. Lewis (Eds.), Health Behavior and Health Education: Theory, Research, and Practice, 3rd edition. San Francisco: Jossey-Bass
    Sallis, J. F., Cervero, R. B., Ascher, W., Henderson, K. A., Kraft, M. K., & Kerr, J. (2006). An ecological approach to creating active living communities. Annual Review of Public Health, 27, 297-322.
    Sallis, J. F., Owen, N., & Fisher, E. B. (2008). Ecological models of health behavior. In K. Glanz, B. K. Rimer,& K. Viswanath (Eds.), Health behavior and health education: Theory, research, and practice (4th ed.).
    Sallis, J. F., Owen, N., & Fotheringham, M. J. (2000). Behavioral epidemiology: a systematic framework to classify phases of research on health promotion and disease prevention. Annals of Behavioral Medicine, 22(4), 294-298.
    Salmon, J., Owen, N., Crawford, D., Bauman, A, & Sallis, J. F. (2003). Physical activity and sedentary behavior: a population-based study of barriers, enjoyment, and preference. Health Psychol, 22(2), 178-188.
    Samitz, G., Egger, M., & Zwahlen, M. (2011). Domains of physical activity and all-cause mortality: systematic review and dose-response meta-analysis of cohort studies. International Journal of Epidemiology, 40(5), 1382-1400.
    Scheers, T., Philippaerts, R., & Lefevre, J. (2013). Compliance with different physical activity recommendations and its association with socio-demographic characteristics using an objective measure. BMC Public Health, 13, 136.
    Short, C. E., Vandelanotte, C., & Duncan, M. J. (2014). Individual characteristics associated with physical activity intervention delivery mode preferences among adults. International Journal of Behavioral Nutrition and Physical Activity, 11(1), 25.
    Sisson, S. B., & Broyles, S. T. (2012). Social-ecological correlates of excessive TV viewing: difference by race and sex. Journal of Physical Activity and Health, 9(3), 449-455.
    Skinner, B. F. (1953). Science and Human Behavior. New York: Macmillan.
    Slingerland, A. S., van Lenthe, F. J., Jukema, J. W., Kamphuis, C. B., Looman, C., Giskes, K., …Brug, J. (2007). Aging, retirement, and changes in physical activity : Prospective cohort findings from the globe study. American Journal of Epidemiology, 165, 1356-1363.
    Stokols, D., Allen, J., & Bellingham, R. L. (1996). The social ecology of health promotion: Implications for research and practice. American Journal of Health Promotion, 10(4), 247-251.
    Sugiyama, T., Healy, G. N., Dunstan, D. W., Salmon, J., & Owen, N. (2008). Joint associations of multiple leisure-time sedentary behaviours and physical activity with obesity in Australian adults. International Journal of Behavioral Nutrition and Physical Activity, 5(1), 35.
    Sugiyama, T., Salmon, J., Dunstan, D. W., Bauman, A. E., & Owen, N. (2007) Neighborhood walkability and TV viewing time among Australian adults. American Journal of Preventive Medicine, 33(6), 444-449.
    Troped, P. J., Saunders, R. P., Pate, R. R., Reininger, B., Ureda, J. R., & Thompson, S. J.(2001). Associations between self-reported and objective physical environmental factors and use of a community rail-trail. Preventive Medicine, 32, 191-200.
    Van Cauwenberg, J., Cerin, E., Timperio, A., Salmon, J., Deforche, B., & Veitch, J. (2015). Park proximity, quality and recreational physical activity among mid-older aged adults: moderating effects of individual factors and area of residence. International Journal of Behavioral Nutrition and Physical Activity, 12, 46.
    Van Cauwenberg, J., Clarys, P., De Bourdeaudhuij, I., Van Holle, V., Verté, D., De Witte, N., …Deforche, B. (2013) Older adults' transportation walking: a cross-sectional study on the cumulative influence of physical. International Journal of Health Geographics, 12, 37.
    Van Cauwenberg, J., Van Holle, V., De Bourdeaudhuij, I., Clarys, P., Nasar, J., Salmon, J., …Deforche, B. (2014). Using manipulated photographs to identify features of streetscapes that may encourage older adults to walk for transport. PLOS ONE, 9(11), e112107.
    Van Cauwenberg, J., Van Holle, V., Simons, D., Deridder, R., Clarys, P., Goubert, L., …Deforche, B. (2012). Environmental factors influencing older adults' walking for transportation: a study using walk-along interviews. International Journal of Behavioral Nutrition and Physical Activity, 9, 85.
    Van Dyck, D., Cardon, G., Deforche, B., Owen, N., Sallis, J. F., & De Bourdeaudhuij, I. (2010). Neighborhood walkability and sedentary time in Belgian adults. American Journal of Preventive Medicine, 39(1), 25-32.
    Wallmann-Sperlich, B., Bucksch, J., Hansen, S., Schantz, P., & Froboese, I. (2013). Sitting time in Germany : An analysis of socio-demographic and environmental correlates. BMC Public Health, 13, 196.
    Washburn, R. A., Smith, K. W., Jette, A. M., & Janney, C. A. (1993). The Physical Activity Scale for the Elderly (PASE): development and evaluation. Journal of Clinical Epidemiology, 46(2):153-162.
    World Health Organization (2010). Global Recommendations on Physical activity for Health.
    World Health Organization. (2007). A guide for population-based approaches to increasing levels of physical activity.

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