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Associations between neighborhood park space and cognition in older adults vary by US location: The Multi-Ethnic Study of Atherosclerosis
Journal article   Open access   Peer reviewed

Associations between neighborhood park space and cognition in older adults vary by US location: The Multi-Ethnic Study of Atherosclerosis

Lilah M. Besser, Jana Hirsch, James E. Galvin, John Renne, Juyoung Park, Kelly R. Evenson, Joel D. Kaufman and Annette L. Fitzpatrick
Health & place, v 66, 102459
Nov 2020
PMID: 33045671
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc8274384View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Cognition Cognitive Neighborhood Older adult Park Park space
We used cross-sectional Multi-Ethnic Study of Atherosclerosis data from six US cities/counties and adjusted multilevel linear regression to examine park space-cognition associations among non-demented older adults (n = 4084). We found that greater neighborhood park space 1-mile around the residence (measured continuously) was associated with better processing speed in the overall sample (estimate: 0.48; 95% CI: 0.03, 0.92). However, greater neighborhood park space (½-mile around residence) was associated with worse global cognition in Los Angeles, California (estimate: -2.66; 95% CI: -4.70, −0.62) and worse processing speed in Forsyth County, North Carolina (estimate: -0.72; 95% CI: -1.37, −0.08). Dichotomizing at the mean, having ≥6% park space (½-mile around residence) was associated with better global cognition in Saint Paul, Minnesota (estimate: 0.21; 95% CI: 0.05, 0.38), and better processing speed in New York City (estimate: 0.19; 95% CI: 0.04, 0.35). Park space-cognition associations varied by city/county, suggesting problems with pooling multiple sites without accounting for geographic context or regionally-varying park characteristics (e.g., quality). •Neighborhood park space cross-sectionally associated with cognition in older adults.•Park space associated with global cognition and processing speed.•Direction and presence of park space-cognition associations varied by US city.•Future studies may need to consider differences by region and in park quality.

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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