Skip to main content
Log in

Can aging-in-place be promoted by the built environment near home for physical activity: a case study of non-Hispanic White elderly in Texas

  • Article
  • Published:
Journal of Housing and the Built Environment Aims and scope Submit manuscript

Abstract

With an emphasis on environmental factors correlated with physical activity, this research investigates environmental influences on aging-in-place measured by the number of years living at home after age 65 and before moving to a senior-living institution. It clarifies that aging-in-place can be promoted by nearby outdoor environments supportive of physical activity and the significant environmental factors exist at both the residential lot and neighborhood levels. Data were collected through a questionnaire survey completed by 206 senior-living older adults in Texas, who were not living in a traditional community setting anymore. Geographic information systems were used to objectively measure the physical environments of 117 sample sites. Twenty-five environmental features at residential lot and neighborhood levels were investigated. To compare the lengths of aging-in-place among participants with different environmental factors near their community dwellings, ANOVA tests were applied. Non-Hispanic White participants who had walkable environments, wide side areas on residential lots, and destinations for walking in neighborhoods maintained residence at home an average of 3.53-year longer than their counterparts (p < 0.01). Developing supportive environments for older adults’ physical activities near home may help them achieve and maintain a balance between their functional abilities and their living environments, thereby leading to more years of aging-in-place. This research fills a research gap by investigating environmental influences on aging-in-place through physical activity. The findings are expected to have a direct impact on both design and planning of environments for older adults.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • AARP. (2010). Housing policy solutions to support aging in place. Retrieved from Washington, DC.

  • Addae-Dapaah, K., & Wong, G. K. M. (2001). Housing and the elderly in Singapore: Financial and quality of life implications of ageing in place. Journal of Housing and the Built Environment, 16(2), 153–178.

    Article  Google Scholar 

  • Bancrofta, C., Joshia, S., Rundlea, A., Hutsonb, M., Chongd, C., & Weissc, C. C. (2015). Association of proximity and density of parks and objectively measured physical activity in the United States: A systematic review. Social Science and Medicine, 138, 22–30.

    Article  Google Scholar 

  • Beyer, K. M., Kaltenbach, A., Szabo, A., Bogar, S., Nieto, F. J., & Malecki, K. M. (2014). Exposure to neighborhood green space and mental health: Evidence from the survey of the health of Wisconsin. International Journal of Environmental Research and Public Health, 11(3), 3453–3472.

    Article  Google Scholar 

  • Blair, S., Dowda, M., Pate, R., Kronenfeld, J., Howe, H. J., & Parker, G. (1991). Reliability of long-term recall of participation in physical activity by middle-aged men and women. American Journal of Epidemiology, 133(3), 266–275.

    Article  Google Scholar 

  • Brasche, S., & Bischof, W. (2005). Daily time spent indoors in german homes: Baseline data for the assessment of indoor exposure of german occupants. International Journal of Hygiene and Environmental Health, 208(4), 247–253.

    Article  Google Scholar 

  • Buman, M. P., Hekler, E. B., Haskell, W. L., Pruitt, L., Conway, T. L., & Cain, K. L. (2010). Objective light-intensity physical activity associations with rated health in older adults. American Journal of Epidemiology, 172(10), 1155–1165.

    Article  Google Scholar 

  • Campbell, N. (2015). Designing for social needs to support aging in place within continuing care retirement communities. Journal of Housing and the Built Environment, 30(4), 645–665.

    Article  Google Scholar 

  • Carr, K., Weir, P. L., Azar, D., & Azar, N. R. (2013). Universal design: A step toward successful aging. Journal of Aging Research, 2013, 1–8.

    Article  Google Scholar 

  • Carroll, J., & Qualls, S. H. (2014). Moving into senior housing: Adapting the old. Embracing the New Generations, 1, 42–47.

    Google Scholar 

  • DHHS. (2014). A profile of older Americans: 2014. In DHHS (series Ed.), AO Aging, AFC Living, & UDOHAH Services (Eds.). Retrieved from http://www.aoa.acl.gov/Aging_Statistics/Profile/2014/docs/2014-Profile.pdf.

  • FIFARS. (2010). Older Americans 2010: Key indicators of well-being, federal interagency forum on aging related statistics. Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • FIFARS. (2016). Older Americans 2016: Key indicators of well-being. Federal interagency forum on aging-related statistics. Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Fiske, A., Wetherell, J. L., & Gatz, M. (2009). Depression in older adults. Annual Review Clinic Psychology, 5, 363–389.

    Article  Google Scholar 

  • Frank, L., Kerr, J., Rosenberg, D., & King, A. (2010). Healthy aging and where you live: Community design relationships with physical activity and body weight in older Americans. Journal of Physical Activity and Health, 7(1), 82–90.

    Article  Google Scholar 

  • Friedman, D., Snodgrass, J., & Ritter, W. (1996). Implicit retrieval processes in cued recall: Implications for aging effects in memory. Journal of Clinical and Experimental Neuropsychology, 16(6), 921–938.

    Article  Google Scholar 

  • Genworth. (2015). Cost of care survey: Home care providers, adult day health care facilities, assisted living facilities and nursing home. Richmond: Genworth Financial.

    Google Scholar 

  • Gold, D. A. (2012). An examination of instrumental activities of daily living assessment in older adults and mild cognitive impairment. Journal of Clinical and Experimental Neuropsychology, 31(1), 11–34.

    Article  Google Scholar 

  • Gyllencreutz, L., Björnstig, J., Rolfsman, E., & Saveman, B.-I. (2014). Outdoor pedestrian fall-related injuries among Swedish senior citizens: Injuries and preventive strategies. Scandinavian Journal of Caring Sciences, 29(2), 225–233.

    Article  Google Scholar 

  • Hartig, T., Mitchell, R., de Vries, S., & Frumkin, H. (2014). Nature and health. Annual Review of Public Health, 35, 207–228.

    Article  Google Scholar 

  • Haselwandter, E. M., Corcoran, M. P., Folta, S. C., Hyatt, R., Fenton, M., & Nelson, M. E. (2015). The built environment, physical activity, and aging in the United States: A state of the science review. Journal of Aging and Physical Activity, 23(2), 323–329.

    Article  Google Scholar 

  • Hrobonova, E., Breeze, E., & Fletcher, A. E. (2011). Higher levels and intensity of physical activity are associated with reduced mortality among community dwelling older people. Journal of Aging Research, 2011, Article ID 651931.

  • Jensen, J., Nyberg, L., Rosendahl, E., Gustafson, Y., & Lundin-Olsson, L. (2004). Effects of a fall prevention program including exercise on mobility and falls in frail older people living in residential care facilities. Aging Clinical and Experimental Research, 16(4), 283–292.

    Article  Google Scholar 

  • Johnson, J., & Cigna, J. (2003). Overview of issue papers on demographic trends important to housing. Washington, DC: U.S. Department of Housing and Urban Development, Office of Policy Development and Research.

    Google Scholar 

  • Joseph, A., & Zimring, C. (2007). Where active older adults walk: Understanding the factors related to path choice for walking among active retirement community residents. Environment and Behavior, 39(1), 75–105.

    Article  Google Scholar 

  • Kaplan, S., Kaplan, R., & Wendt, J. (1972). Rated preference and complexity for natural and urban visual material. Perception and Psychophysics, 12(4), 354–356.

    Article  Google Scholar 

  • Kearney, A. R., & Winterbottom, D. (2005). Nearby nature and long-term care facility residents: Benefits and design recommendations. Journal of Housing for the Elderly, 19(3/4), 7–28.

    Google Scholar 

  • Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. Journal of Gerontologist, 9(3), 179–182.

    Article  Google Scholar 

  • Lawton, M. P., & Nahemow, L. (1973). Ecology and the aging process. In C. Eisdorfer & M. P. Lawton (Eds.), The psychology of adult development and aging (pp. 619–674). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Lee, I. M., Ewing, R., & Sesso, H. D. (2009). The built environmentand physical activity levels: The Harvard Alumni Health Study. American Journal of Preventive Medicine, 37(4), 293–298.

    Article  Google Scholar 

  • Lehning, A., Smith, R., & Dunkle, R. (2014). Age-friendly environments and self-rated health: An exploration of Detroit elders. Research on Aging, 36(1), 72–94.

    Article  Google Scholar 

  • Maas, J., Verheij, R. A., de Vries, S., Spreeuwenberg, P., Schellevis, F. G., & Groenewegen, P. P. (2009). Morbidity is related to a green living environment. Journal of Epidemiology & Community Health, 63(12), 967–973.

    Article  Google Scholar 

  • Mitchell, R. (2013). Is physical activity in natural environments better for mental health than physical activity in other environments? Social Science & Medicine, 91, 130–134.

    Article  Google Scholar 

  • Mowen, A., Orsega-Smith, E., Payne, L., Ainsworth, B., & Godbey, G. (2007). The role of park proximity and social support in shaping park visitation, physical activity, and perceived health among older adults. Journal of Physical Activity and Health, 4(2), 167–179.

    Article  Google Scholar 

  • Nathan, A., Wood, L., & Giles-Corti, B. (2013). Environmental factors associated with active living in retirement village residents: Findings from an exploratory qualitative enquiry. Research on Aging, 35(4), 459–480.

    Article  Google Scholar 

  • Patterson, P. K., & Chapman, N. J. (2004). Urban form and older residents’ service use, walking, driving, quality of life, and neighborhood satisfaction. American Journal of Health Promotion, 19(1), 45–82.

    Article  Google Scholar 

  • Perry, T. E., Andersen, T. C., & Kaplan, D. B. (2014). Relocation remembered: Perspectives on senior transitions in the living environment. Gerontologist, 54(1), 75–81.

    Article  Google Scholar 

  • Rantz, M. J., Phillips, L., Aud, M., Popejoy, L., Marek, K. D., & Hicks, L. L. (2011). Evaluation of aging in place model with home care services and registered nurse care coordination in senior housing. Nursing Outlook, 59(1), 37–46.

    Article  Google Scholar 

  • Richard, L., Gauvin, L., Gosselin, C., & Laforest, S. (2009). Staying connected: Neighbourhood correlates of social participation among older adults living in an urban environmental in Montreal, Quebec. Health Promotion International, 24, 46–57.

    Article  Google Scholar 

  • Rosenberg, D. E., Huang, D. L., Simonovich, S. D., & Belza, B. (2013). Outdoor built environment barriers and facilitators to activity among midlife and older adults with mobility disabilities. Gerontologist, 53(2), 268–279.

    Article  Google Scholar 

  • Rosso, A. L., Auchincloss, A. H., & Michael, Y. L. (2011). The urban built environment and mobility in older adults: A comprehensive review. Journal of Aging Research, 2011, 1–8.

    Article  Google Scholar 

  • Safran-Norton, C. E. (2010). Physical home environment as a determinant of aging in place for different types of elderly households. Journal of Housing for the Elderly, 24(2), 208–231.

    Article  Google Scholar 

  • Sampson, R. J., Raudenbush, S. W., & Earls, F. (1997). Neighborhoods and violent crime: A multilevel study of collective efficacy. Science, 277, 918–924.

    Article  Google Scholar 

  • Satariano, W., Ivey, S., Kurtovich, E., Kealey, M., Hubbard, A., & Bayles, C. (2010). Lower-body function, neighborhoods, and walking in an older population. American Journal of Preventive Medicine, 38(4), 419–428.

    Article  Google Scholar 

  • Sattelmair, J. R., Pertman, J. H., & Forman, D. E. (2009). Effects of physical activity on cardiovascular and noncardiovascular outcomes in older adults. Clinics in Geriatric Medicine, 25(4), 677–702.

    Article  Google Scholar 

  • Shendell, D., & Nowakowski, A. C. H. (2010). Senior safety zones: Community built environment factors around senior wellness centers. Journal of Public Health Policy, 31(1), 115–118.

    Article  Google Scholar 

  • Slattery, M., & Jacobs, D. J. (1995). Assessment of ability to recall physical activity of several years ago. Annals of Epidemiology, 5(4), 292–296.

    Article  Google Scholar 

  • Sparling, P. B., Howard, B. J., Dunstan, D. W., & Owen, N. (2015). Recommendations for physical activity in older adults. British Medical Journal, 350, 1–5.

    Article  Google Scholar 

  • Stokols, D. (1992). Establishing and maintaining healthy environments: Towards a social ecology of health promotion. American Psychologist, 47(1), 6–22.

    Article  Google Scholar 

  • Strach, S., Isaacs, R., & Greenwald, M. (2007). Operationalizing environmental indicators for physical activity in older adults. Journal of Aging and Physical Activity, 15(4), 412–424.

    Article  Google Scholar 

  • Takano, T., Nakamura, K., & Watanabe, M. (2002). Residential environments for longevity. Journal of Epidemiology and Community Health, 56, 913–918.

    Article  Google Scholar 

  • Tang, F., & Lee, Y. (2011). Social support networks and expectations for aging in place and moving. Research on Aging, 33(4), 444–464.

    Article  Google Scholar 

  • Umming, R., & Klineberg, R. (1994). A study of the reproducibility of long-term recall in the elderly. Epidemiology, 5(1), 116–119.

    Article  Google Scholar 

  • Wahl, H.-W., Iwarsson, S., & Oswald, F. (2012). Aging well and the environment: Toward an integrative model and research agenda for the future. The Gerontologist, 52(3), 306–316.

    Article  Google Scholar 

  • Wang, Z. (2014). Nearby outdoor environments and seniors physical activities. Frontiers of Architecture Research, 3, 265–270.

    Article  Google Scholar 

  • Wang, Z., & Lee, C. (2010). Site and neighborhood environments for walking among older adults. Health and Place, 16(6), 1268–1279.

    Article  Google Scholar 

  • Wang, Z., Shepley, M., & Rodiek, S. (2012). Aging-in-place at home through environmental support of physical activity: An interdisciplinary conceptual framework and analysis. Journal of Housing for the Elderly, 26(4), 338–354.

    Article  Google Scholar 

  • Zimring, C., Joseph, A., Nicoll, G. L., & Tsepas, S. (2005). Influences of building design and site design on physical activity, research and intervention opportunities. American Journal of Preventive Medicine, 28(2), 186–193.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Zhe Wang.

Appendix

Appendix

See Table 2.

Table 2 Descriptive statistics of variables tested to be insignificant

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wang, Z., Shepley, M.M. Can aging-in-place be promoted by the built environment near home for physical activity: a case study of non-Hispanic White elderly in Texas. J Hous and the Built Environ 33, 749–766 (2018). https://doi.org/10.1007/s10901-017-9584-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10901-017-9584-z

Keywords

Navigation