Cognitive function of elderly persons in Japanese neighborhoods: The role of street layout

Journal article

Koohsari, Mohammad Javad, Nakaya, Tomoki, McCormack, Gavin R., Shibata, Ai, Ishii, Kaori, Yasunaga, Akitomo and Oka, Koichiro. (2019). Cognitive function of elderly persons in Japanese neighborhoods: The role of street layout. American Journal of Alzheimer's Disease and Other Dementias. 34(6), pp. 381 - 389. https://doi.org/10.1177/1533317519844046

Authors	Koohsari, Mohammad Javad, Nakaya, Tomoki, McCormack, Gavin R., Shibata, Ai, Ishii, Kaori, Yasunaga, Akitomo and Oka, Koichiro
Abstract	Objectives: The aims of this study were to examine (a) associations of two metric and space syntax measures of street layout with the cognitive function of Japanese older adults and (b) the extent to which objectively assessed physical activity mediated such associations. Methods: Cross-sectional data from 277 older adults who lived in Japan were used. Street layout attributes were objectively calculated for each participant’s geocoded home location. The Mini-Mental State Examination was used to evaluate cognitive function. Physical activity was objectively assessed with accelerometers. Results: There was a statistically significant negative association between street integration and the odds of having cognitive impairment. Objectively assessed physical activity did not attenuate this relationship. Conclusions: Our findings provide unique evidence regarding the importance of the topological aspects of street layouts in (re)designing neighborhoods to support mental illness.
Keywords	urban design; mental illness; elderly; ageing; built environment; cognitive impairment
Year	2019
Journal	American Journal of Alzheimer's Disease and Other Dementias
Journal citation	34 (6), pp. 381 - 389
Publisher	SAGE Publications Inc.
ISSN	1533-3175
Digital Object Identifier (DOI)	https://doi.org/10.1177/1533317519844046
Scopus EID	2-s2.0-85064840275
Open access	Open access
Page range	381 - 389
Research Group	Mary MacKillop Institute for Health Research
Publisher's version	OA_Koohsari_2019_Cognitive_function_of_elderly_persons_in.pdf License CC BY-NC 4.0
Place of publication	United States of America

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