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Cognitive function of elderly persons in Japanese neighborhoods: The role of street layout
Koohsari, Mohammad Javad Nakaya, Tomoki McCormack, Gavin R. Shibata, Ai Ishii, Kaori Yasunaga, Akitomo Oka, Koichiro
Koohsari, Mohammad Javad
Nakaya, Tomoki
McCormack, Gavin R.
Shibata, Ai
Ishii, Kaori
Yasunaga, Akitomo
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
Date
2019
Type
Journal article
Journal
American Journal of Alzheimer's Disease and Other Dementias
Book
Volume
34
Issue
6
Page Range
381-389
Article Number
ACU Department
Collections
Relation URI
Source URL
Event URL
Open Access Status
Open access
License
CC BY-NC 4.0
File Access
Open