カワグチ　ケンジロウ   KAWAGUCHI Kenjirou   河口　謙二郎    所属   医学部 医学科    職種   助教
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Neighborhood walkability and subsequent health and well-being in urban and rural Japan: An outcome-wide longitudinal study.
掲載誌名	正式名：Health & place 略　 称：Health Place ISSNコード：18732054/13538292
掲載区分	国外
巻・号・頁	96,pp.103549
著者・共著者	Kenjiro Kawaguchi, Atsushi Nakagomi, Yu-Ru Chen, Katsunori Kondo, Masamichi Hanazato
担当区分	筆頭著者,責任著者
発行年月	2025/11
概要	BACKGROUND:Walkability notably affects the health of older adults; however, its relationship with various outcomes in different geographical contexts remains unclear. Considering urban-rural differences, this study examined associations between neighborhood walkability and the health and well-being of older adults in Japan.METHODS:Data were obtained from the Japan Gerontological Evaluation Study, a nationwide cohort study of Japanese adults aged ≥65 years, across three waves (2013, 2016, and 2019). This study included 27,354 participants in the survey-based sample and 40,111 participants in the long-term care insurance-based sample. Neighborhood walkability was assessed using a composite index derived from population density, distance to retail and park areas, and road density. Forty-two outcomes across seven domains were analyzed using multilevel regression models stratified by urbanicity. Bonferroni correction was applied (α = 0.0012).RESULTS:In urban settings, higher walkability was significantly associated with increased walking time. Conversely, in rural areas, higher walkability showed mixed results; it was significantly associated with increased participation in hobby/sports groups and outings, but also with increased risk of functional disability (level ≥2), increased sedentary behavior, and decreased norms of reciprocity. Walkability was not significantly associated with walking time.CONCLUSIONS:Walkability can have different effects on health and well-being in urban and rural areas, highlighting the need for location-specific strategies. While urban efforts could focus on pedestrian infrastructure, effective rural strategies would likely involve an integrated approach that addresses transportation, social connectivity, and activity promotion.
DOI	10.1016/j.healthplace.2025.103549
PMID	40983027