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dc.contributor.authorWatts, Amber
dc.contributor.authorFerdous, Farhana
dc.contributor.authorDiaz Moore, Keith
dc.contributor.authorBurns, Jeffrey M.
dc.date.accessioned2017-01-05T17:42:32Z
dc.date.available2017-01-05T17:42:32Z
dc.date.issued2015-08-05
dc.identifier.citationWatts, A., F. Ferdous, K. Diaz Moore, and J. M. Burns. "Neighborhood Integration and Connectivity Predict Cognitive Performance and Decline." Gerontology and Geriatric Medicine 1.0 (2015): n. pag.en_US
dc.identifier.urihttp://hdl.handle.net/1808/22456
dc.description.abstractObjective: Neighborhood characteristics may be important for promoting walking, but little research has focused on older adults, especially those with cognitive impairment. We evaluated the role of neighborhood characteristics on cognitive function and decline over a 2-year period adjusting for measures of walking. Method: In a study of 64 older adults with and without mild Alzheimer’s disease (AD), we evaluated neighborhood integration and connectivity using geographical information systems data and space syntax analysis. In multiple regression analyses, we used these characteristics to predict 2-year declines in factor analytically derived cognitive scores (attention, verbal memory, mental status) adjusting for age, sex, education, and self-reported walking. Results: Neighborhood integration and connectivity predicted cognitive performance at baseline, and changes in cognitive performance over 2 years. The relationships between neighborhood characteristics and cognitive performance were not fully explained by self-reported walking. Discussion: Clearer definitions of specific neighborhood characteristics associated with walkability are needed to better understand the mechanisms by which neighborhoods may impact cognitive outcomes. These results have implications for measuring neighborhood characteristics, design and maintenance of living spaces, and interventions to increase walking among older adults. We offer suggestions for future research measuring neighborhood characteristics and cognitive function.en_US
dc.publisherSAGE Publicationsen_US
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).en_US
dc.rights.urihttp://www.creativecommons.org/licenses/by-nc/3.0/
dc.subjectNeighborhooden_US
dc.subjectCognitive declineen_US
dc.subjectAlzheimer's diseaseen_US
dc.subjectWalkingen_US
dc.titleNeighborhood Integration and Connectivity Predict Cognitive Performance and Declineen_US
dc.typeArticleen_US
kusw.kuauthorWatts, Amber
kusw.kuauthorFerdous, Farhana
kusw.kudepartmentPsychologyen_US
kusw.kudepartmentArchitecture, Design and Planningen_US
dc.identifier.doi10.1177/2333721415599141en_US
kusw.oaversionScholarly/refereed, publisher versionen_US
kusw.oapolicyThis item meets KU Open Access policy criteria.en_US
dc.rights.accessrightsopenAccess


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This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Except where otherwise noted, this item's license is described as: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).