The neighbourhood physical environment and active travel in older adults : a systematic review and meta-analysis

BACKGROUND: Perceived and objectively-assessed aspects of the neighbourhood physical environment have been postulated to be key contributors to regular engagement in active travel (AT) in older adults. We systematically reviewed the literature on neighbourhood physical environmental correlates of AT in older adults and applied a novel meta-analytic approach to statistically quantify the strength of evidence for environment-AT associations. METHODS: Forty two quantitative studies that estimated associations of aspects of the neighbourhood built environment with AT in older adults (aged ≥ 65 years) and met selection criteria were reviewed and meta-analysed. Findings were analysed according to five AT outcomes (total walking for transport, within-neighbourhood walking for transport, combined walking and cycling for transport, cycling for transport, and all AT outcomes combined) and seven categories of the neighbourhood physical environment (residential density/urbanisation, walkability, street connectivity, access to/availability of services/destinations, pedestrian and cycling infrastructure, aesthetics and cleanliness/order, and safety and traffic). RESULTS: Most studies examined correlates of total walking for transport. A sufficient amount of evidence of positive associations with total walking for transport was found for residential density/urbanisation, walkability, street connectivity, overall access to destinations/services, land use mix, pedestrian-friendly features and access to several types of destinations. Littering/vandalism/decay was negatively related to total walking for transport. Limited evidence was available on correlates of cycling and combined walking and cycling for transport, while sufficient evidence emerged for a positive association of within-neighbourhood walking with pedestrian-friendly features and availability of benches/sitting facilities. Correlates of all AT combined mirrored those of walking for transport. Positive associations were also observed with food outlets, business/institutional/industrial destinations, availability of street lights, easy access to building entrance and human and motorised traffic volume. Several but inconsistent individual- and environmental-level moderators of associations were identified. CONCLUSIONS: Results support strong links between the neighbourhood physical environment and older adults’ AT. Future research should focus on the identification of types and mixes of destinations that support AT in older adults and how these interact with individual characteristics and other environmental factors. Future research should also aim to clarify dose-response relationships through multi-country investigations and data-pooling from diverse geographical regions. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12966-017-0471-5) contains supplementary material, which is available to authorized users

Retrodiction with two-level atoms: atomic previvals

In the Jaynes-Cummings model a two-level atom interacts with a single-mode electromagnetic field. Quantum mechanics predicts collapses and revivals in the probability that a measurement will show the atom to be excited at various times after the initial preparation of the atom and field. In retrodictive quantum mechanics we seek the probability that the atom was prepared in a particular state given the initial state of the field and the outcome of a later measurement on the atom. Although this is not simply the time reverse of the usual predictive problem, we demonstrate in this paper that retrodictive collapses and revivals also exist. We highlight the differences between predictive and retrodictive evolutions and describe an interesting situation where the prepared state is essentially unretrodictable.Comment: 15 pages, 3 (5) figure

Retrodiction as a tool for micromaser field measurements

We use retrodictive quantum theory to describe cavity field measurements by successive atomic detections in the micromaser. We calculate the state of the micromaser cavity field prior to detection of sequences of atoms in either the excited or ground state, for atoms that are initially prepared in the excited state. This provides the POM elements, which describe such sequences of measurements.Comment: 20 pages, 4(8) figure

Enhancing space transportation: The NASA program to develop electric propulsion

The NASA Office of Aeronautics, Exploration, and Technology (OAET) supports a research and technology (R and T) program in electric propulsion to provide the basis for increased performance and life of electric thruster systems which can have a major impact on space system performance, including orbital transfer, stationkeeping, and planetary exploration. The program is oriented toward providing high-performance options that will be applicable to a broad range of near-term and far-term missions and vehicles. The program, which is being conducted through the Jet Propulsion Laboratory (JPL) and Lewis Research Center (LeRC) includes research on resistojet, arcjets, ion engines, magnetoplasmadynamic (MPD) thrusters, and electrodeless thrusters. Planning is also under way for nuclear electric propulsion (NEP) as part of the Space Exploration Initiative (SEI)

Origins of the midlatitude Pacific decadal variability

Analysis of multiple climate simulations shows much of the midlatitude Pacific decadal variability to be composed of two simultaneously occurring elements: One is a stochastically driven, passive ocean response to the atmosphere while the other is oscillatory and represents a coupled mode of the ocean‐atmosphere system. ENSO processes are not required to explain the origins of the decadal variability. The stochastic variability is driven by random variations in wind stress and heat flux associated with internal atmospheric variability but amplified by a factor of 2 by interactions with the ocean. We also found a coupled mode of the ocean‐atmosphere system, characterized by a significant power spectral peak near 1 cycle/20 years in the region of the midlatitude North Pacific and Kuroshio Extension. Ocean dynamics appear to play a critical role in this coupled air/sea mode

Interdecadal interactions between the tropics and midlatitudes in the Pacific Basin

Analysis of global climate model simulations and observations suggest decadal, midlatitude changes in and over the North Pacific cause decadal modulation of the El Niño‐Southern Oscillation. This coupling between the two geographic regions is via atmospheric, not oceanographic, teleconnections. In essence, large scale changes in the circulation of the atmosphere over the Pacific Basin, while largest in midlatitudes, have a significant projection onto the wind field overlying the equatorial regions. These low frequency wind changes precondition the mean state of the thermocline in the equatorial ocean to produce prolonged periods of enhanced or reduced ENSO activity. The midlatitude variability that drives equatorial impacts is of stochastic origin and, although the magnitude of the signal is enhanced by ocean processes, likely unpredictable

Comorbidity and Quality of Life in Adults with Hair Pulling Disorder

Hair pulling disorder (HPD; trichotillomania) is thought to be associated with significant psychiatric comorbidity and functional impairment. However, few methodologically rigorous studies of HPD have been conducted, rendering such conclusions tenuous. The following study examined comorbidity and psychosocial functioning in a well-characterized sample of adults with HPD (N=85) who met DSM-IV criteria, had at least moderate hair pulling severity, and participated in a clinical trial. Results revealed that 38.8% of individuals with HPD had another current psychiatric diagnosis and 78.8% had another lifetime (present and/or past) psychiatric diagnosis. Specifically, HPD showed substantial overlap with depressive, anxiety, addictive, and other body-focused repetitive behavior disorders. The relationships between certain comorbidity patterns, hair pulling severity, current mood and anxiety symptoms, and quality of life were also examined. Results showed that current depressive symptoms were the only predictor of quality of life deficits. Implications of these findings for the conceptualization and treatment of HPD are discussed

How the perceived neighbourhood environment influences active living in older dwellers of an Asian ultra-dense metropolis

The way older adults perceive their neighbourhood environment may determine their levels of physical activity. We examined the associations of perceived neighbourhood environmental attributes with accelerometry-assessed and self-reported physical activity and sedentary time in Hong Kong Chinese older adults. In doing so, we estimated the inter-relationships among perceived environmental attributes, the mediating role of physical activity in the environment-sedentary time nexus and the moderating role of sex. We used data from the Active Lifestyle and the Environment in Chinese Seniors (ALECS) project collected on older adults (N = 909; ≥65 years) living in neighbourhoods varying in walkability and socio-economic status (71 % response rate). Self-reported physical activity and perceived neighbourhood attributes were assessed with validated questionnaires. Accelerometer-based physical activity and sedentary time were collected in 402 participants. Older adults who perceived their neighbourhood to be walkable, safe, aesthetically pleasing and equipped with public sitting facilities engaged in more physical activity and less sedentary time. Curvilinear relations of perceived residential density and activity-friendly urban design features indicated that extreme levels of density may not be optimal for older adults to adopt an active lifestyle because they do not provide sufficient space for sitting facilities and greenery and do not result in better perceptions of neighbourhood walkability when compared to areas with moderate-to-high levels of density. Creative solutions for the incorporation of greenery and public places for sitting in megacities are needed