Alberico, Claudia

Cleland, Claire

Duarte, Fabio

Ellis, Geraint

Florindo, Alex

Hino, Adriano

Hunter, Ruth

Kee, Frank

Lopes, Adalberto

Moutinho Barbosa de Melo, Sara

Murtagh, Brendan

Reis, Rodrigo

Sengupta, Urmi

Tully, Mark

BackgroundHealthy urban ageing is a global issue. Non-communicable diseases are a public health priority and there is a need to focus on the rise of obesity and to ‘scale-up programmes, policies and actions’ to address physical inactivity. A major concern relating to healthy urban ageing is the rapid social and built environment changes exposing vulnerable populations (low socioeconomic status, older adults and women) to lower levels of physical activity (PA) due to motorized transportation, urbanization and low access to public infrastructure in Low-Middle Income Countries (LMICs). The study aimed to investigate the built, social and policy environments in the UK and Brazil to ensure healthy urban ageing in rapidly urbanising and ageing populations in LMICs. MethodsThe HULAP Study comprises of seven work packages (WP),including: project management (WP1); the generation of spatial data from UK/Brazil and the evaluation of existing models of walkability (WP2); collection of PA, health and environmental data in older adults in UK (linked to the NICOLA Study) and Brazil (n=600)(WP3); analysis of the governance of healthy ageing(WP4); briefing papers providing targeted, evidence-based guidance on policy relating to opportunities for older adults in Brazilian cities(WP5); creating opportunities for exchange of good practice and other experiences between European and Brazilian stakeholders(WP6); and dissemination (WP7).ResultsThree themes will be explored to answer a set of research questions: 1) Urban design, Planning, Housing and Infrastructure – to determine if the built environment at different geographic scales facilitates/impedes older adults, PA; 2) Health Inequalities and Justice - will address specific healthy ageing challenges to determine opportunities for improving the well-being of older adults so they can enjoy independence and a high quality of life and make a contribution to society; and 3) Leadership, Governance and Institutions - explore the governance context for healthy ageing in Brazil/UK, to examine the capacity of institutions to respond and identify key stakeholders involved in this policy arena. DiscussionThis study will provide a conceptual and empirical understanding of the influence of the built, social and policy environments on healthy urban ageing. Previous evidence will be enhanced and new evidence and policy tools will be developed, enhancing policy effectiveness and improved institutional collaboration. ImplicationsLessons learned from understanding the association between the built, social and policy environments and PA in older adults in these contexts can provide a foundation to inform policies and practice in LMICs that will face similar healthy ageing issues in the future

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Healthy Urban Living and Ageing in Place (HULAP):Physicalactivity, built environment and knowledge exchange in Braziliancities: Study ProtocolCleland, C., Hunter, R., Murtagh, B., Sengupta, U., Tully, M., Kee, F., ... Ellis, G. (2016). Healthy Urban Livingand Ageing in Place (HULAP):Physical activity, built environment and knowledge exchange in Brazilian cities:Study Protocol. Poster session presented at WHO HEPA Europe 2016, Belfast, United Kingdom.Queen's University Belfast - Research Portal:Link to publication record in Queen's University Belfast Research PortalPublisher rights© 2016 The Authors.General rightsCopyright for the publications made accessible via the Queen's University Belfast Research Portal is retained by the author(s) and / or othercopyright owners and it is a condition of accessing these publications that users recognise and abide by the legal requirements associatedwith these rights.Take down policyThe Research Portal is Queen's institutional repository that provides access to Queen's research output. Every effort has been made toensure that content in the Research Portal does not infringe any person's rights, or applicable UK laws. If you discover content in theResearch Portal that you believe breaches copyright or violates any law, please contact openaccess@qub.ac.uk.Download date:15. Feb. 2017Claire Cleland1, Ruth Hunter2, Brendan Murtagh1, Urmi Sengupta1, Mark Tully2, Frank Kee2, Sara Melo3, Adriano Hino4, Alex Florindo5, Fabio Duarte4, Claudia Alberico6, Adalberto Lopes7, Rodrigo Reis8, Geraint Ellis1.1School of Natural and Built Environment, Queen’s University Belfast, UK; 2UKCRC Centre of Excellence for Public Health (NI), Queen’s University Belfast, UK; 3 Queen’s Management School, Queen’s University Belfast, UK; 4School of Health and Biosciences, Pontifical Catholic University of Parana; 5School of Arts, Sciences and Humanities, University of São Paulo; 6PRTM, College of Natural Resources, North Carolina State University, USA; 7Research Group on Physical Activity and Quality of Life, Federal University of Parana - Curitiba, Brazil; 8Prevention Research Center, Washington University in St. Louis.BackgroundHealthy urban ageing is a global issue. Non-communicablediseases are a public health priority and there is a need to focuson the rise of these diseases and scale-up programmes, policiesand actions to address physical inactivity. A major concern relatingto healthy urban ageing is the rapid social and built environmentchanges exposing vulnerable populations (low socio-economicstatus, older adults and women) to lower levels of physical activity(PA) due to motorised transportation, urbanisation and pooraccess to public infrastructure in Low-Middle Income Countries(LMICs).Study Aims1.To enhance the conceptual and empirical understanding of theinfluence of the built environment on PA levels of older adults; and2. To develop evidence and policy tools for increasing PA levelsand well-being of older adults in Brazilian and UK cities throughbuilt environment interventions, enhanced policy effectivenessand improved institutional collaboration.MethodsThe HULAP Study comprises of 7 work packages (WP/s) seeFigure 1. The seven WPs include: project management of WPs2-7 (WP1); the generation of spatial data from UK/Brazil cities andthe evaluation of existing models of walkability (WP2); collectionof PA, health and environmental data in older adults in the UK(linked to the NICOLA Study) and Brazil (n=600) (WP3); analysisof the governance of healthy ageing (WP4); briefing papersproviding targeted, evidence-based guidance on policy relating toopportunities for older adults in Brazilian cities (WP5); creatingopportunities for exchange of good practice and otherexperiences between European and Brazilian stakeholders(WP6); and final outputs and dissemination (WP7).The HULAP Project has 3 core themes: 1) Urban design,Planning, Housing and Infrastructure – will determine if the builtenvironment at different geographic scales facilitates or impedesolder adults PA behaviour; 2) Health Inequalities and Justice - willaddress specific healthy ageing challenges to determineopportunities for improving the well-being of older adults so theycan enjoy independence and a high quality of life and make acontribution to society; and 3) Leadership, Governance andInstitutions – will explore the governance context for healthyageing in Brazil and the UK, to examine the capacity of institutionsto respond and identify key stakeholders involved in this policyarena. The findings from the mentioned themes will then besynthesised and translated, guided by non-academic partners,into outputs that can be directly used by local government,advocacy groups and other stakeholders for healthy ageing inBrazilian cities and other LMICs.Healthy Urban Living and Ageing in Place (HULAP): Physical activity, built environment and knowledge exchange in Brazilian cities: Study Protocol. The project takes an explicit comparative approach to research,which will primarily be focused on two case study cities: Curitiba inBrazil and Belfast in the UK, chosen because there is theopportunity to translate learning from an already ageing society toone that will experience this issue in the future.ImplicationsThe HULAP Project will provide a conceptual and empiricalunderstanding of the influence of the built, social and policyenvironments on healthy urban ageing. Previous evidence will beenhanced and new evidence and policy tools will be developed,enhancing policy effectiveness and improved institutionalcollaboration. Lessons learned from understanding the associationbetween the built, social and policy environments and PA in olderadults in these contexts can provide a foundation to inform policiesand practice in LMICs that will face similar healthy ageing issuesin the future.In addition, the project will enhance the capacity of researchersand other stakeholders in Brazil and the UK and will deliver a widerange of research and policy outputs that include policy briefingpapers, toolkits, audit tools, research protocols and academic andpolicy networks presentations.FundingThe Project is funded by the UK’s Economic and Social Research Council (ES/N013336/1) under the Newton Fund and the Brazilian National Council of State Funding Agencies.Figure 1. Workflow

Healthy Urban Living and Ageing in Place (HULAP):Physical activity, built environment and knowledge exchange in Brazilian cities: Study Protocol

Healthy Urban Living and Ageing in Place (HULAP):Physical activity, built environment and knowledge exchange in Brazilian cities: Study Protocol

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