Evidence map›Paper›PMID 34087319›Full record

ArticlePreventive medicine2021

Neighborhood active aging infrastructure and cognitive function: A mixed-methods study of older Americans.

Jessica Finlay, Michael Esposito, Mao Li, Natalie Colabianchi, Huajun Zhou, Suzanne Judd, Philippa Clarke

Abstract read
In one paragraph

Article in Preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Effect of Health Promotion Interventions in Active Aging in the Elderly: A Randomized Controlled Trial.International journal of community based nursing and midwifery · 2023
    Trial
  3. The social environment and cognitive aging over the life course: laying out critical concepts and research gaps.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  4. Urban greenspace and dementia: Measures, mechanisms, and methodological guidance.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  5. Measuring "third places": Comparing neighborhood data for cognitive health research.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  6. Article
  7. Access to neighborhood destinations that offer opportunities for physical activity and socialization is associated with favorable post-stroke outcomes.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2026
    Article
  8. Article
  9. Dimensions of Self-Perceived Functionality in Older Adults Based on the Brazilian National Health Survey.International journal of environmental research and public health · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Interpersonal, Community, and Societal Stressors Mediate Black-White Memory Disparities.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jessica FinlaySocial Environment and Health, Survey Research Center, Institute for Social Research, University of Michigan, 426 Thompson Street, Ann Arbor, MI 48104, United States; Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, United States. Electronic address: jmfinlay@umich.edu.
Michael EspositoSocial Environment and Health, Survey Research Center, Institute for Social Research, University of Michigan, 426 Thompson Street, Ann Arbor, MI 48104, United States; Department of Sociology, Washington University of St. Louis, St. Louis, MO 63130, United States.
Mao LiSocial Environment and Health, Survey Research Center, Institute for Social Research, University of Michigan, 426 Thompson Street, Ann Arbor, MI 48104, United States; Survey Methodology Program, Institute for Social Research, University of Michigan, 426 Thompson Street, Ann Arbor, MI 48104, United States.
Natalie ColabianchiSchool of Kinesiology, University of Michigan, 1402 Washington Heights, Ann Arbor, MI 48109, United States.
Huajun ZhouSocial Environment and Health, Survey Research Center, Institute for Social Research, University of Michigan, 426 Thompson Street, Ann Arbor, MI 48104, United States; Biostatistics Program, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, United States.
Suzanne JuddSchool of Public Health, University of Alabama at Birmingham, 1665 University Blvd, Birmingham, AL 35233, United States.
Philippa ClarkeSocial Environment and Health, Survey Research Center, Institute for Social Research, University of Michigan, 426 Thompson Street, Ann Arbor, MI 48104, United States; Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, United States.

Funding

VCID and Stroke in a Bi-racial National CohortU01NS041588 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CUSHMAN, MARY, HOWARD, GEORGE · 2002 to 2022
$96.0M
Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
Cognitive Resilience and Community Context: Examining the role of Neighborhood Built and Social Environments for Slowing the Progression of Dementia among older AmericansRF1AG057540 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CLARKE, PHILIPPA · 2017 to 2019
$3.0M
ENHANCE: Developing a Clinical Geography Tool to Intervene in Cognitive Decline through Neighborhood DesignF32AG064815 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FINLAY, JESSICA MARIE · 2019 to 2021
$128k
NCATS NIH HHS UL1 TR002240NIA NIH HHS F32 AG064815NIA NIH HHS RF1 AG057540NINDS NIH HHS U01 NS041588
6 · The paper itself

Abstract

Physical exercise benefits cognitive functioning and can protect against neurodegeneration. Neighborhood environments may be pivotal to physically active aging, and thus help shape older adults' cognitive function. This mixed-methods study investigated where older adults exercised outside the home, and whether availability of these neighborhood sites was associated with cognitive function. We thematically analyzed qualitative data from semi-structured interviews in 2015 with 125 older adults (mean age = 71) in the Minneapolis (MN) metropolitan area. Results identified nearby public parks, fitness/sports amenities, and walkable destinations as motivators for recreational exercise and active transit among participants. These findings informed quantitative analysis of the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study, a national sample of older Black and white Americans (n = 21,151; mean age at assessment = 67; data collected 2006-2017). We used generalized additive multilevel models to examine whether neighborhood features that qualitative participants identified as encouraging physical activity were associated with elevated levels of cognitive function. Results indicated that residing in neighborhoods with greater availability of local parks, access to recreational amenities, and business density was associated with higher levels of cognitive function. We found no evidence to suggest a significant association between availability of these neighborhood resources and rate of cognitive decline. This study identifies specific neighborhood active aging infrastructure that may support cognitive function among older adults aging in place.

Indexed as

Independent LivingResidence CharacteristicsAgedAgingCognitionCross-Sectional StudiesEnvironment DesignHumansWalkingAging in placeCognitive agingLeisureMixed-methodsNeighborhood environmentPhysical activity

Identifiers

PMID34087319
PMCPMC8316307

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.