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10.1289/ehp.1510425 http://scihub22266oqcxt.onion/10.1289/ehp.1510425 C4892930!4892930!26550779     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26550779&cmd=llinks): Failed to open stream: HTTP request failed! 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Moving to a Highly Walkable Neighborhood and Incidence of Hypertension: A Propensity-Score Matched Cohort Study |pdf=|usr=}}{{26550779}} gab.com Text Moving to a Highly Walkable Neighborhood and Incidence of Hypertension: A Propensity-Score Matched Cohort Study JO: Environ Health Perspect http://www.kidney.de/pget.php?&tw=1&pmid=26550779 #FOAvip Background:: The impact of moving to a neighborhood more conducive to utilitarian walking on the risk of incident hypertension is uncertain. Objective:: Our study aimed to examine the effect of moving to a highly walkable neighborhood on the risk of incident hypertension. Methods:: A population-based propensity-score matched cohort study design was used based on the Ontario population from the Canadian Community Health Survey (2001?2010). Participants were adults ? 20 years of age who moved from a low-walkability neighborhood (defined as any neighborhood with a Walk Score < 90) to either a high- (Walk Score ? 90) or another low-walkability neighborhood. The incidence of hypertension was assessed by linking the cohort to administrative health databases using a validated algorithm. Propensity-score matched Cox proportional hazard models were used. Annual health examination was used as a control event. Results:: Among the 1,057 propensity-score matched pairs there was a significantly lower risk of incident hypertension in the low to high vs. the low to low-walkability groups [hazard ratio = 0.46; 95% CI, 0.26, 0.81, p < 0.01]. The crude hypertension incidence rates were 18.0 per 1,000 person-years (95% CI: 11.6, 24.8) among the low- to low-walkability movers compared with 8.6 per 1,000 person-years (95% CI: 5.3, 12.7) among the low- to high-walkability movers (p < 0.001). There were no significant differences in the hazard of annual health examination between the two mover groups. Conclusions:: Moving to a highly walkable neighborhood was associated with a significantly lower risk of incident hypertension. Future research should assess whether specific attributes of walkable neighborhoods (e.g., amenities, density, land-use mix) may be driving this relationship. Citation:: Chiu M, Rezai MR, Maclagan LC, Austin PC, Shah BR, Redelmeier DA, Tu JV. 2016. Moving to a highly walkable neighborhood and incidence of hypertension: a propensity-score matched cohort study. Environ Health Perspect 124:754?760;?http://dx.doi.org/10.1289/ehp.1510425 Twit Text FOAVip Moving to a Highly Walkable Neighborhood and Incidence of Hypertension: A Propensity-Score Matched Cohort Study ????Environ Health Perspect http://www.kidney.de/pget.php?&tw=1&pmid=26550779 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26550779 #FOAvip English Wikipedia <ref>{{Cite pmid|26550779}}</ref> Moving to a Highly Walkable Neighborhood and Incidence of Hypertension: A Propensity-Score Matched Cohort Study #MMPMID26550779 Chiu M; Rezai MR; Maclagan LC; Austin PC; Shah BR; Redelmeier DA; Tu JV Environ Health Perspect 2016[Jun]; 124 (6): 754-60 PMID26550779show ga Background:: The impact of moving to a neighborhood more conducive to utilitarian walking on the risk of incident hypertension is uncertain. Objective:: Our study aimed to examine the effect of moving to a highly walkable neighborhood on the risk of incident hypertension. Methods:: A population-based propensity-score matched cohort study design was used based on the Ontario population from the Canadian Community Health Survey (2001?2010). Participants were adults ? 20 years of age who moved from a low-walkability neighborhood (defined as any neighborhood with a Walk Score < 90) to either a high- (Walk Score ? 90) or another low-walkability neighborhood. The incidence of hypertension was assessed by linking the cohort to administrative health databases using a validated algorithm. Propensity-score matched Cox proportional hazard models were used. Annual health examination was used as a control event. Results:: Among the 1,057 propensity-score matched pairs there was a significantly lower risk of incident hypertension in the low to high vs. the low to low-walkability groups [hazard ratio = 0.46; 95% CI, 0.26, 0.81, p < 0.01]. The crude hypertension incidence rates were 18.0 per 1,000 person-years (95% CI: 11.6, 24.8) among the low- to low-walkability movers compared with 8.6 per 1,000 person-years (95% CI: 5.3, 12.7) among the low- to high-walkability movers (p < 0.001). There were no significant differences in the hazard of annual health examination between the two mover groups. Conclusions:: Moving to a highly walkable neighborhood was associated with a significantly lower risk of incident hypertension. Future research should assess whether specific attributes of walkable neighborhoods (e.g., amenities, density, land-use mix) may be driving this relationship. Citation:: Chiu M, Rezai MR, Maclagan LC, Austin PC, Shah BR, Redelmeier DA, Tu JV. 2016. Moving to a highly walkable neighborhood and incidence of hypertension: a propensity-score matched cohort study. Environ Health Perspect 124:754?760;?http://dx.doi.org/10.1289/ehp.1510425 äMoving to a Highly Walkable Neighborhood and Incidence of Hypertension(epmc).pdf DeepDyve Pubget Overpricing