Countrywide Natural Experiment Links Built Environment To Physical Activity

A countrywide study of smartphone users who relocated between US cities found that moving to more walkable environments increased daily walking by 1,100 steps on average. Stanford University researchers analyzed 248,266 days of step data from 5,424 users of the Azumio Argus smartphone app who relocated 7,447 times among 1,609 cities between March 2013 and February 2016. Participants who moved from cities at the 25th percentile of walkability to those at the 75th percentile sustained the increased activity levels for at least three months after relocation.

The additional steps consisted predominantly of moderate-to-vigorous physical activity, with large walkability increases of 49-80 points associated with about one hour per week more of such activity. The study found that 42.5% of participants met national physical activity guidelines for moderate-to-vigorous activity after moving to highly walkable locations, compared to 21.5% before relocation. Computer simulations based on the data suggest that increasing all US cities to the walkability level of Chicago or Philadelphia could result in 36 million more Americans meeting aerobic physical activity guidelines.

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