---
_id: '11284'
abstract:
- lang: eng
  text: 'Introduction: Non-communicable diseases are the global disease burden of
    our time, with physical inactivity identified as one major risk factor. Green
    spaces are associated with increased physical activity of nearby residents. But
    there are still gaps in understanding which proximity and what characteristics
    of green spaces can trigger physical activity. This study aims to unveil these
    differences with a rigorous sensitivity analysis. Methods: We gathered data on
    self-reported health and physical activity from 1365 participants in selected
    neighbourhoods in Porto, Nantes, Sofia, and Hoje-Taastrup. Spatial data were retrieved
    from OpenStreetMap. We followed the PRIGSHARE guidelines to control for bias.
    Around the residential addresses, we generated seven different green space indicators
    for 15 distances (100-1500 m) using the AID-PRIGSHARE tool. We then analysed each
    of these 105 green space indicators together with physical activity and health
    in 105 adjusted structural equation models. Results: Green space accessibility
    and green space uses indicators showed a pattern of significant positive associations
    to physical activity and indirect to health at distances of 1100 m or less, with
    a peak at 600 m for most indicators. Greenness in close proximity (100 m) had
    significant positive effects on physical activity and indirect effects on health.
    Surrounding greenness showed positive direct effects on health at 500-1100 m and
    so do green corridors in 800 m network distance. In contrast, a high quantity
    of green space uses, and surrounding greenness measured in a larger radius (1100-1500
    m) showed a negative relationship with physical activity and indirect health effects.
    Conclusions: Our results provide insight into how green space characteristics
    can influence health at different scales, with important implications for urban
    planners on how to integrate accessible green spaces into urban structures and
    public health decision-makers on the ability of green spaces to combat physical
    inactivity.'
article_number: '117605'
author:
- first_name: Marcel
  full_name: Cardinali, Marcel
  id: '58462'
  last_name: Cardinali
  orcid: 0000-0002-8841-9345
- first_name: Mariëlle A.
  full_name: Beenackers, Mariëlle A.
  last_name: Beenackers
- first_name: Arjan
  full_name: van Timmeren, Arjan
  last_name: van Timmeren
- first_name: Uta
  full_name: Pottgiesser, Uta
  id: '27166'
  last_name: Pottgiesser
  orcid: 0000-0002-8594-3168
citation:
  ama: 'Cardinali M, Beenackers MA, van Timmeren A, Pottgiesser U. The relation between
    proximity to and characteristics of green spaces to physical activity and health:
    A multi-dimensional sensitivity analysis in four European cities. <i>Environmental
    research : a multidisziplinary journal of environmental sciences, ecology, and
    public health </i>. 2023;241. doi:<a href="https://doi.org/10.1016/j.envres.2023.117605">10.1016/j.envres.2023.117605</a>'
  apa: 'Cardinali, M., Beenackers, M. A., van Timmeren, A., &#38; Pottgiesser, U.
    (2023). The relation between proximity to and characteristics of green spaces
    to physical activity and health: A multi-dimensional sensitivity analysis in four
    European cities. <i>Environmental Research : A Multidisziplinary Journal of Environmental
    Sciences, Ecology, and Public Health </i>, <i>241</i>, Article 117605. <a href="https://doi.org/10.1016/j.envres.2023.117605">https://doi.org/10.1016/j.envres.2023.117605</a>'
  bjps: '<b>Cardinali M <i>et al.</i></b> (2023) The Relation between Proximity to
    and Characteristics of Green Spaces to Physical Activity and Health: A Multi-Dimensional
    Sensitivity Analysis in Four European Cities. <i>Environmental research : a multidisziplinary
    journal of environmental sciences, ecology, and public health </i> <b>241</b>.'
  chicago: 'Cardinali, Marcel, Mariëlle A. Beenackers, Arjan van Timmeren, and Uta
    Pottgiesser. “The Relation between Proximity to and Characteristics of Green Spaces
    to Physical Activity and Health: A Multi-Dimensional Sensitivity Analysis in Four
    European Cities.” <i>Environmental Research : A Multidisziplinary Journal of Environmental
    Sciences, Ecology, and Public Health </i> 241 (2023). <a href="https://doi.org/10.1016/j.envres.2023.117605">https://doi.org/10.1016/j.envres.2023.117605</a>.'
  chicago-de: 'Cardinali, Marcel, Mariëlle A. Beenackers, Arjan van Timmeren und Uta
    Pottgiesser. 2023. The relation between proximity to and characteristics of green
    spaces to physical activity and health: A multi-dimensional sensitivity analysis
    in four European cities. <i>Environmental research : a multidisziplinary journal
    of environmental sciences, ecology, and public health </i> 241. doi:<a href="https://doi.org/10.1016/j.envres.2023.117605">10.1016/j.envres.2023.117605</a>,
    .'
  din1505-2-1: '<span style="font-variant:small-caps;">Cardinali, Marcel</span> ;
    <span style="font-variant:small-caps;">Beenackers, Mariëlle A.</span> ; <span
    style="font-variant:small-caps;">van Timmeren, Arjan</span> ; <span style="font-variant:small-caps;">Pottgiesser,
    Uta</span>: The relation between proximity to and characteristics of green spaces
    to physical activity and health: A multi-dimensional sensitivity analysis in four
    European cities. In: <i>Environmental research : a multidisziplinary journal of
    environmental sciences, ecology, and public health </i> Bd. 241. San Diego, Calif.,
    Elsevier BV (2023)'
  havard: 'M. Cardinali, M.A. Beenackers, A. van Timmeren, U. Pottgiesser, The relation
    between proximity to and characteristics of green spaces to physical activity
    and health: A multi-dimensional sensitivity analysis in four European cities,
    Environmental Research : A Multidisziplinary Journal of Environmental Sciences,
    Ecology, and Public Health . 241 (2023).'
  ieee: 'M. Cardinali, M. A. Beenackers, A. van Timmeren, and U. Pottgiesser, “The
    relation between proximity to and characteristics of green spaces to physical
    activity and health: A multi-dimensional sensitivity analysis in four European
    cities,” <i>Environmental research : a multidisziplinary journal of environmental
    sciences, ecology, and public health </i>, vol. 241, Art. no. 117605, 2023, doi:
    <a href="https://doi.org/10.1016/j.envres.2023.117605">10.1016/j.envres.2023.117605</a>.'
  mla: 'Cardinali, Marcel, et al. “The Relation between Proximity to and Characteristics
    of Green Spaces to Physical Activity and Health: A Multi-Dimensional Sensitivity
    Analysis in Four European Cities.” <i>Environmental Research : A Multidisziplinary
    Journal of Environmental Sciences, Ecology, and Public Health </i>, vol. 241,
    117605, 2023, <a href="https://doi.org/10.1016/j.envres.2023.117605">https://doi.org/10.1016/j.envres.2023.117605</a>.'
  short: 'M. Cardinali, M.A. Beenackers, A. van Timmeren, U. Pottgiesser, Environmental
    Research : A Multidisziplinary Journal of Environmental Sciences, Ecology, and
    Public Health  241 (2023).'
  ufg: '<b>Cardinali, Marcel u. a.</b>: The relation between proximity to and characteristics
    of green spaces to physical activity and health: A multi-dimensional sensitivity
    analysis in four European cities, in: <i>Environmental research : a multidisziplinary
    journal of environmental sciences, ecology, and public health </i> 241 (2023).'
  van: 'Cardinali M, Beenackers MA, van Timmeren A, Pottgiesser U. The relation between
    proximity to and characteristics of green spaces to physical activity and health:
    A multi-dimensional sensitivity analysis in four European cities. Environmental
    research : a multidisziplinary journal of environmental sciences, ecology, and
    public health . 2023;241.'
date_created: 2024-03-24T11:20:21Z
date_updated: 2025-06-25T12:41:11Z
department:
- _id: DEP1000
- _id: DEP1055
doi: 10.1016/j.envres.2023.117605
external_id:
  isi:
  - '001121173400001'
  pmid:
  - '37956752'
intvolume: '       241'
isi: '1'
keyword:
- Greenspace
- Mediator
- Behaviour
- Sedentary lifestyle
- Public health
language:
- iso: eng
place: San Diego, Calif.
pmid: '1'
publication: 'Environmental research : a multidisziplinary journal of environmental
  sciences, ecology, and public health '
publication_identifier:
  eissn:
  - 1096-0953
  issn:
  - 0013-9351
publication_status: published
publisher: Elsevier BV
status: public
title: 'The relation between proximity to and characteristics of green spaces to physical
  activity and health: A multi-dimensional sensitivity analysis in four European cities'
type: scientific_journal_article
user_id: '83781'
volume: 241
year: '2023'
...
