RT Journal Article T1 Mediterranean Built Environment and Precipitation as Modulator Factors on Physical Activity in Obese Mid-Age and Old-Age Adults with Metabolic Syndrome: Cross-Sectional Study. A1 Colom, Antoni A1 Ruiz, Maurici A1 Wärnberg, Julia A1 Compa, Montserrat A1 Muncunill, Josep A1 Barón-López, Francisco Javier A1 Benavente-Marín, Juan Carlos A1 Cabeza, Elena A1 Morey, Marga A1 Fitó, Montserrat A1 Salas-Salvadó, Jordi A1 Romaguera, Dora K1 GIS K1 PREDIMED-Plus trial K1 accelerometer K1 built environment K1 elderly K1 leisure K1 physical activity K1 public open space K1 senior adults K1 walking K1 weather AB When promoting physical activity (PA) participation, it is important to consider the plausible environmental determinants that may affect this practice. The impact of objectively-measured public open spaces (POS) and walk-friendly routes on objectively-measured and self-reported PA was explored alongside the influence of rainy conditions on this association, in a Mediterranean sample of overweight or obese senior adults with metabolic syndrome. Cross-sectional analyses were undertaken on 218 PREDIMED-Plus trial participants aged 55⁻75 years, from the city of Palma, in Mallorca (Spain). Indicators of access to POS and walk-friendly routes were assessed in a 1.0 and 0.5 km sausage network walkable buffers around each participant's residence using geographic information systems. Mean daily minutes of self-reported leisure-time brisk walking, and accelerometer objectively-measured moderate-to-vigorous PA in bouts of at least 10 min (OM-MVPA) were measured. To investigate the association between access to POS and walk-friendly routes with PA, generalized additive models with a Gaussian link function were used. Interaction of rainy conditions with the association between access to POS and walk-friendly routes with OM-MVPA was also examined. Better access to POS was not statistically significantly associated with self-reported leisure-time brisk walking or OM-MVPA. A positive significant association was observed only between distance of walk-friendly routes contained or intersected by buffer and OM-MVPA, and was solely evident on non-rainy days. In this elderly Mediterranean population, only access to walk-friendly routes had an influence on accelerometer-measured PA. Rainy conditions during the accelerometer wear period did appear to modify this association. YR 2019 FD 2019-03-08 LK http://hdl.handle.net/10668/13686 UL http://hdl.handle.net/10668/13686 LA en DS RISalud RD Apr 8, 2025