title: Do neighborhoods make people active, or do people make active neighborhoods? Evidence from a planned community in Austin, Texas.
abstract: BACKGROUND
  Whether patterns of physical activity in different communities can be attributed to the built environment or instead reflect self-selection is not well understood. The objective of this study was to examine neighborhood preferences and behavior-specific physical activity among residents who moved to a new urbanist-designed community.
  
  
  METHODS
  We used data from a 2009 survey (n = 424) that was designed and administered to evaluate neighborhood preferences and behavior-specific physical activity before and after residents moved. Data were grouped and stratified by pre-move physical activity levels into low-, middle-, and high-activity groups. We used Student's paired sample t test and Wilcoxon signed-rank test to compare pre- and post-move scores and used an analysis of variance to compare mean changes as a function of pre-move physical activity level.
  
  
  RESULTS
  After moving, the high-activity group continued to be significantly more active than the middle- and low-activity groups (P < .001). However, we saw the biggest increase in pre- to post-move total physical activity in the low-activity group (mean increase, 176.3 min/wk) compared with the middle- (mean increase, 69.5 min/wk) and high-activity groups (mean decrease, 67.9 min/wk). All 3 groups had significant increases in walking inside the neighborhood for recreation. The preferred neighborhood features with the most significant pre- to post-move change scores were those associated with greater walkability.
  
  
  CONCLUSIONS
  This study supports the role the environment plays in physical activity. These data suggest that moving to an activity-friendly neighborhood can positively affect physical activity levels, particularly among residents who had previously been least active.
authors.affiliation: John Snow Inc, 44 Farnsworth Street, Boston, MA 02210, USA. tcalise@jsi.com
authors.forename: Tamara Vehige
authors.initials: TV
authors.lastname: Calise
authors.forename: Timothy
authors.initials: T
authors.lastname: Heeren
authors.forename: William
authors.initials: W
authors.lastname: DeJong
authors.forename: Samuel C
authors.initials: SC
authors.lastname: Dumith
authors.forename: Harold W
authors.initials: HW
authors.lastname: Kohl
mesh_terms: D000328:Adult; D002958:City Planning; D003430:Cross-Sectional Studies; D004779:Environment Design; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008297:Male; D009043:Motor Activity; D012111:Residence Characteristics; D013781:Texas; D016138:Walking; D055815:Young Adult