Urban green spaces have been increasingly evidenced to not only improve human health (both body and mind) and well-being but also promote a sustainable way of living for citizens as well as cities. These positive health and sustainable advantages have even greater impacts when applied to people with disabilities, which can ultimately evaluate their quality of life in the long run. Unfortunately, people with disabilities receive less attention and tend to be disregarded in terms of equal access to public facilities, health-related services, and opportunities in society. Therefore, this article emphasizes the value of having green spaces within cities and acknowledges how people with disabilities gain the benefits through active and passive methods as well as direct and indirect means at the global, population, and individual levels. With that, this article argues that urban green spaces or the development of sustainable urbanism must prioritize and include people with disabilities in the planning process, as this inclusive population has the greatest potential for advancing public resources (e.g., environmentally, socially, and economically) and moving cities closer to being truly sustainable.
Introduction: People with disabilities have a great risk of physical inactivity, which causes several diseases, dependency, and long-term care. Walking helps to increase physical activity, which leads to better overall health and independence. However, less research attention has focused on walking for people with disabilities, and even fewer studies have been considered for different types of disabilities. The present study aimed to demonstrate how walking distance was associated with people with seven different types of disabilities— including visual, hearing, physical/mobility, intellectual, learning, autism, and emotional/behavioral disabilities—in terms of their physical abilities and subjective health.Methods: A total of 378 participants (aged 13–65) were gathered from seven national organizations in Thailand. A survey questionnaire on aspects of physical abilities (i.e., walking distance or manually rolling wheelchair distance; body balance; weightlifting; exercise duration and frequency); and subjective health (i.e., health status and satisfaction) was completed online by all participants.Results: The walking distance was partially positive and associated with exercise duration, weightlifting, exercise frequency, and health status (all p values < 0.001), as well as body balance and health satisfaction (p = 0.001 and 0.004, respectively), after controlling for age, sex, and types of disability. This demonstrated that increasing the amount of distance walked could well lead to a more positive body and mind.Discussion: The present study suggests that the possibility of having a walk and/or encouraging people with disabilities to walk for greater distances can have a significant impact on both their physical and subjective health outcomes.
27 February 2021 in Current Gerontology and Geriatrics Research
Objective. This study aims to investigate an association between body postures and autonomic nervous system (ANS) responses through analysis of short-term heart rate variability (HRV) data obtained through electrocardiography. Methods. Forty older individuals were recruited to form the sample. HRV measurements were taken in three positions—sitting, supine, and standing—and compared. Results. Results demonstrated statistically significant differences in the HRV parameters used to examine the parasympathetic nervous system (PNS) and the sympathetic nervous system (SNS), specifically in the measurements obtained from the sitting position and the supine position ( < 0.001 for PNS and = 0.011 for SNS). The differences in these parameters were, however, negligible between the sitting and the standing positions. Moreover, the ANS responses obtained in the sitting position were strongly and positively correlated with those in the standing position (r = 0.854 for PNS and r = 0.794 for SNS). These results suggested that the PNS and SNS parameters obtained while sitting were likely to be affected by orthostatic hypotension in much the same way as those in the standing position, as compared to the supine position. Conclusions. As such, sitting may not be the best position for older individuals in the assessment of their autonomic responses, whereas the supine position is recommended as the baseline posture in the old-age population. These findings are useful for future research in clinical settings that require accuracy in the ANS responses as determined by the HRV measurements.
22 November 2023 in Journal of Planning Literature
Despite the integration of universal design, access to urban greenspaces, which provide multiple health benefits, has been restricted among people with disabilities, particularly in developing countries. This article argues that the sole use of the seven principles of universal design is inadequate for urban greenspace planning as it consistently fails to prevent serious injuries, accommodate multiculturalism, and disregard subjective feelings when addressing people with disabilities. Additional approaches, including a safety strategy, diverse cultural behavior acceptability, and emotional design through landscape naturalness, are considered to improve accessibility, thereby reducing urban health inequalities and achieving an inclusive city.
Residential interior design for people with special needs necessitates more specific research, especially with respect to physical abilities. Previous studies, as opposed to general people, have overlooked the nuanced requirements generated by age, gender, and living environment differences. This study aims to examine physical abilities across different ages, genders, and residencies and identify relationships between in-home mobility and physical abilities among people with special needs. A total of 384 participants (eight different types of disabilities) completed electronic questionnaires. Among young, adult, and older groups, physical abilities and self-support showed statistical differences. Males demonstrated higher physical ability levels but decreased hand–arm movements than females. Greater physical abilities and subjective health were found in urban residents compared to non-urban residents. Additionally, in-home mobility was positively associated with out-of-home mobility, physical abilities, independence, and subjective health (all p values < 0.05). Thus, physical abilities revealed disparities across ages, genders, and resident settings. Also, the greater the mobility inside the house, the more possibilities there are to enhance physical abilities both inside and outside the house, independence, and subjective health. Design recommendations are provided regarding layout, furniture, flooring, and lighting. The consideration of these specific requirements in residential interior design is encouraged.
13 July 2022 in Journal of Architectural/Planning Research and Studies (JARS)
Many ageing people are staying at home, whether they are self-isolating or social distancing, because of the current Covid-19 situation. Fall incidents at home among the ageing are significantly associated with a high level of mortality. Bathrooms are frequently reported as a major environmental hazard in connection with falls. This serious health risk raises the matter of interior architecture. In terms of preventing falls, more architectural research focuses on interior elements e.g., handrail design, and non-slip mat, whilst less attention is paid to the issue of how ageing causes falls. Therefore, this article sheds light on the normal ageing process through an executive function that helps in the fall prevention of ageing people via decision-making and problem-solving. Normal ageing gradually results in declining executive function, including cognitive and motor functions, which limits and reduces day to day activities. The cognitive function (as a system) involves processing speed, accuracy in response, and error response whereas the motor function (as a mechanism) defines both gross and fine motor functions. A combination of cognitive and motor functions reflects conditions that may lead to a fall. Regarding the executive function, interior architecture for preventing falls in normal ageing people is strongly encouraged e.g., clear layout, timesaving activity, simplicity of design, lighting uniformity, short walking distance, cased opening, lightweight fixtures, and fine texture flooring. This article reviews the literature to address the knowledge gaps between interior architecture and human-centred design through ageing ergonomics, and employs a behaviour-focused aspect to interpret results for interior architects. Electronic databases, including Scopus, PubMed, and Google Scholar, were searched to specify appropriate papers, which were restricted to those in the English language. To improve the quality of the elderly’s life, this article provides recommendations that could assist interior architects in this challenge.
About Me
Areas: Cognition, Brain-heart axis, Ageing, and Design.
Laboratory: Advanced Ergonomics Research Centre, Bangkok, Thailand.
Ergonomics Society of Thailand: Member No. 0178 (Lifetime member).
Junior Visiting Academic: The Oxford Institute of Population Ageing, University of Oxford (2018-2019).
PhD in Medical Engineering, Faculty of Engineering, Thammasat University.
Areas: Cognition, Brain-heart axis, Ageing, and Design.
Laboratory: Advanced Ergonomics Research Centre, Bangkok, Thailand.
Ergonomics Society of Thailand: Member No. 0178 (Lifetime member).
Junior Visiting Academic: The Oxford Institute of Population Ageing, University of Oxford (2018-2019).
PhD in Medical Engineering, Faculty of Engineering, Thammasat University.