The neighbourhood physical environment and active travel in older adults: a systematic review and meta-analysis.
Ester Cerin,Ester Cerin,Ester Cerin,Andrea Nathan,Jelle Van Cauwenberg,David Barnett,Anthony Barnett +6 more
TLDR
Results support strong links between the neighbourhood physical environment and older adults’ AT and the identification of types and mixes of destinations that support AT in older adults and how these interact with individual characteristics and other environmental factors.Abstract:
Perceived and objectively-assessed aspects of the neighbourhood physical environment have been postulated to be key contributors to regular engagement in active travel (AT) in older adults. We systematically reviewed the literature on neighbourhood physical environmental correlates of AT in older adults and applied a novel meta-analytic approach to statistically quantify the strength of evidence for environment-AT associations. Forty two quantitative studies that estimated associations of aspects of the neighbourhood built environment with AT in older adults (aged ≥ 65 years) and met selection criteria were reviewed and meta-analysed. Findings were analysed according to five AT outcomes (total walking for transport, within-neighbourhood walking for transport, combined walking and cycling for transport, cycling for transport, and all AT outcomes combined) and seven categories of the neighbourhood physical environment (residential density/urbanisation, walkability, street connectivity, access to/availability of services/destinations, pedestrian and cycling infrastructure, aesthetics and cleanliness/order, and safety and traffic). Most studies examined correlates of total walking for transport. A sufficient amount of evidence of positive associations with total walking for transport was found for residential density/urbanisation, walkability, street connectivity, overall access to destinations/services, land use mix, pedestrian-friendly features and access to several types of destinations. Littering/vandalism/decay was negatively related to total walking for transport. Limited evidence was available on correlates of cycling and combined walking and cycling for transport, while sufficient evidence emerged for a positive association of within-neighbourhood walking with pedestrian-friendly features and availability of benches/sitting facilities. Correlates of all AT combined mirrored those of walking for transport. Positive associations were also observed with food outlets, business/institutional/industrial destinations, availability of street lights, easy access to building entrance and human and motorised traffic volume. Several but inconsistent individual- and environmental-level moderators of associations were identified. Results support strong links between the neighbourhood physical environment and older adults’ AT. Future research should focus on the identification of types and mixes of destinations that support AT in older adults and how these interact with individual characteristics and other environmental factors. Future research should also aim to clarify dose-response relationships through multi-country investigations and data-pooling from diverse geographical regions.read more
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Built environmental correlates of older adults' total physical activity and walking: a systematic review and meta-analysis
David Barnett,Anthony Barnett,Andrea Nathan,Jelle Van Cauwenberg,Jelle Van Cauwenberg,Ester Cerin,Ester Cerin,Ester Cerin +7 more
TL;DR: Safe, walkable, and aesthetically pleasing neighbourhoods, with access to overall and specific destinations and services positively influenced older adults’ PA participation, but the strength of evidence of associations of specific categories of environment attributes with PA differed across PA and environmental measurement types.
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To walk or not to walk? Examining non-linear effects of streetscape greenery on walking propensity of older adults
TL;DR: In this article, the authors used Google Street View imagery and a fully convolutional neural network to evaluate human-scale, eye-level streetscape greenery, and adopted a machine learning technique, namely random forest modeling, to scrutinize the non-linear effects of streetscape greenery on the walking propensity of older adults.
Journal ArticleDOI
Relationships Between Neighbourhood Physical Environmental Attributes and Older Adults' Leisure-Time Physical Activity: A Systematic Review and Meta-Analysis.
Jelle Van Cauwenberg,Jelle Van Cauwenberg,Andrea Nathan,Anthony Barnett,David Barnett,Ester Cerin,Ester Cerin,Ester Cerin +7 more
TL;DR: The observed significant relationships can be used to inform policy makers and planners on how to (re-)design neighbourhoods that promote LTPA among older adults.
Journal ArticleDOI
Built environment and cardio-metabolic health: systematic review and meta-analysis of longitudinal studies.
Manoj Chandrabose,Jerome N. Rachele,Lucy Gunn,Lucy Gunn,Anne Kavanagh,Neville Owen,Gavin Turrell,Gavin Turrell,Gavin Turrell,Billie Giles-Corti,Takemi Sugiyama,Takemi Sugiyama,Takemi Sugiyama +12 more
TL;DR: There was strong evidence for longitudinal relationships of walkability with obesity, type 2 diabetes and hypertension outcomes in the expected direction and the impact of urban sprawl on obesity outcomes.
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