Reviewgold2015

Cross-continental comparison of the association between the physical environment and active transportation in children: a systematic review

Sara D’Haese · Griet Vanwolleghem · Erica Aneke Hinckson · Ilse De Bourdeaudhuij · Benedicte I. Deforche · Delfien Van Dyck +1 more

118 citations0/0 files storedInternational Journal of Behavioral Nutrition and Physical Activity

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Urban Transport and Accessibility Traffic and Road Safety Urban Green Space and Health

Abstract

BACKGROUND: The purpose of this systematic review was to determine the relationship between a wide range of physical environmental characteristics and different contexts of active transportation in 6- to 12-year-old children across different continents. METHODS: A systematic search was conducted in six databases (Pubmed, Web of Science, Cinahl, SportDiscus, TRIS and Cochrane) resulting in 65 papers, eligible for inclusion. The investigated physical environmental variables were grouped into six categories: walkability, accessibility, walk/cycle facilities, aesthetics, safety, recreation facilities. RESULTS: The majority of the studies were conducted in North America (n = 35), Europe (n = 17) and Australia (n = 11). Active transportation to school (walking or cycling) was positively associated with walkability. Walking to school was positively associated with walkability, density and accessibility. Evidence for a possible association was found for traffic safety and all forms of active transportation to school. No convincing evidence was found for associations between the physical environment and active transportation during leisure. General safety and traffic safety were associated with active transportation to school in North America and Australia but not associated with active transportation to school in Europe. CONCLUSIONS: The physical environment was mainly associated with active transportation to school. Continent specific associations were found, indicating that safety measures were most important in relation to active commuting to school in North America and Australia. There is a need for longitudinal studies and studies conducted in Asia, Africa and South-America and studies focusing specifically on active transportation during leisure.

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References

2009Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement 2009Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement 2009Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.2009Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement 1991Publication bias in clinical research 2003Environmental correlates of walking and cycling: Findings from the transportation, urban design, and planning literatures 2004Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields 2004Understanding environmental influences on walking

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2019Promoting activity participation and well-being among children and adolescents 2017Neighborhood Built Environment and Socioeconomic Status in Relation to Active Commuting to School in Children 2020Different neighborhood walkability indexes for active commuting to school are necessary for urban and rural children and adolescents 2019Built Environment and Health Behaviors: Deconstructing the Black Box of Interactions—A Review of Reviews

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