Author:
Stearns Jodie A.,Avedzi Hayford M,Yim Desmond,Spence John C.,Labbaf Farshad,Lamboglia Carminda G.,Ko Fiona,Farmer Ciara,Lytvyak Ellina,Kennedy Megan,Kim Yeong-Bae,Ren Hui,Lee Karen K.
Abstract
Objectives: To present the best and most up-to-date evidence on associations between built environment (BE) attributes and overall and specific domains of physical activity (PA) (i.e., leisure, transport, walking, and cycling) in older adults (≥60 years).Methods: An umbrella review was undertaken to compile evidence from systematic reviews using the Joanna Briggs Institute methodology. A comprehensive search (updated 16 August 2022), inclusion/exclusion of articles via title/abstract and full-text reviews, data extraction, and critical appraisal were completed. Only reviews with a good critical appraisal score were included.Results: Across three included systematic reviews, each BE attribute category was positively associated with ≥1 PA outcome. A larger number of significant associations with BE attributes were reported for transport walking (13/26), total walking (10/25), and total PA (9/26), compared to leisure walking (4/34) and transport cycling (3/12). Fewer associations have been examined for leisure cycling (1/2).Conclusion: Although the causality of findings cannot be concluded due to most primary studies being cross-sectional, these best and most up-to-date findings can guide necessary future longitudinal and experimental studies for the (re)design of age-friendly communities.
Funder
Public Health Agency of Canada
Subject
Public Health, Environmental and Occupational Health,Community and Home Care
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