Systematic and meta-based evaluation of the relationship between the built environment and physical activity behaviors among older adults

Objectives Existing assertions about the relationship between various factors of the built environment and physical activity behaviors are inconsistent and warrant further exploration and analysis. Methods This study systematically searched PubMed, Embase, Web of Science, Scopus, the Cochrane Librar...

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Main Authors: Yanwei You, Yuquan Chen, Qi Zhang, Xiaojie Hu, Xingzhong Li, Ping Yang, Qun Zuo, Qiang Cao
Format: Article
Language:English
Published: PeerJ Inc. 2023-09-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/16173.pdf
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author Yanwei You
Yuquan Chen
Qi Zhang
Xiaojie Hu
Xingzhong Li
Ping Yang
Qun Zuo
Qiang Cao
author_facet Yanwei You
Yuquan Chen
Qi Zhang
Xiaojie Hu
Xingzhong Li
Ping Yang
Qun Zuo
Qiang Cao
author_sort Yanwei You
collection DOAJ
description Objectives Existing assertions about the relationship between various factors of the built environment and physical activity behaviors are inconsistent and warrant further exploration and analysis. Methods This study systematically searched PubMed, Embase, Web of Science, Scopus, the Cochrane Library and Google Scholar for the effect of the built environment on the physical activity behaviors of older adults. R software was used to calculate the meta-estimated odds ratio with a 95% confidence interval. Simultaneously, the quality of included studies was evaluated using an observational study quality evaluation standard recommended by American health care quality and research institutions. Results A total of 16 original researches were included in this meta-analysis and eight factors of the built environment were evaluated. These factors which ranked from high to low according to their impact were traffic safety (OR = 1.58, 95% CI [1.14–2.20]), destination accessibility (OR = 1.24, 95% CI [1.06–1.44]), aesthetics of sports venues (OR = 1.21, 95% CI [1.07–1.37]), virescence of sports venues (OR = 1.14, 95% CI [1.06–1.23]), building density (OR = 1.07, 95% CI [1.02–1.13]). Additionally, it seemed that there was no potential association between mixed land use (OR = 1.01, 95% CI [0.92–1.10]), the quality of pedestrian facilities (OR = 1.00, 95% CI [0.92–1.08]) or commercial facilities (OR = 0.94, 95% CI [0.88–1.00]) and physical activity behaviors of older adults. Conclusions The built environment has been found to exhibit a significant relationship with the physical activity behaviors of older adults. It is proposed that factors such as traffic safety, destination accessibility, aesthetics of sports venues, virescence of sports venues, and building density be given more consideration when aiming to promote physical activity levels among older adults.
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spelling doaj.art-b154916cb52f433fbc8a05dd727b5d8d2023-12-02T23:53:49ZengPeerJ Inc.PeerJ2167-83592023-09-0111e1617310.7717/peerj.16173Systematic and meta-based evaluation of the relationship between the built environment and physical activity behaviors among older adultsYanwei You0Yuquan Chen1Qi Zhang2Xiaojie Hu3Xingzhong Li4Ping Yang5Qun Zuo6Qiang Cao7Division of Sports Science and Physical Education, Tsinghua University, Bejing, ChinaInstitute of Medical Information/Medical Library, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, ChinaTaishan University, Taian, ChinaShanghai University of Traditional Chinese Medicine, Shanghai, ChinaZhedong Orthopedic Hospital, Ningbo, ChinaDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, United StatesCollege of Public Health, Hebei University/Hebei Key Laboratory of Public Health Safety, Baoding, ChinaDepartment of Earth Sciences, Kunming University of Science and Technology, Kunming, ChinaObjectives Existing assertions about the relationship between various factors of the built environment and physical activity behaviors are inconsistent and warrant further exploration and analysis. Methods This study systematically searched PubMed, Embase, Web of Science, Scopus, the Cochrane Library and Google Scholar for the effect of the built environment on the physical activity behaviors of older adults. R software was used to calculate the meta-estimated odds ratio with a 95% confidence interval. Simultaneously, the quality of included studies was evaluated using an observational study quality evaluation standard recommended by American health care quality and research institutions. Results A total of 16 original researches were included in this meta-analysis and eight factors of the built environment were evaluated. These factors which ranked from high to low according to their impact were traffic safety (OR = 1.58, 95% CI [1.14–2.20]), destination accessibility (OR = 1.24, 95% CI [1.06–1.44]), aesthetics of sports venues (OR = 1.21, 95% CI [1.07–1.37]), virescence of sports venues (OR = 1.14, 95% CI [1.06–1.23]), building density (OR = 1.07, 95% CI [1.02–1.13]). Additionally, it seemed that there was no potential association between mixed land use (OR = 1.01, 95% CI [0.92–1.10]), the quality of pedestrian facilities (OR = 1.00, 95% CI [0.92–1.08]) or commercial facilities (OR = 0.94, 95% CI [0.88–1.00]) and physical activity behaviors of older adults. Conclusions The built environment has been found to exhibit a significant relationship with the physical activity behaviors of older adults. It is proposed that factors such as traffic safety, destination accessibility, aesthetics of sports venues, virescence of sports venues, and building density be given more consideration when aiming to promote physical activity levels among older adults.https://peerj.com/articles/16173.pdfPhysical activity behaviorsBuilt environmentElderlySocial-ecological modelSystematic reviewMeta-analysis
spellingShingle Yanwei You
Yuquan Chen
Qi Zhang
Xiaojie Hu
Xingzhong Li
Ping Yang
Qun Zuo
Qiang Cao
Systematic and meta-based evaluation of the relationship between the built environment and physical activity behaviors among older adults
PeerJ
Physical activity behaviors
Built environment
Elderly
Social-ecological model
Systematic review
Meta-analysis
title Systematic and meta-based evaluation of the relationship between the built environment and physical activity behaviors among older adults
title_full Systematic and meta-based evaluation of the relationship between the built environment and physical activity behaviors among older adults
title_fullStr Systematic and meta-based evaluation of the relationship between the built environment and physical activity behaviors among older adults
title_full_unstemmed Systematic and meta-based evaluation of the relationship between the built environment and physical activity behaviors among older adults
title_short Systematic and meta-based evaluation of the relationship between the built environment and physical activity behaviors among older adults
title_sort systematic and meta based evaluation of the relationship between the built environment and physical activity behaviors among older adults
topic Physical activity behaviors
Built environment
Elderly
Social-ecological model
Systematic review
Meta-analysis
url https://peerj.com/articles/16173.pdf
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