SynthesisObesity reviews : an official journal of the International Association for the Study of Obesity2015
Impact of policy and built environment changes on obesity-related outcomes: a systematic review of naturally occurring experiments.
Synthesis in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 138 papers, 20 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
138 citing papers in PubMed, 20 syntheses or guidelines pooled it.
- Impacts of built environment changes on physical activity in Canada: a systematic review of natural experiments.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2026Pooled it
- Towards a comprehensive school food environment audit tool in Canada: a systematic review of school food environment measurements and nutrition determinants.BMC public health · 2025Pooled it
- Challenges and facilitators to parent-child shared physical interventions during preschool and school age education: a systematic review and meta synthesis.Frontiers in public health · 2025Pooled it
- Policy, system, and environmental interventions addressing obesity and diet-related outcomes in early childhood education settings: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2023Pooled it
- Impacts of new cycle infrastructure on cycling levels in two French cities: an interrupted time series analysis.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Examining the effectiveness of place-based interventions to improve public health and reduce health inequalities: an umbrella review.BMC public health · 2021Pooled it
- A systematic review of the influences of food store product placement on dietary-related outcomes.Nutrition reviews · 2020Pooled it
- Effects of the built environment on physical activity: a systematic review of longitudinal studies taking sex/gender into account.Environmental health and preventive medicine · 2020Pooled it
- Evaluating the health effects of place-based slum upgrading physical environment interventions: A systematic review (2012-2018).Social science & medicine (1982) · 2020Pooled it
- Methods for accounting for neighbourhood self-selection in physical activity and dietary behaviour research: a systematic review.The international journal of behavioral nutrition and physical activity · 2020Pooled it
- A systematic review of the effect of infrastructural interventions to promote cycling: strengthening causal inference from observational data.The international journal of behavioral nutrition and physical activity · 2019Pooled it
- Title: Can changing the physical environment promote walking and cycling? A systematic review of what works and how.Health & place · 2019Pooled it
- Built Environment and Health Behaviors: Deconstructing the Black Box of Interactions-A Review of Reviews.International journal of environmental research and public health · 2019Pooled it
- Effectiveness of Policies and Programs to Combat Adult Obesity: a Systematic Review.Journal of general internal medicine · 2018Pooled it
- Obesity Prevention: A Systematic Review of Setting-Based Interventions from Nordic Countries and the Netherlands.Journal of obesity · 2018Pooled it
- Systematic literature review of built environment effects on physical activity and active transport - an update and new findings on health equity.The international journal of behavioral nutrition and physical activity · 2017Pooled it
- Physical activity and the environment: conceptual review and framework for intervention research.The international journal of behavioral nutrition and physical activity · 2017Pooled it
- Pooled it
- [Spanish Adaptation of the 2016 European Guidelines on Cardiovascular Disease Prevention in Clinical Practice].Revista espanola de salud publica · 2016Guideline
- Built Environment, Selected Risk Factors and Major Cardiovascular Disease Outcomes: A Systematic Review.PloS one · 2016Pooled it
78 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
Policies and changes to the built environment are promising targets for obesity prevention efforts and can be evaluated as 'natural'- or 'quasi'-experiments. This systematic review examined the use of natural- or quasi-experiments to evaluate the efficacy of policy and built environment changes on obesity-related outcomes (body mass index, diet or physical activity). PubMed (Medline) was searched for studies published 2005-2013; 1,175 abstracts and 115 papers were reviewed. Of the 37 studies included, 18 studies evaluated impacts on nutrition/diet, 17 on physical activity and 3 on body mass index. Nutrition-related studies found greater effects because of bans/restrictions on unhealthy foods, mandates offering healthier foods, and altering purchase/payment rules on foods purchased using low-income food vouchers compared with other interventions (menu labelling, new supermarkets). Physical activity-related studies generally found stronger impacts when the intervention involved improvements to active transportation infrastructure, longer follow-up time or measured process outcomes (e.g., cycling rather than total physical activity), compared with other studies. Only three studies directly assessed body mass index or weight, and only one (installing light-rail system) observed a significant effect. Studies varied widely in the strength of their design and studies with weaker designs were more likely to report associations in the positive direction.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.