Evidence map›Paper›PMID 28166790›Full record

SynthesisThe international journal of behavioral nutrition and physical activity2017

The neighbourhood physical environment and active travel in older adults: a systematic review and meta-analysis.

Ester Cerin, Andrea Nathan, Jelle van Cauwenberg, David W Barnett, Anthony Barnett, Council on Environment and Physical Activity (CEPA) – Older Adults working group

Open access · goldAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The international journal of behavioral nutrition and physical activity, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 210 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
210citing papers in PubMed, 17 pooled it
112.5field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

210 citing papers in PubMed, 17 syntheses or guidelines pooled it, 596 citations in OpenAlex.

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  4. Determinants of physical activity in community-dwelling older adults: an umbrella review.The international journal of behavioral nutrition and physical activity · 2023
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  6. The Effect of Human Settlement Pedestrian Environment on Gait of Older People: An Umbrella Review.International journal of environmental research and public health · 2023
    Pooled it
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  8. Urban Green Space and Subjective Well-Being of Older People: A Systematic Literature Review.International journal of environmental research and public health · 2022
    Pooled it
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  11. The built environment as determinant of childhood obesity: A systematic literature review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
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  16. Built Environment and Health Behaviors: Deconstructing the Black Box of Interactions-A Review of Reviews.International journal of environmental research and public health · 2019
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150 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Ester CerinInstitute for Health and Ageing, Australian Catholic University, Level 6, 215 Spring Street, Melbourne, VIC, 3000, Australia. ecerin@hku.hk.ORCID 0000-0002-7599-165X
Andrea NathanInstitute for Health and Ageing, Australian Catholic University, Level 6, 215 Spring Street, Melbourne, VIC, 3000, Australia.
Jelle van CauwenbergDepartment of Public Health, Ghent University, Ghent, Belgium.
David W BarnettInstitute for Health and Ageing, Australian Catholic University, Level 6, 215 Spring Street, Melbourne, VIC, 3000, Australia.
Anthony BarnettInstitute for Health and Ageing, Australian Catholic University, Level 6, 215 Spring Street, Melbourne, VIC, 3000, Australia.
Council on Environment and Physical Activity (CEPA) – Older Adults working group
Australian Catholic University · AUBaker Heart and Diabetes Institute · AUGhent University · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerceived 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.

methodsForty 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).

resultsMost 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.

conclusionsResults 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.

Indexed as

BicyclingEnvironment DesignResidence CharacteristicsTransportationWalkingAgedFemaleHumansMaleMiddle AgedActive travelBuilt environmentCyclingMeta-analysisModeratorsNeighbourhoodOlder adultsSystematic reviewWalking

Identifiers

PMID28166790
PMCPMC5294838
OpenAlexW2587510093

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.