Evidence map›Paper›PMID 30055594›Full record

SynthesisBMC public health2018

Built and natural environment planning principles for promoting health: an umbrella review.

E L Bird, J O Ige, P Pilkington, A Pinto, C Petrokofsky, J Burgess-Allen

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

62 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. The impact of interventions in the built environment on physical activity levels: a systematic umbrella review.The international journal of behavioral nutrition and physical activity · 2022
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2 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.

E L BirdFaculty of Health and Applied Sciences, University of the West of England, Frenchay Campus, Bristol, BS16 1QY, UK. emma.bird@uwe.ac.uk.ORCID 0000-0002-9603-3434
J O IgeFaculty of Health and Applied Sciences, University of the West of England, Frenchay Campus, Bristol, BS16 1QY, UK.
P PilkingtonFaculty of Health and Applied Sciences, University of the West of England, Frenchay Campus, Bristol, BS16 1QY, UK.
A PintoHealth Equity & Mental Health Division, Health Improvement Directorate, Public Health England, 2nd Floor Skipton House, 80 London Road, London, SE1 6LH, UK.
C PetrokofskyHealth Equity & Mental Health Division, Health Improvement Directorate, Public Health England, 2nd Floor Skipton House, 80 London Road, London, SE1 6LH, UK.
J Burgess-AllenPublic Health, Derby City Council, 1st Floor, The Council House, Corporation Street, Derby, DE1 2FS, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe built and natural environment and health are inextricably linked. However, there is considerable debate surrounding the strength and quality of the evidence base underpinning principles of good practice for built and natural environment design in promoting health. This umbrella review aimed to assess relationships between the built and natural environment and health, concentrating on five topic areas: neighbourhood design, housing, food environment, natural and sustainable environment, and transport.

methodsA structured search was conducted for quantitative systematic reviews and stakeholder reviews published between January 2005 and April 2016. Seven databases and the websites of 15 relevant and respected stakeholder organisations known to publish review-level documentation were searched. Searches were limited to English-language publications and duplicate references were removed. Evidence quality and strength was appraised using validated techniques. Findings were used to develop a diagram for each topic area, illustrating relationships between built and natural environment planning principles and health-related outcomes.

resultsA total of 117 systematic reviews and review-level documents were eligible for inclusion. The quality of evidence was mixed; much of the evidence examined relied on findings from cross-sectional studies, making it difficult to draw clear causal links between built environment exposures and health-related impacts and outcomes. Fourteen actionable planning principles associated with positive health-related outcomes were identified across the five topic areas. For example, neighbourhoods that enhanced walkability, were complete and compact in design, and those which enhanced connectivity through safe and efficient infrastructure were associated with better health-related outcomes relating to physical activity, social engagement, mental health, perceptions of crime, and road traffic collisions. Evidence for the effectiveness of planning principles across different topic areas and on reducing health inequalities was sparse and inconclusive.

conclusionsFindings provide an up-to-date overview of relationships between the built and natural environment and health and present logical, evidence-based messages to aid communication between public health and planning professionals.

Indexed as

AdultChildCrimeCross-Sectional StudiesEnvironment DesignExerciseFood SupplyHealth PlanningHealth PromotionHealth Status DisparitiesHousingHumansMental HealthPlanning TechniquesPublic HealthResidence CharacteristicsBuilt and natural environmentHealthPlanningUmbrella review

Identifiers

PMID30055594
PMCPMC6064105

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.