Evidence map›Paper›PMID 34682484›Full record

ReviewInternational journal of environmental research and public health2021

Measuring the Built Environment in Studies of Child Health-A Meta-Narrative Review of Associations.

Adriana Ortegon-Sanchez, Rosemary R C McEachan, Alexandra Albert, Chris Cartwright, Nicola Christie, Ashley Dhanani, Shahid Islam, Marcella Ucci, Laura Vaughan

Open access · goldAbstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
6.4field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Shaping Pathways to Child Health: A Systematic Review of Street-Scale Interventions in City Streets.International journal of environmental research and public health · 2022
    Pooled it
  3. Pooled it
  4. Disparities of children's obesogenic environments in Louisiana.International journal of health geographics · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Built environment and childhood obesity.World journal of clinical pediatrics · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Article
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

9 authors at 4 institutions in 1 country.

Adriana Ortegon-SanchezCentre for Transport Studies, Department of Civil, Environmental and Geomatic Engineering, University College London-UCL, London WC1E 6BT, UK.
Rosemary R C McEachanBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford BD9 6RJ, UK.ORCID 0000-0003-1302-6675
Alexandra AlbertExtreme Citizen Science Group, Department of Geography, University College London-UCL, London WC1E 6BT, UK.
Chris CartwrightBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford BD9 6RJ, UK.
Nicola ChristieCentre for Transport Studies, Department of Civil, Environmental and Geomatic Engineering, University College London-UCL, London WC1E 6BT, UK.ORCID 0000-0001-7152-5240
Ashley DhananiSpace Syntax Laboratory, The Bartlett School of Architecture, University College London-UCL, London WC1H 0QB, UK.
Shahid IslamBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford BD9 6RJ, UK.ORCID 0000-0002-7424-4011
Marcella UcciUCL Institute for Environmental Design and Engineering, The Bartlett Faculty of the Built Environment, University College London-UCL, London WC1H 0NN, UK.
Laura VaughanSpace Syntax Laboratory, The Bartlett School of Architecture, University College London-UCL, London WC1H 0QB, UK.ORCID 0000-0003-0315-2977
Bradford Teaching Hospitals NHS Foundation Trust · GBSpace Syntax (United Kingdom) · GBTransport for London · GBUniversity College London · GB

Funding

Medical Research Council MR/S037527/1National Institute for Health Research NIHR200166
6 · The paper itself

Abstract

Although the built environment (BE) is important for children's health, there is little consensus about which features are most important due to differences in measurement and outcomes across disciplines. This meta-narrative review was undertaken by a multi-disciplinary team of researchers to summarise ways in which the BE is measured, and how this links to children's health. A structured search of four databases across the relevant disciplines retrieved 108 relevant references. The most commonly addressed health-related outcomes were active travel, physical activity and play, and obesity. Many studies used objective (GIS and street audits) or standardised subjective (perceived) measurements of the BE. However, there was a wide variety, and sometimes inconsistency, in their definition and use. There were clear associations between the BE and children's health. Objective physical activity and self-reported active travel, or obesity, were positively associated with higher street connectivity or walkability measures, while self-reported physical activity and play had the strongest association with reduced street connectivity, indicated by quieter, one-way streets. Despite the high heterogeneity found in BE measures and health outcomes, the meta-narrative approach enabled us to identify ten BE categories that are likely to support children's health and be protective against some non-communicable disease risk factors. Future research should implement consistent BE measures to ensure key features are explored. A systems approach will be particularly relevant for addressing place-based health inequalities, given potential unintended health consequences of making changes to the BE.

Indexed as

Built EnvironmentChild HealthChildEnvironment DesignExerciseHumansObesityResidence Characteristicsbuilt environmentchildrenhealth outcomesmeta-narrative reviewnon-communicable diseasesstreets

Identifiers

PMID34682484
PMCPMC8535212
OpenAlexW3206665999

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.