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Table 2 Characteristics of the included reviews

From: The impact of interventions in the built environment on physical activity levels: a systematic umbrella review

 

Author & publication year

Number of included studies

Included studies (range in years)

Age groups

Location

Review type

Study design

Study objectives

Interventions

Key findings

1 [23]

Audrey & Batista-Ferrer (2015)

32

1991–2014

Children and young people

North America, Oceania, and Europe

Systematic review

quasi-experiments – controlled (81%); quasi-experiments – uncontrolled (19%)

To examine evidence from interventions in the urban environment in relation to health behaviors and physical and mental health outcomes of children and young people

Park and playground modifications, road traffic safety measures, multi-component community-based interventions and promoting active travel

Some evidence was found for interventions to reduce road traffic injuries, to increase active travel, in relation to a multi-component health initiative. Limited evidence was identified for interventions to increase park and playground usage

2 [24]

Hunter, et al. (2019)

38

2002–2016

All age groups

North America, Oceania, and Europe

Systematic review

quasi-experiments – controlled (89%); quasi-experiments – uncontrolled (11%)

To review and synthesize the evidence of urban green space (UGS) interventions; to discuss the findings at an expert review panel; and to develop recommendations on UGS interventions to policymakers, practitioners and researchers

A physical change to green space in urban areas, including improving UGS or developing new UGS, or a combination of physical change to UGS supplemented by a specific UGS-usage promotion program

The use of certain UGS interventions was found supportive for health, social and environmental benefits, in particular park-based and greenway/trail-based interventions employing a dual approach. In other UGS interventions inconclusive finding was found

3 [25]

Kärmeniemi, et al. (2018)

51

2003–2015

All age groups

North America, Oceania, Europe, and Asia

Systematic review

quasi-experiments – controlled (61%); longitudinal cohort studies (39%)

To identify the determinants of the built environment that are related to physical activity (PA) and to evaluate the effects of built environment changes on PA

Objective built environment measures (such as new infrastructure and park and playground improvements) and perceived built environment measures (such as safety and aesthetics)

Built environment changes can lead to PA change. For example, higher accessibility and new infrastructure for walking, cycling and public transportation are related with higher PA levels

4 [26]

Panter, et al. (2019)

13

1987–2015

All age groups

North America, Oceania, Europe, and Asia

Systematic review

quasi-experiments – controlled (46%); quasi-experiments – uncontrolled (54%)

To understand how built environment interventions impact PA and walking and cycling behavior and to understand their effectiveness of lack thereof

Interventions to promote walking and cycling: accessibility and connectivity, traffic and personal safety and quality/experience

Three intervention categories were identified that promote walking and cycling: improving accessibility and connectivity, improving traffic and personal safety, and improving walking and cycling experience

5 [27]

Smith, et al. (2017)

28

1979–2015

All age groups

North America, Oceania, and Europe

Systematic review

not reported

To identify which built environment interventions are effective in promoting PA in local residents and to build on the evidence base by considering intervention cost and the differential effects of different demographics

Active transport infrastructure, parks and playgrounds, walkability components

Potential ways to promote activity in children and adults were found: neighborhood walkability improvement, parks and playgrounds’ quality enhancement, and adequate active transport infrastructure provision

6 [28]

Stappers, et al. (2018)

19

2005–2017

All age groups

North America, Oceania, and Europe

Systematic review

quasi-experiments – controlled (89%); quasi-experiments – uncontrolled (11%)

To update and specify the evidence on the effects of different types of infrastructural interventions on PA, active travel and sedentary behavior in adults

On- and off-road bicycle and/or walking trails, built environment infrastructural changes

The impact of built environment infrastructural changes varies a lot across types of intervention and outcome measure. Infrastructural interventions are not always effective in promoting PA or active travel

7 [29]

Tcymbal, et al. (2020)

36

2007–2020

All age groups

North America, Oceania, Europe, and Asia

Systematic review

quasi-experiments – controlled and uncontrolled (69%); longitudinal cohort studies (31%)

To identify built environment determinants of PA and thereby taking gender into account

Interventions related to transport, recreation and household

Creating a new infrastructure for walking, cycling, and public transportation showed a positive effect on PA. Improving walking and cycling infrastructure had no effect on the overall PA, but it had a positive effect on active transportation