PDF(Pubmed)
Abstract：
BACKGROUND: Physical inactivity is a major public health concern, exacerbated in countries with a (sub)tropical climate. The built environment can facilitate physical activity; however, current evidence is mainly from North American and European countries with activity-friendly climate conditions. This study explored associations between built environment features and physical activity in global tropical or subtropical dry or desert climate regions.
METHODS: A systematic review of four major databases (Web of Science, Scopus, PubMed, and SportDISCUS) was performed. To be included, studies had to investigate associations between perceived or objective built environment characteristics and adult\'s physical activity and had to be conducted in a location with (sub)tropical climate. Each investigated association was reported as one case and results were synthesized based upon perceived and objectively assessed environment characteristics as well as Western and non-Western countries. Study quality was evaluated using a tool designed for assessing studies on built environment and physical activity.
RESULTS: Eighty-four articles from 50 studies in 13 countries with a total of 2546 built environment-physical activity associations were included. Design (connectivity, walking/cycling infrastructure), desirability (aesthetics, safety), and destination accessibility were the built environment characteristics most frequently associated with physical activity across the domains active transport, recreational physical activity, total walking and cycling, and moderate-to-vigorous physical activity, particularly if multiple attributes were present at the same time. Very few studies assessed built environment attributes specifically relevant to physical activity in (sub)tropical climates. Most studies were conducted in Western countries, with results being largely comparable with non-Western countries. Findings were largely generalizable across gender and age groups. Results from natural experiments indicated that relocating to an activity-friendly neighborhood impacted sub-groups differently.
CONCLUSIONS: Built environment attributes, including destination accessibility, connectivity, walking and cycling infrastructure, safety, and aesthetics, are positively associated with physical activity in locations with (sub)tropical climate. However, few studies focus on built environment attributes specifically relevant in a hot climate, such as shade or indoor recreation options. Further, there is limited evidence from non-Western countries, where most of the urban population lives in (sub)tropical climates. Policy makers should focus on implementing activity-friendly environment attributes to create sustainable and climate-resilient cities.
METHODS: A systematic review of four major databases (Web of Science, Scopus, PubMed, and SportDISCUS) was performed. To be included, studies had to investigate associations between perceived or objective built environment characteristics and adult\'s physical activity and had to be conducted in a location with (sub)tropical climate. Each investigated association was reported as one case and results were synthesized based upon perceived and objectively assessed environment characteristics as well as Western and non-Western countries. Study quality was evaluated using a tool designed for assessing studies on built environment and physical activity.
RESULTS: Eighty-four articles from 50 studies in 13 countries with a total of 2546 built environment-physical activity associations were included. Design (connectivity, walking/cycling infrastructure), desirability (aesthetics, safety), and destination accessibility were the built environment characteristics most frequently associated with physical activity across the domains active transport, recreational physical activity, total walking and cycling, and moderate-to-vigorous physical activity, particularly if multiple attributes were present at the same time. Very few studies assessed built environment attributes specifically relevant to physical activity in (sub)tropical climates. Most studies were conducted in Western countries, with results being largely comparable with non-Western countries. Findings were largely generalizable across gender and age groups. Results from natural experiments indicated that relocating to an activity-friendly neighborhood impacted sub-groups differently.
CONCLUSIONS: Built environment attributes, including destination accessibility, connectivity, walking and cycling infrastructure, safety, and aesthetics, are positively associated with physical activity in locations with (sub)tropical climate. However, few studies focus on built environment attributes specifically relevant in a hot climate, such as shade or indoor recreation options. Further, there is limited evidence from non-Western countries, where most of the urban population lives in (sub)tropical climates. Policy makers should focus on implementing activity-friendly environment attributes to create sustainable and climate-resilient cities.
摘要：
背景：缺乏身体活动是一个主要的公共卫生问题，在（亚）热带气候的国家加剧。建筑环境可以促进身体活动；然而，目前的证据主要来自北美和欧洲国家，气候条件友好。这项研究探讨了全球热带或亚热带干旱或沙漠气候地区的建筑环境特征与身体活动之间的关联。
方法：对四个主要数据库的系统评价(WebofScience，Scopus,PubMed,和SportDISCUS）进行了。要包括在内，研究必须调查感知或客观的建筑环境特征与成人身体活动之间的关联，并且必须在（亚）热带气候的位置进行。每个被调查的协会都被报告为一个案例，并根据感知和客观评估的环境特征以及西方和非西方国家综合了结果。使用设计用于评估建筑环境和身体活动研究的工具评估研究质量。
结果：纳入了来自13个国家的50项研究的84篇文章，共2546个环境-身体活动协会。设计(连通性,步行/骑自行车基础设施)，可取性(美学，安全)，和目的地可访问性是建筑环境特征，最常见的是与活动传输域中的身体活动相关的，娱乐性体育活动，步行和骑自行车，和中等到剧烈的体力活动，特别是如果同时存在多个属性。很少有研究评估与（亚）热带气候中的身体活动特别相关的建筑环境属性。大多数研究是在西方国家进行的，结果与非西方国家相当。研究结果在性别和年龄组中具有普遍性。自然实验的结果表明，重新安置到活动友好的社区对小组的影响不同。
结论：构建的环境属性，包括目的地可访问性，连通性,步行和自行车基础设施，安全,和美学，与（亚）热带气候地区的身体活动呈正相关。然而,很少有研究关注与炎热气候特别相关的建筑环境属性，如阴凉处或室内娱乐选择。Further,来自非西方国家的证据有限,大多数城市人口生活在（亚）热带气候中。政策制定者应专注于实施有利于活动的环境属性，以创建可持续和适应气候变化的城市。
方法：对四个主要数据库的系统评价(WebofScience，Scopus,PubMed,和SportDISCUS）进行了。要包括在内，研究必须调查感知或客观的建筑环境特征与成人身体活动之间的关联，并且必须在（亚）热带气候的位置进行。每个被调查的协会都被报告为一个案例，并根据感知和客观评估的环境特征以及西方和非西方国家综合了结果。使用设计用于评估建筑环境和身体活动研究的工具评估研究质量。
结果：纳入了来自13个国家的50项研究的84篇文章，共2546个环境-身体活动协会。设计(连通性,步行/骑自行车基础设施)，可取性(美学，安全)，和目的地可访问性是建筑环境特征，最常见的是与活动传输域中的身体活动相关的，娱乐性体育活动，步行和骑自行车，和中等到剧烈的体力活动，特别是如果同时存在多个属性。很少有研究评估与（亚）热带气候中的身体活动特别相关的建筑环境属性。大多数研究是在西方国家进行的，结果与非西方国家相当。研究结果在性别和年龄组中具有普遍性。自然实验的结果表明，重新安置到活动友好的社区对小组的影响不同。
结论：构建的环境属性，包括目的地可访问性，连通性,步行和自行车基础设施，安全,和美学，与（亚）热带气候地区的身体活动呈正相关。然而,很少有研究关注与炎热气候特别相关的建筑环境属性，如阴凉处或室内娱乐选择。Further,来自非西方国家的证据有限,大多数城市人口生活在（亚）热带气候中。政策制定者应专注于实施有利于活动的环境属性，以创建可持续和适应气候变化的城市。
