Impact of the Built Environment and the Neighborhood in Promoting the Physical Activity and the Healthy Aging in Older People: An Umbrella Review

International Journal of Environmental Research and Public Health

Eletta Naldi¹  Nicoletta Setola¹  Claudia Dellisanti²  Guglielmo Bonaccorsi³  Chiara Lorini³  Federico Manzi⁴  Duccio Giorgetti⁴  Chiara Milani⁴  Marco Del Riccio⁴ 

[1] Department of Architecture, University of Florence, Via della Mattonaia, 14, 50121 Florence, Italy;Department of Epidemiology, Regional Health Agency of Tuscany, Via P Dazzi, 1, 50141 Florence, Italy;Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy;Postgraduate School in Hygiene and Preventive Medicine, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy;

关键词: built environment;    neighborhood;    healthy aging;    physical activity;    elderly;    walkability;   

DOI  :  10.3390/ijerph17176127

来源: DOAJ

【 摘 要 】

(1) Background: The aim of this study is to establish which specific elements of the built environment can contribute to improving the physical activity of self-sufficient, noninstitutionalized and living in the city adults > 65 years. (2) Methods: An extensive literature search was conducted in several database. Umbrella review methodology was used to include the reviews that presented a sufficient methodological quality. (3) Results: Eleven reviews were included. The elements positively associated with physical activity in older adults were: walkability; residential density/urbanization; street connectivity; land-use mix-destination diversity; overall access to facilities, destinations and services; pedestrian-friendly infrastructures; greenery and aesthetically pleasing scenery; high environmental quality; street lighting; crime-related safety; traffic-related safety. The elements that were negatively associated with physical activity were: poor pedestrian access to shopping centers; poor pedestrian-friendly infrastructure and footpath quality; barriers to walking/cycling; lack of aesthetically pleasing scenery; crime-related unsafety; unattended dogs; inadequate street lighting and upkeep; traffic; littering, vandalism, decay; pollution; noise. (4) Conclusions: Evidence shows that specific elements of the built environment can contribute to promoting older people’s physical activity. The city restructuring plans should take into consideration these factors.

【 授权许可】

Unknown