An Umbrella Review of the Best and Most Up-to-Date Evidence on the Built Environment and Physical Activity in Older Adults ≥60 Years.

IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
PUBLIC HEALTH REVIEWS Pub Date : 2023-03-10 eCollection Date: 2023-01-01 DOI:10.3389/phrs.2023.1605474
Jodie A Stearns, Hayford M Avedzi, Desmond Yim, John C Spence, Farshad Labbaf, Carminda G Lamboglia, Fiona Ko, Ciara Farmer, Ellina Lytvyak, Megan Kennedy, Yeong-Bae Kim, Hui Ren, Karen K Lee
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引用次数: 0

Abstract

Objectives: To present the best and most up-to-date evidence on associations between built environment (BE) attributes and overall and specific domains of physical activity (PA) (i.e., leisure, transport, walking, and cycling) in older adults (≥60 years). Methods: An umbrella review was undertaken to compile evidence from systematic reviews using the Joanna Briggs Institute methodology. A comprehensive search (updated 16 August 2022), inclusion/exclusion of articles via title/abstract and full-text reviews, data extraction, and critical appraisal were completed. Only reviews with a good critical appraisal score were included. Results: Across three included systematic reviews, each BE attribute category was positively associated with ≥1 PA outcome. A larger number of significant associations with BE attributes were reported for transport walking (13/26), total walking (10/25), and total PA (9/26), compared to leisure walking (4/34) and transport cycling (3/12). Fewer associations have been examined for leisure cycling (1/2). Conclusion: Although the causality of findings cannot be concluded due to most primary studies being cross-sectional, these best and most up-to-date findings can guide necessary future longitudinal and experimental studies for the (re)design of age-friendly communities.

Abstract Image

关于建筑环境与年龄≥60 岁老年人体育活动的最新最佳证据综述。
目的提供有关老年人(≥60 岁)建筑环境(BE)属性与身体活动(PA)的总体和特定领域(即休闲、交通、步行和骑自行车)之间关系的最新最佳证据。方法:采用乔安娜-布里格斯研究所(Joanna Briggs Institute)的方法,对系统综述中的证据进行汇总。完成了全面检索(2022 年 8 月 16 日更新)、通过标题/摘要和全文综述纳入/排除文章、数据提取和批判性评价。只有批判性评价得分较高的综述才被纳入。结果在纳入的三篇系统综述中,每种 BE 属性类别都与≥1 种 PA 结果呈正相关。与休闲步行(4/34)和交通骑行(3/12)相比,交通步行(13/26)、总步行(10/25)和总运动量(9/26)与 BE 属性有更多的重要关联。休闲骑行的相关性研究较少(1/2)。结论:尽管由于大多数主要研究都是横断面研究,因此无法对研究结果的因果关系做出结论,但这些最新的最佳研究结果可以为今后进行必要的纵向和实验研究提供指导,从而(重新)设计对老年人友好的社区。
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来源期刊
PUBLIC HEALTH REVIEWS
PUBLIC HEALTH REVIEWS Nursing-Community and Home Care
CiteScore
8.30
自引率
1.80%
发文量
47
审稿时长
5 weeks
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