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BMC Public Health
Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Research article

Relationship between the physical environment and different domains of physical activity in European adults: a systematic review

Authors: Veerle Van Holle, Benedicte Deforche, Jelle Van Cauwenberg, Liesbet Goubert, Lea Maes, Nico Van de Weghe, Ilse De Bourdeaudhuij

Published in: BMC Public Health | Issue 1/2012

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Abstract

Background

In the past decade, various reviews described the relationship between the physical environment and different physical activity (PA) domains. Yet, the majority of the current review evidence relies on North American/Australian studies, while only a small proportion of findings refer to European studies. Given some clear environmental differences across continents, this raises questions about the applicability of those results in European settings. This systematic review aimed at summarizing Europe-specific evidence on the relationship between the physical environment and different PA domains in adults.

Methods

Seventy eligible papers were identified through systematic searches across six electronic databases. Included papers were observational studies assessing the relationship between several aspects of the physical environment and PA in European adults (18-65y). Summary scores were calculated to express the strength of the relationship between each environmental factor and different PA domains.

Results

Convincing evidence on positive relationships with several PA domains was found for following environmental factors: walkability, access to shops/services/work and the composite factor environmental quality. Convincing evidence considering urbanization degree showed contradictory results, dependent on the observed PA domain. Transportation PA was more frequently related to the physical environment than recreational PA. Possible evidence for a positive relationship with transportation PA emerged for walking/cycling facilities, while a negative relationship was found for hilliness. Some environmental factors, such as access to recreational facilities, aesthetics, traffic- and crime-related safety were unrelated to different PA domains in Europe.

Conclusions

Generally, findings from this review of European studies are in accordance with results from North American/Australian reviews and may contribute to a generalization of the relationship between the physical environment and PA. Nevertheless, the lack of associations found regarding access to recreational facilities, aesthetics and different forms of safety are likely to be Europe-specific findings and need to be considered when appropriate interventions are developed. More research assessing domain-specific relationships with several understudied environmental attributes (e.g., residential density) is needed.
Appendix
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Metadata
Title
Relationship between the physical environment and different domains of physical activity in European adults: a systematic review
Authors
Veerle Van Holle
Benedicte Deforche
Jelle Van Cauwenberg
Liesbet Goubert
Lea Maes
Nico Van de Weghe
Ilse De Bourdeaudhuij
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-807

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Predictors of condom use and refusal among the population of Free State province in South Africa

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The implementation of a community-based aerobic walking program for mild to moderate knee osteoarthritis: A knowledge translation randomized controlled trial: Part II: Clinical outcomes

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Revisiting current “barefoot doctors” in border areas of China: system of services, financial issue and clinical practice prior to introducing integrated management of childhood illness (IMCI)

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Social support and age influence distress outcomes differentially across urban, regional and remote Australia: an exploratory study

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Smoking behavior, attitudes, and cessation counseling among healthcare professionals in Armenia