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

Author

Listed:
  • Guglielmo Bonaccorsi

    (Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

  • Federico Manzi

    (Postgraduate School in Hygiene and Preventive Medicine, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

  • Marco Del Riccio

    (Postgraduate School in Hygiene and Preventive Medicine, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

  • Nicoletta Setola

    (Department of Architecture, University of Florence, Via della Mattonaia, 14, 50121 Florence, Italy)

  • Eletta Naldi

    (Department of Architecture, University of Florence, Via della Mattonaia, 14, 50121 Florence, Italy
    Ph.D. student.)

  • Chiara Milani

    (Postgraduate School in Hygiene and Preventive Medicine, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

  • Duccio Giorgetti

    (Postgraduate School in Hygiene and Preventive Medicine, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

  • Claudia Dellisanti

    (Department of Epidemiology, Regional Health Agency of Tuscany, Via P Dazzi, 1, 50141 Florence, Italy)

  • Chiara Lorini

    (Department of Health Sciences, University of Florence, Viale GB Morgagni 48, 50134 Florence, Italy)

Abstract

(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.

Suggested Citation

  • Guglielmo Bonaccorsi & Federico Manzi & Marco Del Riccio & Nicoletta Setola & Eletta Naldi & Chiara Milani & Duccio Giorgetti & Claudia Dellisanti & Chiara Lorini, 2020. "Impact of the Built Environment and the Neighborhood in Promoting the Physical Activity and the Healthy Aging in Older People: An Umbrella Review," IJERPH, MDPI, vol. 17(17), pages 1-27, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6127-:d:402888
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    References listed on IDEAS

    as
    1. Vincenza Gianfredi & Lorenzo Blandi & Stefano Cacitti & Mirko Minelli & Carlo Signorelli & Andrea Amerio & Anna Odone, 2020. "Depression and Objectively Measured Physical Activity: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(10), pages 1-20, May.
    2. Jenifer Lopes Borchardt & Renata Gomes Paulitsch & Samuel Carvalho Dumith, 2019. "The influence of built, natural and social environment on physical activity among adults and elderly in southern Brazil: a population-based study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(5), pages 649-658, June.
    3. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    4. Won, Jaewoong & Lee, Chanam & Forjuoh, Samuel N. & Ory, Marcia G., 2016. "Neighborhood safety factors associated with older adults' health-related outcomes: A systematic literature review," Social Science & Medicine, Elsevier, vol. 165(C), pages 177-186.
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    Cited by:

    1. Valkiria Amaya & Thibauld Moulaert & Luc Gwiazdzinski & Nicolas Vuillerme, 2022. "Assessing and Qualifying Neighborhood Walkability for Older Adults: Construction and Initial Testing of a Multivariate Spatial Accessibility Model," IJERPH, MDPI, vol. 19(3), pages 1-18, February.
    2. Vincenza Gianfredi & Maddalena Buffoli & Andrea Rebecchi & Roberto Croci & Aurea Oradini-Alacreu & Giuseppe Stirparo & Alessio Marino & Anna Odone & Stefano Capolongo & Carlo Signorelli, 2021. "Association between Urban Greenspace and Health: A Systematic Review of Literature," IJERPH, MDPI, vol. 18(10), pages 1-23, May.
    3. Rongrong Zhang & Song Liu & Ming Li & Xiong He & Chunshan Zhou, 2021. "The Effect of High-Density Built Environments on Elderly Individuals’ Physical Health: A Cross-Sectional Study in Guangzhou, China," IJERPH, MDPI, vol. 18(19), pages 1-22, September.
    4. Zhe Wang & Mardelle Shepley, 2022. "The Relationship of Neighborhood Walking Behavior to Duration of Aging in Place—A Retrospective Cohort Study," IJERPH, MDPI, vol. 19(24), pages 1-13, December.
    5. Valkiria Amaya & Matthias Chardon & Thibauld Moulaert & Nicolas Vuillerme, 2024. "Systematic Review of the Use of the Walk-Along Interview Method to Assess Factors, Facilitators and Barriers Related to Perceived Neighborhood Environment and Walking Activity in Healthy Older Adults," Sustainability, MDPI, vol. 16(2), pages 1-22, January.
    6. Jiabin Yu & Chen Yang & Shen Zhang & Diankai Zhai & Jianshe Li, 2020. "Comparison Study of Perceived Neighborhood-Built Environment and Elderly Leisure-Time Physical Activity between Hangzhou and Wenzhou, China," IJERPH, MDPI, vol. 17(24), pages 1-12, December.
    7. Linda D. Ruiz & Molly Brown & Yan Li & Elizabeth A. Boots & Lisa L. Barnes & Leonard Jason & Shannon Zenk & Philippa Clarke & Melissa Lamar, 2021. "Neighborhood Socioeconomic Resources and Crime-Related Psychosocial Hazards, Stroke Risk, and Cognition in Older Adults," IJERPH, MDPI, vol. 18(10), pages 1-11, May.
    8. Ling Zhang & Kebin Shao & Wenfeng Tang & Stephen Siu Yu Lau & Hongzhan Lai & Yiqi Tao, 2023. "Outdoor Space Elements in Urban Residential Areas in Shenzhen, China: Optimization Based on Health-Promoting Behaviours of Older People," Land, MDPI, vol. 12(6), pages 1-23, May.
    9. Eun Young Lee & Jungsoon Choi & Sugie Lee & Bo Youl Choi, 2021. "Objectively Measured Built Environments and Cardiovascular Diseases in Middle-Aged and Older Korean Adults," IJERPH, MDPI, vol. 18(4), pages 1-17, February.
    10. Hennessy, Emily Rose & Ai, Chengbo, 2023. "A comparative analysis of pedestrian network connectivity and accessibility using network approximation," Journal of Transport Geography, Elsevier, vol. 111(C).
    11. Jiabin Yu & Chen Yang & Xiaoguang Zhao & Zhexiao Zhou & Shen Zhang & Diankai Zhai & Jianshe Li, 2021. "The Associations of Built Environment with Older People Recreational Walking and Physical Activity in a Chinese Small-Scale City of Yiwu," IJERPH, MDPI, vol. 18(5), pages 1-12, March.
    12. Valkiria Amaya & Matthias Chardon & Helen Klein & Thibauld Moulaert & Nicolas Vuillerme, 2022. "What Do We Know about the Use of the Walk-along Method to Identify the Perceived Neighborhood Environment Correlates of Walking Activity in Healthy Older Adults: Methodological Considerations Related ," Sustainability, MDPI, vol. 14(18), pages 1-37, September.
    13. Beata Bieszk-Stolorz & Krzysztof Dmytrów, 2023. "The Well-Being-Related Living Conditions of Elderly People in the European Union—Selected Aspects," Sustainability, MDPI, vol. 15(24), pages 1-18, December.
    14. Lanjing Wang & Chunli Zhao & Xiaofei Liu & Xumei Chen & Chaoyang Li & Tao Wang & Jiani Wu & Yi Zhang, 2021. "Non-Linear Effects of the Built Environment and Social Environment on Bus Use among Older Adults in China: An Application of the XGBoost Model," IJERPH, MDPI, vol. 18(18), pages 1-22, September.
    15. Alessia Macchi & Daniele Busciantella-Ricci & Elisa Caruso & Nicoletta Setola, 2024. "Healthy Neighbourhoods Hub (HNH) Framework: A Practical Guide for Fostering Healthy and Inclusive Living in Florence’s Urban Environment," Sustainability, MDPI, vol. 16(11), pages 1-34, May.
    16. Margaret Currie & Kathryn Colley & Katherine N. Irvine, 2021. "Outdoor Recreation for Older Adults in Scotland: Qualitatively Exploring the Multiplicity of Constraints to Participation," IJERPH, MDPI, vol. 18(14), pages 1-15, July.
    17. Jiabin Yu & Chen Yang & Shen Zhang & Diankai Zhai & Aiwen Wang & Jianshe Li, 2021. "The Effect of the Built Environment on Older Men′s and Women′s Leisure-Time Physical Activity in the Mid-Scale City of Jinhua, China," IJERPH, MDPI, vol. 18(3), pages 1-12, January.
    18. Lorenzo Lippi & Alessandro de Sire & Arianna Folli & Alessio Turco & Stefano Moalli & Antonio Ammendolia & Antonio Maconi & Marco Invernizzi, 2022. "Environmental Factors in the Rehabilitation Framework: Role of the One Health Approach to Improve the Complex Management of Disability," IJERPH, MDPI, vol. 19(22), pages 1-13, November.

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