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

Veerle Van Holle (UGent) , Benedicte Deforche (UGent) , Jelle Van Cauwenberg (UGent) , Liesbet Goubert (UGent) , Lea Maes (UGent) , Nico Van de Weghe (UGent) and Ilse De Bourdeaudhuij (UGent)
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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.
Keywords
LIFE-STYLE, PERCEIVED ENVIRONMENT, GREEN SPACE, MULTILEVEL ANALYSIS, SOCIAL-ENVIRONMENT, OBJECTIVE MEASURES, Domain-specific physical activity, PORTUGUESE ADULTS, Built environment, Transportation, Continent-specific, BUILT-ENVIRONMENT, BELGIAN ADULTS, NEIGHBORHOOD ENVIRONMENT

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MLA
Van Holle, Veerle, Benedicte Deforche, Jelle Van Cauwenberg, et al. “Relationship Between the Physical Environment and Different Domains of Physical Activity in European Adults: a Systematic Review.” BMC PUBLIC HEALTH 12 (2012): n. pag. Print.
APA
Van Holle, V., Deforche, B., Van Cauwenberg, J., Goubert, L., Maes, L., Van de Weghe, N., & De Bourdeaudhuij, I. (2012). Relationship between the physical environment and different domains of physical activity in European adults: a systematic review. BMC PUBLIC HEALTH, 12.
Chicago author-date
Van Holle, Veerle, Benedicte Deforche, Jelle Van Cauwenberg, Liesbet Goubert, Lea Maes, Nico Van de Weghe, and Ilse De Bourdeaudhuij. 2012. “Relationship Between the Physical Environment and Different Domains of Physical Activity in European Adults: a Systematic Review.” Bmc Public Health 12.
Chicago author-date (all authors)
Van Holle, Veerle, Benedicte Deforche, Jelle Van Cauwenberg, Liesbet Goubert, Lea Maes, Nico Van de Weghe, and Ilse De Bourdeaudhuij. 2012. “Relationship Between the Physical Environment and Different Domains of Physical Activity in European Adults: a Systematic Review.” Bmc Public Health 12.
Vancouver
1.
Van Holle V, Deforche B, Van Cauwenberg J, Goubert L, Maes L, Van de Weghe N, et al. Relationship between the physical environment and different domains of physical activity in European adults: a systematic review. BMC PUBLIC HEALTH. 2012;12.
IEEE
[1]
V. Van Holle et al., “Relationship between the physical environment and different domains of physical activity in European adults: a systematic review,” BMC PUBLIC HEALTH, vol. 12, 2012.
@article{3080921,
  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.},
  articleno    = {807},
  author       = {Van Holle, Veerle and Deforche, Benedicte and Van Cauwenberg, Jelle and Goubert, Liesbet and Maes, Lea and Van de Weghe, Nico and De Bourdeaudhuij, Ilse},
  issn         = {1471-2458},
  journal      = {BMC PUBLIC HEALTH},
  keywords     = {LIFE-STYLE,PERCEIVED ENVIRONMENT,GREEN SPACE,MULTILEVEL ANALYSIS,SOCIAL-ENVIRONMENT,OBJECTIVE MEASURES,Domain-specific physical activity,PORTUGUESE ADULTS,Built environment,Transportation,Continent-specific,BUILT-ENVIRONMENT,BELGIAN ADULTS,NEIGHBORHOOD ENVIRONMENT},
  language     = {eng},
  pages        = {17},
  title        = {Relationship between the physical environment and different domains of physical activity in European adults: a systematic review},
  url          = {http://dx.doi.org/10.1186/1471-2458-12-807},
  volume       = {12},
  year         = {2012},
}

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