Repositorio
Institucional

Hernandez, Edgar D.

Cobo, Elisa A.

Cahalin, Lawrence P.

Seron, Pamela

Impact of structural-level environmental interventions on physical activity: a systematic review

SPRINGER

INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH

en

ObjectiveTo determine the effectiveness of structural-level environmental interventions on the changes in PA levels in the populations examined.MethodsNatural experiments that involve environmental intervention with structural modification were included. The primary outcome PA levels with consideration of both objective and subjective measurements. An electronic search was carried out in Medline/Pubmed, SCIENCE DIRECT, WEB OF SCIENCE, and CINAHL up to January 2022. Two reviewers screened titles and abstracts, selected studies, extracted relevant data, and examined study quality. A qualitative synthesis was performed.ResultsTwenty-six articles were included. The structural-level environmental interventions included 4 fundamental areas: schools, work environments, streets or cities, and neighborhoods or parks. Of the 26 studies, 21 examined outdoor environments like parks, cities, pedestrian walkways, or steps, while 5 examined indoor or closed environments like schools and workplaces revealing that structural-level environmental interventions improve PA levels with the greatest effect in parks and active transportation. A risk of bias is inherent in natural experiments which is a limitation of this study. In schools and work areas, there is evidence of both decrease in sedentary time and an increase in PA related to environmental modifications.ConclusionStructural-level environmental modifications in parks and active transportation demonstrated greater effects in promoting PA. Environmental modifications can impact physical activity in the population. Given that the economic and cultural setting is a key variable when considering the effectiveness of structural interventions, and since only 1 of the 26 reviewed articles included such data, more studies examining economic factors are needed especially in low- and middle-income countries like in South America.

2023

artículo de revisión

10.1007/s00420-023-01973-w

PDF

Environment

Built environment

Physical activity

Active transport

Salud pública, ambiental y ocupacional

Ambiente

Entorno construido

Actividad física

Transporte activo

815.0

838

artículo de revisión

versión publicada

CC BY 4.0

CC BY 4.0

acceso abierto

acceso abierto

WOS:000983703000001

0340-0131

verde# dorada

Salud pública, ambiental y ocupacional