AUTHOR=Stearns Jodie A. , Avedzi Hayford M , Yim Desmond , Spence John C. , Labbaf Farshad , Lamboglia Carminda G. , Ko Fiona , Farmer Ciara , Lytvyak Ellina , Kennedy Megan , Kim Yeong-Bae , Ren Hui , Lee Karen K. 

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

JOURNAL=Public Health Reviews

VOLUME=44

YEAR=2023

URL=https://www.ssph-journal.org/journals/public-health-reviews/articles/10.3389/phrs.2023.1605474

DOI=10.3389/phrs.2023.1605474

ISSN=2107-6952

ABSTRACT=<p><bold>Objectives:</bold> 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).</p><p><bold>Methods:</bold> 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 <italic>via</italic> title/abstract and full-text reviews, data extraction, and critical appraisal were completed. Only reviews with a good critical appraisal score were included.</p><p><bold>Results:</bold> 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).</p><p><bold>Conclusion:</bold> 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.</p>