A Meta-Analysis of Evidence Synthesis for a Healthy Campus Built Environment by Adopting Active Design Approaches to Promote Physical Activity

The spread of chronic diseases, particularly obesity, has become a significant social issue on a global level concerning human inactivity and unhealthy behavior. The new approach to active design introduced by AIA and Sport England to increase human activity through physical activity in the built environment includes certifications such as Fitwell and LEED. An active design is any design feature that encourages physical activity, thus encouraging the user to be physically, mentally, and socially active in the built environment. This study aims to assemble evidence on the active design approach through physical activity in the campus built environment by using a meta-analysis approach and statistical analyses. There were 1993 papers identified during the search; following the screening, eligibility, and inclusion stages, 10 studies that addressed physical activity in colleges and universities were chosen. Findings indicate that physical activity has a positive impact on human health in the built environment. I-2 is (96.38%), which indicates considerable heterogeneity with p < 0.0001 and an absence of publication bias. Accordingly, a model was designed to integrate an active design approach and healthy behavior theories for future research. Overall, the evidence shows the importance of active design and physical activity for a healthy built environment to achieve healthy social behavior.