Determining thresholds for spatial urban design and transport features that support walking to create healthy and sustainable cities: findings from the IPEN Adult study

被引：68

作者：

Cerin, Ester ^{[1
,2
]}

Sallis, James F. ^{[1
,3
]}

Salvo, Deborah ^{[5
]}

Hinckson, Erica ^{[6
]}

Conway, Terry L. ^{[3
]}

Owen, Neville ^{[7
,8
]}

van Dyck, Delfien ^{[9
]}

Lowe, Melanie ^{[10
]}

Higgs, Carl ^{[11
]}

Moudon, Anne Vernez ^{[12
]}

Adams, Marc A. ^{[13
]}

Cain, Kelli L. ^{[3
]}

Christiansen, Lars Breum ^{[14
]}

Davey, Rachel ^{[15
]}

Dygryn, Jan ^{[16
]}

Frank, Lawrence D. ^{[4
]}

Reis, Rodrigo ^{[5
,17
]}

Sarmiento, Olga L. ^{[18
]}

Adlakha, Deepti ^{[19
]}

Boeing, Geoff ^{[20
]}

Liu, Shiqin ^{[21
]}

Giles-Corti, Billie ^{[11
,22
]}

机构：

[1] Australian Catholic Univ, Maly MacKillop Inst Hlth Res, Melbourne, Vic 3000, Australia

[2] Univ Hong Kong, Sch Publ Hlth, Hong Kong, Peoples R China

[3] Univ Calif San Diego, Wertheim Sch Publ Hlth & Human Longev Sci, La Jolla, CA 92093 USA

[4] Univ Calif San Diego, Dept Urban Studies & Planning, La Jolla, CA 92093 USA

[5] Washington Univ, Brown Sch, Prevent Res Ctr, St Louis, MO 63110 USA

[6] Auckland Univ Technol, Human Potential Ctr, Sch Sport & Recreat, Auckland, New Zealand

[7] Swinburne Univ Technol, Ctr Urban Transit, Melbourne, Vic, Australia

[8] Baker Heart & Diabet Inst, Melbourne, Vic, Australia

[9] Univ Ghent, Fac Med & Sports Sci, Dept Movement & Sports Sci, Ghent, Belgium

[10] Univ Melbourne, Melbourne Ctr Cities, Melbourne, Vic, Australia

[11] RMIT Univ, Hlth Liveable Cities Lab, Melbourne, Vic, Australia

[12] Univ Washington, Dept Urban Planning & Design, Urban Form Lab, Seattle, WA 98195 USA

[13] Arizona State Univ, Coll Hlth Solut, Julie Ann Wrigley Global Futures Lab, Phoenix, AZ USA

[14] Univ Southern Denmark, Dept Sports Sci & Clin Biomech, Odense, Denmark

[15] Univ Canberra, Hlth Res Inst, Canberra, ACT, Australia

[16] Palacky Univ Olomouc, Fac Phys Culture, Olomouc, Czech Republic

[17] Pontificia Univ Catolica Parana, Grad Program Urban Management, Curitiba, Parana, Brazil

[18] Univ los Andes, Sch Med, Bogota, Colombia

[19] North Carolina State Univ, Coll Design, Dept Landscape Architecture & Environm Planning, Nat Learning Initiat, Raleigh, NC USA

[20] Univ Southern Calif, Sol Price Sch Publ Policy, Dept Urban Planning & Spatial Anal, Los Angeles, CA 90007 USA

[21] Northeastern Univ, Sch Publ Policy & Urban Affairs, Boston, MA 02115 USA

[22] Univ Western Australia, Sch Populat Hlth, Perth, WA, Australia

来源：

LANCET GLOBAL HEALTH | 2022年 / 10卷 / 06期

关键词：

INTERNATIONAL PHYSICAL-ACTIVITY; BUILT ENVIRONMENT; NEIGHBORHOOD; WALKABILITY;

D O I：

10.1016/S2214-109X(22)00068-7

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

An essential characteristic of a healthy and sustainable city is a physically active population. Effective policies for healthy and sustainable cities require evidence-informed quantitative targets. We aimed to identify the minimum thresholds for urban design and transport features associated with two physical activity criteria: at least 80% probability of engaging in any walking for transport and WHO's target of at least 15% relative reduction in insufficient physical activity through walking. The International Physical Activity and the Environment Network Adult (known as IPEN) study (N=11615; 14 cities across ten countries) provided data on local urban design and transport features linked to walking. Associations of these features with the probability of engaging in any walking for transport and sufficient physical activity (>= 150 min/week) by walking were estimated, and thresholds associated with the physical activity criteria were determined. Curvilinear associations of population, street intersection, and public transport densities with walking were found. Neighbourhoods exceeding around 5700 people per km(2), 100 intersections per km(2), and 25 public transport stops per km(2) were associated with meeting one or both physical activity criteria. Shorter distances to the nearest park were associated with more physical activity. We use the results to suggest specific target values for each feature as benchmarks for progression towards creating healthy and sustainable cities.

引用

页码：E895 / E906

页数：12

共 73 条

[1] International variation in neighborhood walkability, transit, and recreation environments using geographic information systems: the IPEN adult study [J].

Adams, Marc A. ;

Frank, Lawrence D. ;

Schipperijn, Jasper ;

Smith, Graham ;

Chapman, James ;

Christiansen, Lars B. ;

Coffee, Neil ;

Salvo, Deborah ;

du Toit, Lorinne ;

Dygryn, Jan ;

Ferreira Hino, Adriano Akira ;

Lai, Poh-chin ;

Mavoa, Suzanne ;

David Pinzon, Jose ;

Van de Weghe, Nico ;

Cerin, Ester ;

Davey, Rachel ;

Macfarlane, Duncan ;

Owen, Neville ;

Sallis, James F. .

INTERNATIONAL JOURNAL OF HEALTH GEOGRAPHICS, 2014, 13

[2] Neighborhood-based differences in walkability, physical activity, and weight status in India [J].

Adlakha, Deepti ;

Hipp, J. Aaron ;

Brownson, Ross C. .

JOURNAL OF TRANSPORT & HEALTH, 2016, 3 (04) :485-499

[3] Climate Change, Air Pollution, and Physical Inactivity: Is Active Transportation Part of the Solution? [J].

ALESSIO, H. E. L. A. I. N. E. M. ;

BASSETT, D. A. V. I. D. R. ;

BOPP, M. E. L. I. S. S. A. J. ;

PARR, B. R. I. A. N. B. ;

PATCH, G. R. E. T. C. H. E. N. S. ;

RANKIN, J. A. N. E. T. W. ;

ROJAS-RUEDA, D. A. V. I. D. ;

ROTI, M. E. L. I. S. S. A. W. ;

WOJCIK, J. A. N. E. T. R. .

MEDICINE & SCIENCE IN SPORTS & EXERCISE, 2021, 53 (06) :1170-1178

[4]

[Anonymous], 2002, MODEL SEL MULTIMODEL

[5]

[Anonymous], 2016, Physical activity: Built environment approaches combining transportation system interventions with land use and environmental design, Task Force Finding and Rationale Statement

[6]

[Anonymous], 2005, The

[7]

ational Academies, V24, P1

[8] Association between the perceived environment and physical activity among adults in Latin America: a systematic review [J].