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Schipperijn J, Madsen CD, Toftager M, Johansen DN, Lousen I, Amholt TT, Pawlowski CS. The role of playgrounds in promoting children's health - a scoping review. Int J Behav Nutr Phys Act 2024; 21:72. [PMID: 38978019 PMCID: PMC11232259 DOI: 10.1186/s12966-024-01618-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2024] [Accepted: 06/16/2024] [Indexed: 07/10/2024] Open
Abstract
BACKGROUND Active outdoor play is important for children's health and development, and playgrounds provide good places for play. However, the importance of playground use for health and well-being is unclear. Our scoping review aims to create an overview of all research on playground use and health benefits for children. METHODS Scopus, Web of Science, SportDiscus, and PsycInfo were searched using two search blocks, focusing on 'playground' and 'children' respectively, for publications from 2000 to November 2023. The primary inclusion criterion was examining the relationship between playground use and positive physical, mental, or social health outcomes. Only papers published in English were reviewed. For each publication, we synthesized and condensed the results, categorizing them by playground setting, reported health outcome, participant age group, study design, methodologies, publication's country, year, and 'stage of evidence'. RESULTS Data from 247 studies were extracted and nearly 80% of these publications were descriptive or exploratory studies. Fifty-two were intervention studies. Adding playground markings to schoolyards led to increased physical activity. Greening schoolyards had mainly positive effects on social and mental health. In Early Childhood Education and Care, renewing play structures had a positive effect on physical activity in three publications. All Public Open Space interventions we found were different, with mixed effects on health outcomes. CONCLUSIONS The existing evidence provides good arguments for policy makers, city planners and school-leaders to invest in adding playground markings in schoolyards as this will likely result in more physical activity. The evidence for the health benefits of investing in new play structures indicated that tailoring the playground to local needs is important as 'one size does not fit all' and playgrounds need to be designed as engaging and interesting places for children's play if they are to generate health benefits. Investing in 'greening' playgrounds is likely to result in social and mental health benefits for children, but does not always result in more physical activity. The research field needs more efficacy and effectiveness studies, and in particular replication and scale-up studies to demonstrate which type of playground interventions are successful. PROTOCOL The review protocol was registered at Open Science Framework ( https://doi.org/10.17605/OSF.IO/UYN2V ).
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Affiliation(s)
- Jasper Schipperijn
- World Playground Research Institute, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
| | - Cathrine Damsbo Madsen
- World Playground Research Institute, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark
| | - Mette Toftager
- World Playground Research Institute, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark
| | - Danielle Nørager Johansen
- World Playground Research Institute, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark
| | - Ida Lousen
- World Playground Research Institute, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark
| | - Thea Toft Amholt
- Centre for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Hovedvejen 5, 2000, Frederiksberg, Denmark
| | - Charlotte Skau Pawlowski
- World Playground Research Institute, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark
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Bartels CA, Lambert EV, Young MEM, Kolbe-Alexander T. If You Build It Will They Come? Park Upgrades, Park Use and Park-Based Physical Activity in Urban Cape Town, South Africa-The SUN Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2574. [PMID: 36767941 PMCID: PMC9916099 DOI: 10.3390/ijerph20032574] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 12/22/2022] [Accepted: 12/27/2022] [Indexed: 06/18/2023]
Abstract
The development and upgrade of recreational public spaces are key government strategies to increase opportunities for physical activity (PA) and enhance social interaction and community cohesion. This study aimed to evaluate differences in park use and park-based PA in recently upgraded/developed parks (intervention, n = 4) against established parks (control, n = 4) and in regional parks in high- and low-income settings (n = 2). Additionally, associations between target area features, park use and PA were identified. Direct observation of park use and attributes was conducted using the System for Observing Play and Recreation in Communities (SOPARC) over four months. Despite more park users in intervention parks (2519 vs. 1432), control park visitors were 48% more likely to be engaged in PA (p < 0.001). Similarly, while high-income park users attracted more visitors (2135 vs. 1111), they were 79% less likely to be engaged in any PA compared with low-income park visitors. The likelihood of both use of and PA by gender and age differed by features. Active recreation features in intervention parks attracted more users than the same features in control parks. In this study, upgraded or newly developed parks attracted more visitors but not necessarily overall greater levels of physical activity.
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Affiliation(s)
- Clare A. Bartels
- Research Centre for Health through Physical Activity, Lifestyle and Sport (HPALS), Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town 7700, South Africa
| | - Estelle V. Lambert
- Research Centre for Health through Physical Activity, Lifestyle and Sport (HPALS), Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town 7700, South Africa
| | - Marié E. M. Young
- Department of Sport, Recreation and Exercise Science, Faculty of Community and Health Science, University of the Western Cape, Cape Town 7535, South Africa
| | - Tracy Kolbe-Alexander
- Research Centre for Health through Physical Activity, Lifestyle and Sport (HPALS), Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town 7700, South Africa
- School of Health and Medical Sciences, University of Southern Queensland, Ipswich, QLD 4305, Australia
- Centre for Health Research, University of Southern Queensland, Ipswich, QLD 4305, Australia
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3
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Xu Y, Wheeler SA, Zuo A. The Effectiveness of Interventions to Increase Participation and Physical Activities in Parks: A Systematic Review of the Literature. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12590. [PMID: 36231890 PMCID: PMC9566024 DOI: 10.3390/ijerph191912590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Revised: 09/23/2022] [Accepted: 09/28/2022] [Indexed: 06/16/2023]
Abstract
Although a variety of interventions in many countries have been developed to increase park use and to improve public participation in physical activities in parks, knowledge of their overall effectiveness is lacking. A systematic literature review was undertaken to further understand the effectiveness of various interventions that aim to increase the use of parks and physical activity participation in parks. This systematic review utilized the standard Preferred Reporting Items for Systematic Reviews and Meta-Analysis procedure, and of the 3801 studies identified, 60 studies were reviewed in-depth, with 44 studies assessed for quality of evidence and risk of bias. Most of the 44 reviewed studies found that various interventions had positive impacts on park use and physical activity participation in parks. Interventions were classified into both demand and supply, with more studies focusing on the supply side. The strongest evidence on the effectiveness of various interventions was found for park prescriptions; safe access to parks; playgrounds, and park renovation and renewal/design. However, the assessment of quality of evidence and risk of bias showed that most studies suffer from potential biases and evidence weaknesses, suggesting a need to further establish external validity.
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Affiliation(s)
- Ying Xu
- School of Economics and Public Policy, The University of Adelaide, Adelaide, SA 5005, Australia
| | - Sarah Ann Wheeler
- School of Economics and Public Policy, The University of Adelaide, Adelaide, SA 5005, Australia
| | - Alec Zuo
- School of Economics and Public Policy, The University of Adelaide, Adelaide, SA 5005, Australia
- The Centre for Global Food and Resources, School of Economics and Public Policy, The University of Adelaide, Adelaide, SA 5005, Australia
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4
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Zhong J, Liu W, Niu B, Lin X, Deng Y. Role of Built Environments on Physical Activity and Health Promotion: A Review and Policy Insights. Front Public Health 2022; 10:950348. [PMID: 35910910 PMCID: PMC9326484 DOI: 10.3389/fpubh.2022.950348] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2022] [Accepted: 06/21/2022] [Indexed: 11/13/2022] Open
Abstract
As urbanization and motorization continue worldwide, various health issues have emerged as a burden between individuals, families and governments at all levels. Under the prevalence of chronic disease, this review synthesizes research on the impact of the various built environments on the multiple health outcomes from a methodological and mechanistic perspective. Besides, it attempts to provide useful planning and policy implications to promote physical activity and health benefits. The finds show that: (1) Current literature has used a variety of dataset, methods, and models to examine the built environment-health benefit connections from the perspective of physical activity; (2) The prevalence of chronic diseases is inextricably linked to the built environment, and policy interventions related to physical activity and physical and mental wellbeing of urban residents should be emphasized; (3) The impact of the built environment on health is manifested in the way various elements of the physical environment guide the lifestyle of residents, thereby influencing physical activity and travel; (4) Given the changes that have occurred in the built environment during the current urban expansion, the link between urban planning and the public health sector should be strengthened in the future, and the relevant authorities should actively pursue policies that promote urban public health in order to improve the health of residents. Finally, it proposes potential policy insights for urban planning and development toward a healthier city and society.
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Affiliation(s)
- Jingjing Zhong
- Department of Geography and Spatial Information Technology, Ningbo University, Ningbo, China
- Ningbo Universities Collaborative Innovation Center for Land and Marine Spatial Utilization and Governance Research at Ningbo University, Ningbo, China
| | - Wenting Liu
- Department of Geography and Spatial Information Technology, Ningbo University, Ningbo, China
| | - Buqing Niu
- Department of Geography and Spatial Information Technology, Ningbo University, Ningbo, China
- Ningbo Universities Collaborative Innovation Center for Land and Marine Spatial Utilization and Governance Research at Ningbo University, Ningbo, China
| | - Xiongbin Lin
- Department of Geography and Spatial Information Technology, Ningbo University, Ningbo, China
- Ningbo Universities Collaborative Innovation Center for Land and Marine Spatial Utilization and Governance Research at Ningbo University, Ningbo, China
| | - Yanhua Deng
- Zhiweibing Center, Ningbo Municipal Hospital of Traditional Chinese Medicine, Ningbo, China
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Padial-Ruz R, Puga-González ME, Céspedes-Jiménez Á, Cabello-Manrique D. Determining Factors in the Use of Urban Parks That Influence the Practice of Physical Activity in Children: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:3648. [PMID: 33807466 PMCID: PMC8037159 DOI: 10.3390/ijerph18073648] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 03/19/2021] [Accepted: 03/24/2021] [Indexed: 01/16/2023]
Abstract
The design and/or remodelling of urban parks is a good health strategy to alleviate the lack of physical activity (PA) in children and, consequently, the different health problems derived from this. The main objective of the present study was to obtain a systematic review of the design features and characteristics that influence users' visits to urban parks and the PA engagement in them. A literature search was carried out in the Web of Science (WOS) and Scopus databases during the months of June and July 2020. After considering and applying inclusion criteria, the final review sample was formed of 31 scientific papers published between 2010-2020. The results obtained in the review lead us to conclude that the needs of the population (children and family members who care for them) and socio-economic context of the area in which they are built must be considered when constructing and/or remodelling parks. Involving community members in playground renovations can have a positive effect on park use and PA engagement in children.
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Affiliation(s)
- Rosario Padial-Ruz
- Department of Didactics of Musical, Plastic and Corporal, University of Granada, 18011 Granada, Spain;
| | - Mª Esther Puga-González
- Department of Didactics of Musical, Plastic and Corporal, University of Granada, 18011 Granada, Spain;
| | - Álvaro Céspedes-Jiménez
- Department of Physical Education and Sports, University of Granada, 18011 Granada, Spain; (Á.C.-J.); (D.C.-M.)
| | - David Cabello-Manrique
- Department of Physical Education and Sports, University of Granada, 18011 Granada, Spain; (Á.C.-J.); (D.C.-M.)
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6
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Shanahan DF, Astell-Burt T, Barber EA, Brymer E, Cox DTC, Dean J, Depledge M, Fuller RA, Hartig T, Irvine KN, Jones A, Kikillus H, Lovell R, Mitchell R, Niemelä J, Nieuwenhuijsen M, Pretty J, Townsend M, van Heezik Y, Warber S, Gaston KJ. Nature-Based Interventions for Improving Health and Wellbeing: The Purpose, the People and the Outcomes. Sports (Basel) 2019; 7:E141. [PMID: 31185675 PMCID: PMC6628071 DOI: 10.3390/sports7060141] [Citation(s) in RCA: 85] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2019] [Revised: 05/22/2019] [Accepted: 05/24/2019] [Indexed: 11/16/2022] Open
Abstract
Engagement with nature is an important part of many people's lives, and the health and wellbeing benefits of nature-based activities are becoming increasingly recognised across disciplines from city planning to medicine. Despite this, urbanisation, challenges of modern life and environmental degradation are leading to a reduction in both the quantity and the quality of nature experiences. Nature-based health interventions (NBIs) can facilitate behavioural change through a somewhat structured promotion of nature-based experiences and, in doing so, promote improved physical, mental and social health and wellbeing. We conducted a Delphi expert elicitation process with 19 experts from seven countries (all named authors on this paper) to identify the different forms that such interventions take, the potential health outcomes and the target beneficiaries. In total, 27 NBIs were identified, aiming to prevent illness, promote wellbeing and treat specific physical, mental or social health and wellbeing conditions. These interventions were broadly categorized into those that change the environment in which people live, work, learn, recreate or heal (for example, the provision of gardens in hospitals or parks in cities) and those that change behaviour (for example, engaging people through organized programmes or other activities). We also noted the range of factors (such as socioeconomic variation) that will inevitably influence the extent to which these interventions succeed. We conclude with a call for research to identify the drivers influencing the effectiveness of NBIs in enhancing health and wellbeing.
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Affiliation(s)
| | - Thomas Astell-Burt
- Population Wellbeing and Environment Research Lab (PowerLab), School ofHealth and Society, University of Wollongong, 2522 Wollongong, Australia.
| | - Elizabeth A Barber
- School of Public Health, University of Queensland, Brisbane, 4006 Queensland, Australia.
| | - Eric Brymer
- UK. Discipline of Psychology, Australian College of Applied Psychology, Brisbane, 4000 Queensland, Australia.
| | - Daniel T C Cox
- Environment & Sustainability Institute, University of Exeter, Cornwall TR10 9EZ, UK.
| | - Julie Dean
- School of Public Health, University of Queensland, Brisbane, 4006 Queensland, Australia.
| | - Michael Depledge
- European Centre for Environment and Human Health, University of Exeter Medical School, Exeter EX1 2LU, UK.
| | - Richard A Fuller
- School of Biological Sciences, University of Queensland, Brisbane, 4072 Queensland, Australia.
| | - Terry Hartig
- Institute for Housing and Urban Research, Uppsala University, 75120 Uppsala, Sweden.
| | - Katherine N Irvine
- Social, Economic and Geographical Sciences, James Hutton Institute, Aberdeen AB15 8QH, UK.
| | - Andy Jones
- Norwich Medical School, University of East Anglia, Norwich, Norfolk NR15 1LT, UK.
| | - Heidy Kikillus
- Centre for Biodiversity and Restoration Ecology, Victoria University of Wellington, 6012 Wellington, New Zealand.
| | - Rebecca Lovell
- European Centre for Environment and Human Health, University of Exeter Medical School, Truro TR1 3HD, UK.
| | - Richard Mitchell
- Centre for Research on Environment, Society and Health, University of Glasgow, Glasgow G12 8QQ, UK.
| | - Jari Niemelä
- Department of Environmental Science, University of Helsinki, 00014 Helinski, Finland.
| | - Mark Nieuwenhuijsen
- ISGlobal, Barcelona Institute for Global Health, Barcelona Biomedical Research Park (PRBB), 08003 Barcelona, Spain.
| | - Jules Pretty
- Department of Biological Sciences, University of Essex, Colchester, Essex CO4 3SQ, UK.
| | - Mardie Townsend
- School of Health & Social Development, Deakin University, 3217 Geelong, Australia.
| | | | - Sara Warber
- Integrative Medicine, The University of Michigan, Michigan, MA 48710, USA.
| | - Kevin J Gaston
- Environment & Sustainability Institute, University of Exeter, Cornwall TR10 9EZ, UK.
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7
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Schroeder K, Klusaritz H, Dupuis R, Bolick A, Graves A, Lipman TH, Cannuscio C. Reconciling opposing perceptions of access to physical activity in a gentrifying urban neighborhood. Public Health Nurs 2019; 36:461-468. [PMID: 30908690 DOI: 10.1111/phn.12602] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2018] [Revised: 02/08/2019] [Accepted: 02/14/2019] [Indexed: 11/30/2022]
Abstract
OBJECTIVE We sought to understand perspectives on access to physical activity in a gentrifying neighborhood. DESIGN This qualitative descriptive study used street intercept interviews and photo documentation. SAMPLE Participants included members (n = 19) of a gentrifying neighborhood in a northeastern city. RESULTS Participants held markedly different perceptions of opportunities for physical activity. Some participants, particularly area university students or those who are identified as White, perceived the neighborhood as favorable to physical activity, with high walkability and abundant resources. Other participants, particularly those who identified as Black or African-American, felt it was difficult to be physically active because neighborhood recreation facilities are scarce or unaffordable and parks are poorly maintained or unsafe. Multiple participants noted strategies to overcome neighborhood barriers to physical activity. Regardless of neighborhood perceptions, family and friends played an important role in influencing physical activity. CONCLUSIONS Nurses must consider how disparities in actual and perceived access to neighborhood resources influence participation in physical activity, particularly in gentrifying neighborhood. Public health nurses are embedded in the neighborhoods that they serve, providing a unique opportunity to understand and address the impact of neighborhood on health.
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Affiliation(s)
- Krista Schroeder
- University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania.,University of Pennsylvania Center for Public Health Initiatives, Philadelphia, Pennsylvania
| | - Heather Klusaritz
- University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania
| | - Roxanne Dupuis
- University of Pennsylvania Center for Public Health Initiatives, Philadelphia, Pennsylvania
| | - Ansley Bolick
- University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania
| | - Amy Graves
- University of Pennsylvania Center for Public Health Initiatives, Philadelphia, Pennsylvania
| | - Terri H Lipman
- University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania.,University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania
| | - Carolyn Cannuscio
- University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania
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8
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Wilson JJ, Adlakha D, Cunningham C, Best P, Cardwell CR, Stephenson A, Murphy MH, Tully MA. Brief Standing Desk Intervention to Reduce Sedentary Behavior at a Physical Activity Conference in 2016. Am J Public Health 2018; 108:1197-1199. [PMID: 30024796 DOI: 10.2105/ajph.2018.304515] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES To examine the impact of environmental restructuring on attendees at a physical activity conference when provided with standing tables and given point-of-decision prompts (PODPs; e.g., health messages). METHODS This randomized controlled trial took place at the Health-Enhancing Physical Activity Europe 2016 conference in Belfast, United Kingdom, September 2016. We randomly allocated 14 oral sessions to either the intervention group (standing tables + PODPs; n = 7) or the control group (PODPs only; n = 7). Conference volunteers discreetly recorded the number of attendees standing and sitting and estimated the number of women and attendees aged 40 years or older. RESULTS There was a significant difference (P = .04) in the proportion of attendees standing during the intervention (mean = 16.8%; SD = 9.5%) than during control sessions (mean = 6.0%; SD = 5.8%). There was no differential response between gender and age groups in the proportion standing during intervention sessions (P > .05). CONCLUSIONS Providing standing tables may be a feasible and effective strategy to reduce sitting at physical activity conferences.
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Affiliation(s)
- Jason J Wilson
- Jason J. Wilson, Conor Cunningham, Chris R. Cardwell, and Mark A. Tully are with the UK Clinical Research Collaboration Centre of Excellence for Public Health, Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, United Kingdom. Deepti Adlakha is with the School of Natural and Built Environment, Queen's University Belfast. Paul Best is with the Centre for Evidence and Social Innovation, School of Social Sciences, Education and Social Work, Queen's University Belfast. Aoife Stephenson and Marie H. Murphy are with the Sport and Exercise Sciences Research Institute, School of Sport, Ulster University, Newtownabbey, United Kingdom
| | - Deepti Adlakha
- Jason J. Wilson, Conor Cunningham, Chris R. Cardwell, and Mark A. Tully are with the UK Clinical Research Collaboration Centre of Excellence for Public Health, Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, United Kingdom. Deepti Adlakha is with the School of Natural and Built Environment, Queen's University Belfast. Paul Best is with the Centre for Evidence and Social Innovation, School of Social Sciences, Education and Social Work, Queen's University Belfast. Aoife Stephenson and Marie H. Murphy are with the Sport and Exercise Sciences Research Institute, School of Sport, Ulster University, Newtownabbey, United Kingdom
| | - Conor Cunningham
- Jason J. Wilson, Conor Cunningham, Chris R. Cardwell, and Mark A. Tully are with the UK Clinical Research Collaboration Centre of Excellence for Public Health, Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, United Kingdom. Deepti Adlakha is with the School of Natural and Built Environment, Queen's University Belfast. Paul Best is with the Centre for Evidence and Social Innovation, School of Social Sciences, Education and Social Work, Queen's University Belfast. Aoife Stephenson and Marie H. Murphy are with the Sport and Exercise Sciences Research Institute, School of Sport, Ulster University, Newtownabbey, United Kingdom
| | - Paul Best
- Jason J. Wilson, Conor Cunningham, Chris R. Cardwell, and Mark A. Tully are with the UK Clinical Research Collaboration Centre of Excellence for Public Health, Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, United Kingdom. Deepti Adlakha is with the School of Natural and Built Environment, Queen's University Belfast. Paul Best is with the Centre for Evidence and Social Innovation, School of Social Sciences, Education and Social Work, Queen's University Belfast. Aoife Stephenson and Marie H. Murphy are with the Sport and Exercise Sciences Research Institute, School of Sport, Ulster University, Newtownabbey, United Kingdom
| | - Chris R Cardwell
- Jason J. Wilson, Conor Cunningham, Chris R. Cardwell, and Mark A. Tully are with the UK Clinical Research Collaboration Centre of Excellence for Public Health, Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, United Kingdom. Deepti Adlakha is with the School of Natural and Built Environment, Queen's University Belfast. Paul Best is with the Centre for Evidence and Social Innovation, School of Social Sciences, Education and Social Work, Queen's University Belfast. Aoife Stephenson and Marie H. Murphy are with the Sport and Exercise Sciences Research Institute, School of Sport, Ulster University, Newtownabbey, United Kingdom
| | - Aoife Stephenson
- Jason J. Wilson, Conor Cunningham, Chris R. Cardwell, and Mark A. Tully are with the UK Clinical Research Collaboration Centre of Excellence for Public Health, Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, United Kingdom. Deepti Adlakha is with the School of Natural and Built Environment, Queen's University Belfast. Paul Best is with the Centre for Evidence and Social Innovation, School of Social Sciences, Education and Social Work, Queen's University Belfast. Aoife Stephenson and Marie H. Murphy are with the Sport and Exercise Sciences Research Institute, School of Sport, Ulster University, Newtownabbey, United Kingdom
| | - Marie H Murphy
- Jason J. Wilson, Conor Cunningham, Chris R. Cardwell, and Mark A. Tully are with the UK Clinical Research Collaboration Centre of Excellence for Public Health, Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, United Kingdom. Deepti Adlakha is with the School of Natural and Built Environment, Queen's University Belfast. Paul Best is with the Centre for Evidence and Social Innovation, School of Social Sciences, Education and Social Work, Queen's University Belfast. Aoife Stephenson and Marie H. Murphy are with the Sport and Exercise Sciences Research Institute, School of Sport, Ulster University, Newtownabbey, United Kingdom
| | - Mark A Tully
- Jason J. Wilson, Conor Cunningham, Chris R. Cardwell, and Mark A. Tully are with the UK Clinical Research Collaboration Centre of Excellence for Public Health, Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, United Kingdom. Deepti Adlakha is with the School of Natural and Built Environment, Queen's University Belfast. Paul Best is with the Centre for Evidence and Social Innovation, School of Social Sciences, Education and Social Work, Queen's University Belfast. Aoife Stephenson and Marie H. Murphy are with the Sport and Exercise Sciences Research Institute, School of Sport, Ulster University, Newtownabbey, United Kingdom
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Van Camp CM, Berth D. Further evaluation of observational and mechanical measures of physical activity. BEHAVIORAL INTERVENTIONS 2018. [DOI: 10.1002/bin.1518] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | - Diane Berth
- Psychology Department; University of North Carolina; Wilmington NC USA
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10
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Kärmeniemi M, Lankila T, Ikäheimo T, Koivumaa-Honkanen H, Korpelainen R. The Built Environment as a Determinant of Physical Activity: A Systematic Review of Longitudinal Studies and Natural Experiments. Ann Behav Med 2018. [DOI: 10.1093/abm/kax043] [Citation(s) in RCA: 163] [Impact Index Per Article: 27.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Affiliation(s)
- Mikko Kärmeniemi
- Center for Life Course Health Research, University of Oulu, Aapistie, Finland
- Department of Sport and Exercise Medicine, Oulu Deaconess Institute, Oulu, Finland
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - Tiina Lankila
- Geography Research Unit, University of Oulu, Oulu, Finland
| | - Tiina Ikäheimo
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
- Center for Environment and Respiratory Health Research, University of Oulu, Oulu, Finland
| | - Heli Koivumaa-Honkanen
- Institute of Clinical Medicine (Psychiatry), University of Eastern Finland, Kuopio, Finland
- Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland
- Department of Psychiatry, Lapland Hospital District, Rovaniemi, Finland
| | - Raija Korpelainen
- Center for Life Course Health Research, University of Oulu, Aapistie, Finland
- Department of Sport and Exercise Medicine, Oulu Deaconess Institute, Oulu, Finland
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
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Smith M, Hosking J, Woodward A, Witten K, MacMillan A, Field A, Baas P, Mackie H. Systematic literature review of built environment effects on physical activity and active transport - an update and new findings on health equity. Int J Behav Nutr Phys Act 2017; 14:158. [PMID: 29145884 PMCID: PMC5693449 DOI: 10.1186/s12966-017-0613-9] [Citation(s) in RCA: 368] [Impact Index Per Article: 52.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2017] [Accepted: 11/06/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Evidence is mounting to suggest a causal relationship between the built environment and people's physical activity behaviours, particularly active transport. The evidence base has been hindered to date by restricted consideration of cost and economic factors associated with built environment interventions, investigation of socioeconomic or ethnic differences in intervention effects, and an inability to isolate the effect of the built environment from other intervention types. The aims of this systematic review were to identify which environmental interventions increase physical activity in residents at the local level, and to build on the evidence base by considering intervention cost, and the differential effects of interventions by ethnicity and socioeconomic status. METHODS A systematic database search was conducted in June 2015. Articles were eligible if they reported a quantitative empirical study (natural experiment or a prospective, retrospective, experimental, or longitudinal research) investigating the relationship between objectively measured built environment feature(s) and physical activity and/or travel behaviours in children or adults. Quality assessment was conducted and data on intervention cost and whether the effect of the built environment differed by ethnicity or socioeconomic status were extracted. RESULTS Twenty-eight studies were included in the review. Findings showed a positive effect of walkability components, provision of quality parks and playgrounds, and installation of or improvements in active transport infrastructure on active transport, physical activity, and visits or use of settings. There was some indication that infrastructure improvements may predominantly benefit socioeconomically advantaged groups. Studies were commonly limited by selection bias and insufficient controlling for confounders. Heterogeneity in study design and reporting limited comparability across studies or any clear conclusions to be made regarding intervention cost. CONCLUSIONS Improving neighbourhood walkability, quality of parks and playgrounds, and providing adequate active transport infrastructure is likely to generate positive impacts on activity in children and adults. The possibility that the benefits of infrastructure improvements may be inequitably distributed requires further investigation. Opportunities to improve the quality of evidence exist, including strategies to improve response rates and representativeness, use of valid and reliable measurement tools, cost-benefit analyses, and adequate controlling for confounders.
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Affiliation(s)
- Melody Smith
- School of Nursing, The University of Auckland, Private Bag 92019, Auckland, 1142 New Zealand
| | - Jamie Hosking
- School of Population Health, The University of Auckland, Private Bag 92019, Auckland, 1142 New Zealand
| | - Alistair Woodward
- School of Population Health, The University of Auckland, Private Bag 92019, Auckland, 1142 New Zealand
| | - Karen Witten
- SHORE and Whāriki Research Centre, School of Public Health, Massey University, Box 6137, Wellesley Street, Auckland, PO New Zealand
| | - Alexandra MacMillan
- Dunedin School of Medicine, University of Otago, Box 56, Dunedin, PO 9054 New Zealand
| | - Adrian Field
- Dovetail Consulting Ltd, Box 78-146, Grey Lynn, Auckland, PO 1245 New Zealand
| | - Peter Baas
- Transport Engineering Research New Zealand Limited, Box 11029, Auckland, PO 1542 New Zealand
| | - Hamish Mackie
- Mackie Consulting Limited, Box 106525, Auckland, PO 1143 New Zealand
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Lim C, Donovan AM, Harper NJ, Naylor PJ. Nature Elements and Fundamental Motor Skill Development Opportunities at Five Elementary School Districts in British Columbia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14101279. [PMID: 29064430 PMCID: PMC5664779 DOI: 10.3390/ijerph14101279] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/28/2017] [Revised: 10/18/2017] [Accepted: 10/20/2017] [Indexed: 11/24/2022]
Abstract
The majority of Canadian children are not physically active enough for healthy development. School playgrounds are a primary location to promote physical activity and motor skill practice. The benefits of children’s play in nature have also been highlighted, but few studies have evaluated children’s access and exposure to nature for play on school grounds. This study examined children’s access to nature on school grounds and the opportunities afforded by those natural elements for motor skill practice. Results: Extensive naturescapes (multiple nature elements in one setting) were not common, and natural elements were limited, ranging from 1.97 to 5.71 elements/school. The most common element was a forested area (26.5% of all natural elements identified). In comparison to built structures, the number of natural elements was low. Some elements differed between school districts and appeared to be related to local geography and terrain (hilly, rocky terrain, tidal flats, etc.). Our assessment showed that naturescape elements afforded opportunities for the development of some key fundamental motor skills (FMS), specifically, locomotor and stability skills, but opportunities to develop manipulative skills were limited. To maximize potential FMS development, physical literacy, and psycho-social benefits, additional elements or more comprehensive multi-element naturescapes and facilitation (social or environmental) are recommended.
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Affiliation(s)
- Christopher Lim
- School of Exercise Science, Physical and Health Education, University of Victoria, P.O. Box 1700 STN CSC, Victoria, BC V8W 2Y2, Canada.
| | - Andrew M Donovan
- School of Exercise Science, Physical and Health Education, University of Victoria, P.O. Box 1700 STN CSC, Victoria, BC V8W 2Y2, Canada.
| | - Nevin J Harper
- School of Child & Youth Care, Human and Social Development, University of Victoria, Victoria, BC V8W 2Y2, Canada.
| | - Patti-Jean Naylor
- School of Exercise Science, Physical and Health Education, University of Victoria, P.O. Box 1700 STN CSC, Victoria, BC V8W 2Y2, Canada.
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McCarthy SM, Hughey SM, Kaczynski AT. Examining Sociodemographic Differences in Playground Availability and Quality and Associations with Childhood Obesity. Child Obes 2017; 13:324-331. [PMID: 28467110 DOI: 10.1089/chi.2016.0239] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
BACKGROUND Parks and playgrounds are important environmental components for promoting healthy weight among children. The purposes of this study were to examine disparities in access to playgrounds and playground quality by multiple sociodemographic characteristics and the association of playground access and quality with youth weight status. METHODS Objectively measured height and weight were collected for all third to fifth grade youth (n = 13,469) in a southeastern US County. Detailed audits of all park playgrounds (n = 95) were concurrently conducted. Playground quality was measured by the presence of eight playground attributes (e.g., good condition and shade). Spatial (GIS) and statistical (multilevel logistic regression) analyses were used to determine access to playgrounds within a ½ mile network buffer, whether playground access and quality varied by the individual's gender, socioeconomic status (SES), and race/ethnicity, and the association between playground access and quality with youth being a healthy weight vs. overweight or obese. RESULTS Higher SES youth were half as likely to have a playground within ½ mile. No disparities were found for playground quality by gender, SES, or race/ethnicity. In unadjusted models, youth with lower quality playgrounds nearby were more likely to be overweight/obese than children with no playground access. However, there were no significant associations for playground access/quality and weight status after adjusting for sociodemographic variables. CONCLUSION Future research should continue to monitor disparities in diverse metrics of access to and quality of playgrounds and how these are related to weight status and other outcomes among children of different age, income, and racial/ethnic groups.
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Affiliation(s)
- Shea M McCarthy
- 1 Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina , Columbia, SC
| | - S Morgan Hughey
- 1 Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina , Columbia, SC
| | - Andrew T Kaczynski
- 1 Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina , Columbia, SC.,2 Prevention Research Center, Arnold School of Public Health, University of South Carolina , Columbia, SC
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14
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Young DR, Hivert MF, Alhassan S, Camhi SM, Ferguson JF, Katzmarzyk PT, Lewis CE, Owen N, Perry CK, Siddique J, Yong CM. Sedentary Behavior and Cardiovascular Morbidity and Mortality: A Science Advisory From the American Heart Association. Circulation 2016; 134:e262-79. [PMID: 27528691 DOI: 10.1161/cir.0000000000000440] [Citation(s) in RCA: 424] [Impact Index Per Article: 53.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Epidemiological evidence is accumulating that indicates greater time spent in sedentary behavior is associated with all-cause and cardiovascular morbidity and mortality in adults such that some countries have disseminated broad guidelines that recommend minimizing sedentary behaviors. Research examining the possible deleterious consequences of excess sedentary behavior is rapidly evolving, with the epidemiology-based literature ahead of potential biological mechanisms that might explain the observed associations. This American Heart Association science advisory reviews the current evidence on sedentary behavior in terms of assessment methods, population prevalence, determinants, associations with cardiovascular disease incidence and mortality, potential underlying mechanisms, and interventions. Recommendations for future research on this emerging cardiovascular health topic are included. Further evidence is required to better inform public health interventions and future quantitative guidelines on sedentary behavior and cardiovascular health outcomes.
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15
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Joseph RP, Maddock JE. Observational Park-based physical activity studies: A systematic review of the literature. Prev Med 2016; 89:257-277. [PMID: 27311337 PMCID: PMC4973509 DOI: 10.1016/j.ypmed.2016.06.016] [Citation(s) in RCA: 71] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2016] [Revised: 06/06/2016] [Accepted: 06/12/2016] [Indexed: 10/21/2022]
Abstract
This article reports the outcomes of a systematic review of observational park-based physical activity (PA) studies. Five electronic databases and the Active Living Research website were searched in July 2015 to identify relevant articles. Studies were included if they: a) reported observational data collected at outdoor park-based settings during free living conditions, b) reported results of a park audit, c) included PA as an outcome measure of the park audit, and d) were published after 1990 in English-language peer-review journals. Thirty-two articles, reporting outcomes of 26 unique studies, met inclusion criteria for review. Most studies (n=20, 87%) had cross-sectional or non-interventional study designs, while 6 (23%) employed quasi-experimental designs. Studies were predominately conducted in the U.S. (n=19, 76%). The median number of park users across studies was 4558 (Range=815 to 76,632). Approximately half (51%) of all park users were female. Eighty-one percent of studies (n=21) reported PA outcomes for individuals of all ages, while 4 studies (15%) reported PA outcomes for children only and 1 study (4%) for adults only. Moderate-to-vigorous physical activity (MVPA) of park users ranged from 31% to 85% (Median=55.0%). Studies conducted in the U.S. reported a slightly higher median number of park-users engaging in MVPA than those outside the U.S. (60.5% vs. 52.8%). Fifteen studies examined gender differences in MVPA. Among these, 12 (87%) reported more males engaging in MVPA than females. Results of this review highlight the need for innovative strategies to promote MVPA among park users and to increase park use among children.
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Affiliation(s)
- Rodney P Joseph
- College of Nursing and Health Innovation, Arizona State University, 500 N. 3rd Street, Phoenix, AZ 85004, USA.
| | - Jay E Maddock
- Department of Environmental and Occupational Health, School of Public Health, Texas A&M Health Science Center, 282 SPH Administration Building, College Station, TX 77843-1266, USA.
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Audrey S, Batista-Ferrer H. Healthy urban environments for children and young people: A systematic review of intervention studies. Health Place 2015; 36:97-117. [PMID: 26457624 PMCID: PMC4676191 DOI: 10.1016/j.healthplace.2015.09.004] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2015] [Revised: 09/08/2015] [Accepted: 09/15/2015] [Indexed: 12/04/2022]
Abstract
This systematic review collates, and presents as a narrative synthesis, evidence from interventions which included changes to the urban environment and reported at least one health behaviour or outcome for children and young people. Following a comprehensive search of six databases, 33 primary studies relating to 27 urban environment interventions were included. The majority of interventions related to active travel. Others included park and playground renovations, road traffic safety, and multi-component community-based initiatives. Public health evidence for effectiveness of such interventions is often weak because study designs tend to be opportunistic, non-randomised, use subjective outcome measures, and do not incorporate follow-up of study participants. However, there is some evidence of potential health benefits to children and young people from urban environment interventions relating to road safety and active travel, with evidence of promise for a multi-component obesity prevention initiative. Future research requires more robust study designs incorporating objective outcome measures.
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Affiliation(s)
- Suzanne Audrey
- School of Social and Community Medicine, University of Bristol, 39 Whatley Road, Bristol BS8 2PS, United Kingdom.
| | - Harriet Batista-Ferrer
- School of Social and Community Medicine, University of Bristol, 39 Whatley Road, Bristol BS8 2PS, United Kingdom.
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