Associations between neighbourhood walkability and daily steps in adults: a systematic review and meta-analysis.
Associations between neighbourhood walkability and daily steps in adults: a systematic review and meta-analysis.
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DOI：
10.1186/s12889-015-2082-x
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发表时间：
2015-08-11
影响因子：
4.5
通讯作者：
Dasgupta K
中科院分区：
文献类型：
--
作者：
Hajna S;Ross NA;Brazeau AS;Bélisle P;Joseph L;Dasgupta K
更高的街道连通性、土地利用组合和居住密度(统称为邻里可步行)与更高的步行水平有关。我们研究的目的是总结当前关于社区步行能力和生物传感器评估成人日常步数之间的联系的知识体系。我们在PubMed、Scope us和Embase(Ovid)上进行了系统的搜索，寻找2014年5月之前发表的关于成年人步行能力(基于地理信息系统得出的街道连通性、土地利用组合和/或居住密度)与日常步数(计步器或加速计评估)之间的关联的文章。通过使用贝叶斯分层模型，通过研究汇集了居住在步行高度较高和步行较低社区的成年人之间的平均每日步数差异。搜索策略产生了8744个独特的摘要。其中30篇接受了全文审查，其中6篇符合纳入标准。其中四项研究在欧洲进行，两项在亚洲进行。对这六项研究中的四项进行的荟萃分析表明，与低步行社区相比，住在高步行社区的参与者每天多走766步(95%可信区间250,1271)。这约占建议每日步数的8%。欧洲和亚洲的研究结果支持这样的假设，即在成年人中，较高的邻里步行能力与较高的生物传感器评估步行水平有关。北美需要对这种联系进行更多的研究。
Higher street connectivity, land use mix and residential density (collectively referred to as neighbourhood walkability) have been linked to higher levels of walking. The objective of our study was to summarize the current body of knowledge on the association between neighbourhood walkability and biosensor-assessed daily steps in adults. We conducted a systematic search of PubMed, SCOPUS, and Embase (Ovid) for articles published prior to May 2014 on the association between walkability (based on Geographic Information Systems-derived street connectivity, land use mix, and/or residential density) and daily steps (pedometer or accelerometer-assessed) in adults. The mean differences in daily steps between adults living in high versus low walkable neighbourhoods were pooled across studies using a Bayesian hierarchical model. The search strategy yielded 8,744 unique abstracts. Thirty of these underwent full article review of which six met the inclusion criteria. Four of these studies were conducted in Europe and two were conducted in Asia. A meta-analysis of four of these six studies indicates that participants living in high compared to low walkable neighbourhoods accumulate 766 more steps per day (95 % credible interval 250, 1271). This accounts for approximately 8 % of recommended daily steps. The results of European and Asian studies support the hypothesis that higher neighbourhood walkability is associated with higher levels of biosensor-assessed walking in adults. More studies on this association are needed in North America.