Healthy Urban Environments for Children and Young People: A Systematic Review of Intervention Studies

Audrey, Suzanne; Batista, Harriet

doi:10.1016/j.jth.2017.05.208

Cited by 11 publications

(26 citation statements)

References 43 publications

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“…Four systematic reviews, three of good‐quality and one of moderate quality, examined the effect of park and playground renovations on physical activity, including interventions that improved park or playground equipment, paths or trails, seating areas, and promotion of facilities in green spaces. Across all reviews, park and playground renovations appeared effective in increasing park use, but there was insufficient evidence of impact on overall physical activity.…”

Section: Resultsmentioning

confidence: 99%

“…Across all reviews, park and playground renovations appeared effective in increasing park use, but there was insufficient evidence of impact on overall physical activity. Three of the four reviews, including two assessed as good‐quality, reported increases in park use following intervention in most primary studies, but one good‐quality review focusing only on children and adolescents found limited evidence of effect . Three reviews reported effect on overall physical activity.…”

Section: Resultsmentioning

confidence: 99%

“…Three reviews reported effect on overall physical activity. Of these, one good‐quality review found an increase in total physical activity in two of five included studies, another good‐quality review found no increase in all three included studies, and one review of moderate quality included only one primary study that found an increase in overall physical activity. No reviews reported change in anthropometric data.…”

Section: Resultsmentioning

confidence: 99%

“…All of the reviews reported risk of bias in the included studies (two used Cochrane risk of bias tool, one used Cochrane's ACROBAT‐NRSI tool, which is designed for nonrandomized trials, and one used a rubric designed by reviewers). Reviews that used Cochrane tools rated 40% to 100% of included studies at high risk of bias.…”

Section: Resultsmentioning

confidence: 99%

“…Seven reviews examined active travel interventions, which aimed to encourage walking or cycling. Interventions evaluated included upgrading cycle route networks and walking trails, providing walking/cycling maps and other educational and promotional materials, subsidized non‐car transport (eg, free bus passes), disincentives for car transport (eg, tolls) and a variety of planning initiatives such as pedestrianizing city centres, traffic calming zones, and opening a new rail station.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Efficacy of population‐wide diabetes and obesity prevention programs: An overview of systematic reviews on proximal, intermediate, and distal outcomes and a meta‐analysis of impact on BMI

et al. 2019

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We conducted an overview of systematic reviews and a meta-analysis of the impact on body mass index (BMI) of primary studies of population-wide obesity and diabetes prevention programs, in order to evaluate their efficacy. We searched eight databases for reviews of population-level programs reporting effect on diet, physical activity, BMI, or prevalence of obesity/overweight or type 2 diabetes mellitus (T2DM).Meta-analysis of primary studies within reviews reporting effect on BMI. Interventions were categorized using ANGELO framework and quality assessment using AMSTAR. Fifty-three systematic reviews were included. Primary studies were largely natural experiments or cross-sectional studies of national data. Increased price of sugar-sweetened beverages (SSBs) and fast food, decreased price of fruit and vegetables, food labelling, and grocery store interventions were associated with positive effects on diet. Park and playground renovations and point-of-choice prompts to increase stair use were associated with positive effects on physical activity. Increased price of SSBs, menu labelling, grocery store interventions, and multicomponent interventions were associated with small reductions in BMI. There was insufficient evidence of impact of any interventions on the prevalence of overweight, obesity, or T2DM. We have identified a promising suite of population-wide actions to improve diet, increase physical activity, and reduce BMI. Impact on subsequent incidence of T2DM remains speculative.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Efficacy of population‐wide diabetes and obesity prevention programs: An overview of systematic reviews on proximal, intermediate, and distal outcomes and a meta‐analysis of impact on BMI

et al. 2019

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A Realist-Informed Review of Digital Empowerment Strategies for Adolescents to Improve Their Sexual and Reproductive Health and Well-being

2022

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The use of digital technologies for health has been rapidly gaining ground in the last decade, including as a strategy to empower adolescents living in urban resource-constrained settings. Nevertheless, unclarity and incoherence remain regarding which programme strategies generate which outcomes, as well as regarding the importance of context. We set out to answer the question “How do digital empowerment strategies work to improve adolescent health and well-being?”. We conducted a realist-informed review, the first on this subject matter to our knowledge. The realist methodology is geared towards the understanding of socially complex interventions, such as digital empowerment. We synthesized the data into a programme theory uncovering social mechanisms and context conditions underlying specific programme strategies. We found that digital technologies enlarge the space for adolescents to access information to health services on their own terms and provide anonymity, which leads to a sense of safety if access is not curbed by gatekeepers. If adolescents have access to information adapted to their needs, they will be able to make informed decisions, and this will contribute to improved health outcomes because their better understanding enlarges their sense of individual agency. We identified two main gaps in the literature on digital interventions for adolescents. Both are related to an under-theoretisation of the concepts the programmes rely on in implementation: (1) the urban environment the programme has to operate in and its meaning for the adolescents; (2) the socio-developmental stage of the adolescents the programmes work in.

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Ten questions concerning a new adolescent health urbanism

Knöll

Roe

2017

Building and Environment

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This article sets out an urban health model and conceptual framework for researching environments that support adolescent health and wellbeing. Our focus is on 10-19 year olds, an age group that has been neglected by researchers in the otherwise emerging and dynamic field of design and health over the past decade. The Ten Questions address adolescent urban lifestyles and their relation to health outcomes in Europe, adolescent perceptions of the built environment and age specific physical, social, digital and emotional affordances as well as, addressing how to increase participation of adolescents in health-oriented urban design processes. A model of adolescent health urbanism is introduced that integrates place and person characteristics in a dynamic model that addresses everyday practices across the adolescent age span. Based on a review of the evidence from urban planning and environmental psychology literature, this article emphasises the need for a more adolescent-responsive urban design process, the need for more research into age-specific urban affordances; integration of new technologies to forge mobility in and engagement with in the co-design of cities allowing stakeholders to make better-informed planning decisions.

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Healthy Urban Environments for Children and Young People: A Systematic Review of Intervention Studies

Cited by 11 publications

References 43 publications

Efficacy of population‐wide diabetes and obesity prevention programs: An overview of systematic reviews on proximal, intermediate, and distal outcomes and a meta‐analysis of impact on BMI

Efficacy of population‐wide diabetes and obesity prevention programs: An overview of systematic reviews on proximal, intermediate, and distal outcomes and a meta‐analysis of impact on BMI

A Realist-Informed Review of Digital Empowerment Strategies for Adolescents to Improve Their Sexual and Reproductive Health and Well-being

Ten questions concerning a new adolescent health urbanism

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