Cited by 1,318Urban Transport and AccessibilityUrban Green Space and HealthPhysical Activity and Health

Measuring the Built Environment for Physical Activity

Open access
Brownson, Ross C., Hoehner, Christine M., Day, Kristen, Forsyth, Ann, Sallis, James F.·2009·American Journal of Preventive Medicine

Abstract

Physical inactivity is one of the most important public health issues in the U.S. and internationally. Increasingly, links are being identified between various elements of the physical-or built-environment and physical activity. To understand the impact of the built environment on physical activity, the development of high-quality measures is essential. Three categories of built environment data are being used: (1) perceived measures obtained by telephone interview or self-administered questionnaires; (2) observational measures obtained using systematic observational methods (audits); and (3) archival data sets that are often layered and analyzed with GIS. This review provides a critical assessment of these three types of built-environment measures relevant to the study of physical activity. Among perceived measures, 19 questionnaires were reviewed, ranging in length from 7 to 68 questions. Twenty audit tools were reviewed that cover community environments (i.e., neighborhoods, cities), parks, and trails. For GIS-derived measures, more than 50 studies were reviewed. A large degree of variability was found in the operationalization of common GIS measures, which include population density, land-use mix, access to recreational facilities, and street pattern. This first comprehensive examination of built-environment measures demonstrates considerable progress over the past decade, showing diverse environmental variables available that use multiple modes of assessment. Most can be considered first-generation measures, so further development is needed. In particular, further research is needed to improve the technical quality of measures, understand the relevance to various population groups, and understand the utility of measures for science and public health.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1016/j.amepre.2009.01.005

Cites

171 of 171 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 38

  1. [26]McGinn AP Evenson KR Herring AH Huston SL Rodriguez DA Exploring associations between physical activity and perceived and objective measures of the built environment J Urban Health 2007 84 2 162 84 17273926 PMC2231636
  2. [65]Troped PJ Saunders RP Pate RR Reininger B Ureda JR Thompson SJ Associations between self-reported and objective physical environmental factors and use of a community rail-trail Prev Med 2001 32 2 191 200 11162346
  3. [66]Michael Y Beard T Choi D Farquhar S Carlson N Measuring the influence of built neighborhood environments on walking in older adults J Aging Phys Act 2006 14 3 302 12 17090807
  4. [67]Tilt JH Unfried TM Roca B Using objective and subjective measures of neighborhood greenness and accessible destinations for understanding walking trips and BMI in Seattle, Washington Am J Health Promot 2007 21 4S 371 9 17465183
  5. [68]McGinn AP Evenson KR Herring AH Huston SL The relationship between leisure, walking, and transportation activity with the natural environment Health Place 2007 13 3 588 602 16935020
  6. [69]Jilcott SB Evenson KR Laraia BA Ammerman AS Association between physical activity and proximity to physical activity resources among low-income, midlife women Prev Chronic Dis 2007 4 1 A04 17173712 PMC1832127
  7. [104]Boer R Zheng Y Overton A Ridgeway GK Cohen DA Neighborhood design and walking trips in ten U.S. metropolitan areas Am J Prev Med 2007 32 4 298 304 17383560 PMC1995081
  8. [105]Braza M Shoemaker W Seeley A Neighborhood design and rates of walking and biking to elementary school in 34 California communities Am J Health Promot 2004 19 2 128 36 15559713
  9. [107]Cervero R Duncan M Walking, bicycling, and urban landscapes: evidence from the San Francisco Bay Area Am J Public Health 2003 93 1478 83 12948966 PMC1447996
  10. [110]Kerr J Rosenberg D Sallis JF Saelens BE Frank LD Conway TL Active commuting to school: associations with environment and parental concerns Med Sci Sports Exerc 2006 38 4 787 94 16679998
  11. [116]Berke EM Koepsell TD Moudon AV Hoskins RE Larson EB Association of the built environment with physical activity and obesity in older persons Am J Public Health 2007 97 3 486 92 17267713 PMC1805010
  12. [117]Diez Roux AV Evenson KR McGinn AP Availability of recreational resources and physical activity in adults Am J Public Health 2007 97 3 493 9 17267710 PMC1805019
  13. [118]Ewing R Schmid T Killingsworth R Zlot A Raudenbush S Relationship between urban sprawl and physical activity, obesity, and morbidity Am J Health Promot 2003 18 1 47 57 13677962
  14. [119]Giles-Corti B Broomhall MH Knuiman M Increasing walking: how important is distance to, attractiveness, and size of public open space? Am J Prev Med 2005 28 2S2 169 76 15694525
  15. [120]Gomez JE Johnson BA Selva M Sallis JF Violent crime and outdoor physical activity among inner-city youth Prev Med 2004 39 5 876 81 15475019
  16. [121]Gordon-Larsen P Nelson MC Page P Popkin BM Inequality in the built environment underlies key health disparities in physical activity and obesity Pediatrics 2006 117 2 417 24 16452361
  17. [122]Hillsdon M Panter J Foster C Jones A The relationship between access and quality of urban green space with population physical activity Public Health 2006 120 12 1127 32 17067646
  18. [123]Lindsey G Han Y Wilson J Yang J Neighborhood correlates of urban trail use J Phys Act Health 2006 3 1S S139 S157 28834516
  19. [124]Nelson MC Gordon-Larsen P Song Y Popkin BM Built and social environments associations with adolescent overweight and activity Am J Prev Med 2006 31 2 109 17 16829327
  20. [126]Ball K Timperio A Salmon J Giles-Corti B Roberts R Crawford D Personal, social and environmental determinants of educational inequalities in walking: a multilevel study J Epidemiol Community Health 2007 61 2 108 14 17234868 PMC2465645
  21. [127]Cohen DA Ashwood S Scott M Proximity to school and physical activity among middle school girls: the trial of activity for Adolescent Girls Study J Phys Act Health 2006 3 1S S129 S138 28834509
  22. [129]Duncan M Mummery K Psychosocial and environmental factors associated with physical activity among city dwellers in regional Queensland Prev Med 2005 40 4 363 72 15530589
  23. [130]Epstein LH Raja S Gold SS Paluch RA Pak Y Roemmich JN Reducing sedentary behavior: the relationship between park area and the physical activity of youth Psychol Sci 2006 17 8 654 9 16913945
  24. [133]Frank LD Schmid TL Sallis JF Chapman J Saelens BE Linking objectively measured physical activity with objectively measured urban form: findings from SMARTRAQ Am J Prev Med 2005 28 2S2 117 25 15694519
  25. [135]Hillsdon M Panter J Foster C Jones A Equitable access to exercise facilities Am J Prev Med 2007 32 6 506 8 17533066
  26. [136]King WC Belle SH Brach JS Simkin-Silverman LR Soska T Kriska AM Objective measures of neighborhood environment and physical activity in older women Am J Prev Med 2005 28 5 461 9 15894150
  27. [137]Kligerman M Sallis JF Ryan S Frank LD Nader PR Association of neighborhood design and recreation environment variables with physical activity and body mass index in adolescents Am J Health Promot 2007 21 4 274 7 17375494
  28. [138]Lee C Moudon AV Correlates of walking for transportation or recreation purposes J Phys Act Health 2006 3 1S S77 S98 28834524
  29. [140]Roemmich JN Epstein LH Raja S Yin L The neighborhood and home environments: disparate relationships with physical activity and sedentary behaviors in youth Ann Behav Med 2007 33 1 29 38 17291168
  30. [141]Troped PJ Saunders RP Pate RR Reininger B Ureda JR Thompson SJ Associations between self-reported and objective physical environmental factors and use of a community rail-trail Prev Med 2001 32 2 191 200 11162346
  31. [142]Wendel-Vos GC Schuit AJ de Niet R Boshuizen HC Saris WH Kromhout D Factors of the physical environment associated with walking and bicycling Med Sci Sports Exerc 2004 36 4 725 30 15064601
  32. [143]Burdette HL Whitaker RC Neighborhood playgrounds, fast food restaurants, and crime: relationships to overweight in low-income preschool children Prev Med 2004 38 1 57 63 14672642
  33. [144]Ewing R Brownson RC Berrigan D Relationship between urban sprawl and weight of United States youth Am J Prev Med 2006 31 6 464 74 17169708 PMC1880893
  34. [145]Frank LD Andresen MA Schmid TL Obesity relationships with community design, physical activity, and time spent in cars Am J Prev Med 2004 27 2 87 96 15261894
  35. [146]Lopez R Urban sprawl and risk for being overweight or obese Am J Public Health 2004 94 9 1574 9 15333317 PMC1448496
  36. [147]Ross NA Tremblay S Khan S Crouse D Tremblay M Berthelot JM Body mass index in urban Canada: neighborhood and metropolitan area effects Am J Public Health 2007 97 3 500 8 17267734 PMC1805015
  37. [148]Rundle A Roux AV Free LM Miller D Neckerman KM Weiss CC The urban built environment and obesity in New York City: a multilevel analysis Am J Health Promot 2007 21 4S 326 34 17465178
  38. [149]Alexander E Density measures: a review and analysis J Archit Plann Res 1993 10 3 181 202

Cited by

Sorted by citations

Authors
Brownson, R. C., Hoehner, C. M., Day, K., Forsyth, A., & Sallis, J. F.
Affiliations
  • Washington University in St. Louis (US)
  • University of California, Irvine (US)
  • Cornell University (US)
  • San Diego State University (US)
Corresponding author
Brownson, Ross C.
Venue
American Journal of Preventive Medicine
Publisher
Elsevier BV
Published
2009-04
Volume
36
Issue
4
Pages
S99-S123.e12
ISSN
0749-3797 (ISSN-L)
OpenAlex
W2097133198
Cited by
1,318
References
171
Citations by year
2026: 38 · 2025: 51 · 2024: 68 · 2023: 61 · 2022: 82 · 2021: 92 · 2020: 107 · 2019: 109 · 2018: 71 · 2017: 77 · 2016: 102 · 2015: 77 · 2014: 101 · 2013: 85 · 2012: 80
FWCI
158.92
Type
journal article
Language
en
Open access
Locations
  • American Journal of Preventive Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (5r18dk061706-04)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R18 DK061706)
  • National Center for Chronic Disease Prevention and Health Promotion (U48-DP000060)
Topics
  • Social Sciences › Transportation › Urban Transport and Accessibility
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Urban Green Space and Health
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
Keywords
built environment, physical activity, physical inactivity, environmental perception, environmental auditing, mixed land use, population density, street layout, neighborhood environment, questionnaire development
MeSH terms
Environment Design, Environmental Monitoring, Forecasting, Health Promotion, Humans, Leisure Activities, Management Audit, Motor Activity, Physical Fitness, Population Dynamics, Recreation, Research Design, Social Environment, United States, Reproducibility of Results, Health Behavior, Exercise, Risk Reduction Behavior

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review