The built environment and obesity: A systematic review of the epidemiologic evidence

Feng, Jing; Glass, Thomas A.; Curriero, Frank C.; Stewart, Walter F.; Schwartz, Brian S.

doi:10.1016/j.healthplace.2009.09.008

Cited by 806Urban Transport and AccessibilityUrban Green Space and HealthObesity, Physical Activity, Diet

The built environment and obesity: A systematic review of the epidemiologic evidence

Feng, Jing, Glass, Thomas A., Curriero, Frank C., Stewart, Walter F., Schwartz, Brian S.·2010·Health & Place

DOI 10.1016/j.healthplace.2009.09.008

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Abstract

We completed a systematic search of the epidemiologic literature on built environment and obesity and identified 63 relevant papers, which were then evaluated for the quality of between-study evidence. We were able to classify studies into one of two primary approaches for defining place and corresponding geographic areas of influence: those based on contextual effects derived from shared pre-determined administrative units and those based on individually unique geographic buffers. The 22 contextual papers evaluated 80 relations, 38 of which did not achieve statistical significance. The 15 buffer papers evaluated 40 relations, 24 of which did not achieve statistical significance. There was very little between-study similarity in methods in both types of approaches, which prevented estimation of pooled effects. The great heterogeneity across studies limits what can be learned from this body of evidence.

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Across systematic reviews, 5 of 8 studies found a positive relation between overall land-use mix and children's active commuting.
“Across all these systematic reviews, 5 of 6 studies found a positive relation between overall land-use mix and children’s physical activity; in 5 of 8 studies, between overall land-use mix and children’s active commuting; and in 3 of 3 studies, between distance from home to school and children’s active commuting.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [351]
Across systematic reviews, 3 of 3 studies found a positive relation between distance from home to school and children's active commuting.
“Across all these systematic reviews, 5 of 6 studies found a positive relation between overall land-use mix and children’s physical activity; in 5 of 8 studies, between overall land-use mix and children’s active commuting; and in 3 of 3 studies, between distance from home to school and children’s active commuting.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [351]
Across systematic reviews, 5 of 6 studies found a positive relation between overall land-use mix and children's physical activity.
“Across all these systematic reviews, 5 of 6 studies found a positive relation between overall land-use mix and children’s physical activity; in 5 of 8 studies, between overall land-use mix and children’s active commuting; and in 3 of 3 studies, between distance from home to school and children’s active commuting.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [351]
After adjustment for confounders, magnitudes of relationships between land-use mix and children's physical activity or active commuting often remained quite large, especially for active commuting.
“After adjustment for confounders, magnitudes of these relationships often remained quite large (eg, OR 2- to 3-fold or higher associations), especially for active commuting.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [351]
None of the 3 unique studies of land-use mix and childhood adiposity observed significant relations between land-use mix and BMI or overweight/obesity in children.
“None observed significant relations between land-use mix and BMI or overweight/obesity in children.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [351]

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Authors: Feng, J., Glass, T. A., Curriero, F. C., Stewart, W. F., & Schwartz, B. S.
Affiliations: Johns Hopkins University (US)
Geisinger Health System (US)
Corresponding author: Schwartz, Brian S.
ORCID: Feng, Jing
Glass, Thomas A.
Curriero, Frank C.
Stewart, Walter F.
Schwartz, Brian S.
Venue: Health & Place
Publisher: Elsevier BV
Published: 2010-03
Volume: 16
Issue: 2
Pages: 175-190
ISSN: 1353-8292 (ISSN-L)
DOI: 10.1016/j.healthplace.2009.09.008
OpenAlex: W2119283716
Cited by: 806
References: 154
Citations by year: 2026: 12 · 2025: 16 · 2024: 26 · 2023: 32 · 2022: 56 · 2021: 36 · 2020: 57 · 2019: 58 · 2018: 60 · 2017: 66 · 2016: 80 · 2015: 65 · 2014: 81 · 2013: 49 · 2012: 65
FWCI: 3.97
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Health & Place (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Transportation › Urban Transport and Accessibility
Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Urban Green Space and Health
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords: built environment, obesity, contextual effects, administrative divisions, study heterogeneity, place-based health
MeSH terms: Environment Design, Humans, Motor Activity, Obesity, Residence Characteristics, Food Industry

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The built environment and obesity: A systematic review of the epidemiologic evidence

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