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Impact of built environment on physical activity and obesity among children and adolescents in China: A narrative systematic review
Open accessAbstract
BACKGROUND: Neighborhood built environment may profoundly influence children's physical activity (PA) and body weight. This study systematically reviewed scientific evidence regarding the impact of built environment on PA and obesity among children and adolescents in China. METHODS: A keyword and reference search was conducted in Active Living Research, Cochrane Library, PubMed, and Web of Science. Studies that met all of the following criteria were included in the review: (1) study designs-experimental studies, observational studies, and qualitative studies; (2) study subjects-Chinese children and/or adolescents aged ≤17 years; (3) exposures-neighborhood built environment; (4) outcomes-PA and/or body weight status; (5) article type-peer-reviewed publications; (6) time window of search-from the inception of an electronicbibliographic database to May 31, 2018; (7) country-China; and (8) language-articles written in English. RESULTS: A total of 20 studies, including 16 cross-sectional studies, 3 longitudinal studies, and 1 descriptive study, met the predetermined selection criteria and were included in the review. A total of 13 studies adopted subjective built environment measures reported by parents and/or children,2 adopted objective measures (e.g., geographical information system, field observations), and 5 adopted both objective and subjective measures. PA behaviors included PA, physical inactivity, sedentary behavior, active/passive commuting from/to school, and park visits. Among the 16 studies that provided some quantitative estimates of the influence of built environment on PA and body weight status, all reported a statistically significant relationship in the expected direction. Availability and accessibility in proximity to greenspaces, parks, recreational facilities, and sidewalks were found to be associated with increased PA levels, reduced sedentary behaviors, and/or active commuting among Chinese childrenand adolescents. In contrast, the absence of bike lanes and living in higher density residential areas were associated with increased likelihood of childhood overweight and obesity. CONCLUSION: Neighborhood built environment plays an important role in Chinese children's PA engagement and weight outcomes. Building new exercise facilities and enhancing the accessibility of existing facilities hold the potential to enhance PA engagement among Chinese children and adolescents. In addition, urban designs that incorporate sidewalks, bike lanes, walking paths, less motorized traffic, and lower residential density are likely to promote PA and prevent childhood obesity in China.
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“Evidence from China indicates that built environmental features in the community, such as availability and accessibility of open space, recreational facilities and walkable sidewalks, are likely to facilitate increased physical activity and active commuting, as well as reduced sedentary behaviours among Chinese children and adolescents.”
From Physical activity and health in Chinese children and adolescents: expert consensus statement (2020) (2020) · cites this paper as [109]
In the citing paper
“There is consistent evidence of various environmental influences on the physical activity levels of children and adolescents.109–112”
From Physical activity and health in Chinese children and adolescents: expert consensus statement (2020) (2020) · cites this paper as [109]
In the citing paper
“Commonly reported factors influencing physical activity levels include socioeconomic status (income and education), the physical environment (ambient air and water) and the built environment (neighbourhood design, parks and recreational facilities, green space, safety, access to physical activity facilities and street connectivity).”
From Physical activity and health in Chinese children and adolescents: expert consensus statement (2020) (2020) · cites this paper as [109]
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“In contrast, features such as the lack of bike lanes and high residential density are likely to be associated with childhood overweight and obesity.109”
From Physical activity and health in Chinese children and adolescents: expert consensus statement (2020) (2020) · cites this paper as [109]
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“However, this requires confirmation in a larger group of pediatric patients.”
BackgroundThe Intersection of Neighborhood Environments, Adverse Childhood Experiences, and Health Equity
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“It was worthy to note that China, a nation with a highly authoritative government, has equipped with the fastgrowing food delivery industry, the prosperity of sports marketing, full capacity running transportation system; this has resulted in different opportunities to access to healthy food or changing citizens’ life…”
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“Likewise, the absence of bike paths and living in higher density areas were associated with a higher likelihood of being overweight and obese in Chinese children.(22) Evidence from Brazil suggests that higher perceived availability of facilities of the food, physical activity, and social-assistance environments near h…”
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“47 This rapid transition leads to many changes in living and working environment, 48–53 for example, the development of food processing industry and fast food retailing business exposed people to marketing for mass-produced, ultra-processed foods and beverages; the inactive design of major Chinese…”
Salameh, A. B., El‐hneiti, M., Omari, O. A., AlBashtawy, M., Karavasileiadou, S., Alabbasi, Y., Bubshait, K., & Malak, M. Z. (2024) · Food & Nutrition Research · doi:10.29219/fnr.v68.9582 · Cited by 4
“Other studies have focused on enhancing external factors, such as the availability of the environment and necessary facilities to promote physical activities, including the availability of gyms, landscapes, sidewalks, and/or footways (23–25).”
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The Innovation and Development of College English Blended Teaching Model in the Network Environment
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“The traditional teaching habit as the center has fully mobilized the role of the cognitive subject of the students, and cultivated the students’ innovative thinking and innovative ability [7-8].”
BackgroundImpact of Park Redesign and Renovation on Children’s Health-Related Quality of Life
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Toward Active Transport as a Utilitarian and Recreational Form of Sustainable Urban Mobility
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La actividad física para prevenir el sobrepeso en adolescentes
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A Review of the Role of Built Environment and Temperature in the Development of Childhood Obesity
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“Some recent reviews studying the effect of the built environment on obesity were identified [2,3,10,20-26].”
BackgroundMethodResultInfluentialEDUCATIONAL INTERVENTION: PROMOTING PHYSICAL ACTIVITY TO CONTROL AND PREVENT CHILDHOOD OBESITY
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Metadata
- Authors
- An, R., Shen, J., Yang, Q., & Yang, Y.
- Affiliations
- University of Illinois Urbana-Champaign (US)
- Beijing Sport University (CN)
- East China Normal University (CN)
- Corresponding author
- An, Ruopeng
- Venue
- Journal of Sport and Health Science
- Publisher
- Elsevier BV
- Published
- 2019-03
- Volume
- 8
- Issue
- 2
- Pages
- 153-169
- ISSN
- 2213-2961 (ISSN-L)
- 2095-2546
- PMC
- PMC6451055
- OpenAlex
- W2901880988
- Cited by
- 172
- References
- 60
- Citations by year
- 2026: 19 · 2025: 24 · 2024: 31 · 2023: 26 · 2022: 22 · 2021: 25 · 2020: 18 · 2019: 7
- FWCI
- 2.30
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Journal of sport and health science/Journal of Sport and Health Science (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Transportation › Urban Transport and Accessibility
- Social Sciences › Urban Studies › Urban Green Space and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Keywords
- built environment, physical activity, childhood obesity, adolescents, sedentary behavior, active commuting, park accessibility, green spaces, recreational facilities, bicycle lanes, housing density, urban design, China
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