Cargando…
S09-1 Which transport policies increase physical activity of the whole of society? A Systematic Review
BACKGROUND: There is strong evidence of the links between car-dependence and the global physical inactivity epidemic. If eliminated, physical inactivity would remove between 6% and 10% of major non-communicable diseases that are the leading cause of death globally, killing 38 million people each yea...
Autores principales: | , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9421807/ http://dx.doi.org/10.1093/eurpub/ckac093.045 |
_version_ | 1784777674579771392 |
---|---|
author | Zukowska, Joanna Gobis, Anna Krajewski, Piotr Morawiak, Agnieszka Okraszewska, Romanika Woods, Catherine B Volf, Kevin Kelly, Liam Gelius, Peter Messing, Sven Forberger, Sarah Lakerveld, Jeroen Bengoechea, Enrique García |
author_facet | Zukowska, Joanna Gobis, Anna Krajewski, Piotr Morawiak, Agnieszka Okraszewska, Romanika Woods, Catherine B Volf, Kevin Kelly, Liam Gelius, Peter Messing, Sven Forberger, Sarah Lakerveld, Jeroen Bengoechea, Enrique García |
author_sort | Zukowska, Joanna |
collection | PubMed |
description | BACKGROUND: There is strong evidence of the links between car-dependence and the global physical inactivity epidemic. If eliminated, physical inactivity would remove between 6% and 10% of major non-communicable diseases that are the leading cause of death globally, killing 38 million people each year. Research consistently shows that unlike passive transport (e.g. driving a car), active transport (i.e., walking, cycling) is associated with higher total daily physical activity (PA). While there are public policies that support PA in transport and, as a result, overall PA levels, the specific quantitative effect of such policies on PA behaviour has not been sufficiently investigated. The aim of this systematic review is to determine the level and type of evidence for policies in the area of transport that contribute to higher PA levels of society at large. METHODS: Six databases (MEDLINE (Ebsco), SportDiscus, Cinahl, Cochrane library, Web of Science, and Scopus) were searched for key concepts of policy, transport, evaluation and PA. Methodological quality was assessed using standardised tools. The strength of the evidence of policy impact was described based on pre-determined categories of positive, negative, inconclusive or untested. RESULTS: 17 of 2,549 studies were included in the data synthesis. The authors identified three main transport policy areas with 60 individual policy actions that had a direct or indirect effect on PA. The policy areas were: convenient transport infrastructure development, active travel promotion and shift of transport mode. These areas correspond to Haddon's methodological approach of the transport system division in to three elements (human, vehicle, road). More than half of the policy actions identified (53%) had a positive effect on PA. Study quality ratings were moderate to good. CONCLUSIONS: PA levels can be increased by implementing policies that provide convenient, safe, and connected walking and cycling infrastructures, promote active travel and give strong support to public transport. There is also clear evidence that active travel policies work best when implemented in a comprehensive way (very often as a combination of several policies). This may include infrastructure and facility improvements as well as educational programmes to achieve substantial shifts towards active modes of travel. |
format | Online Article Text |
id | pubmed-9421807 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-94218072022-08-29 S09-1 Which transport policies increase physical activity of the whole of society? A Systematic Review Zukowska, Joanna Gobis, Anna Krajewski, Piotr Morawiak, Agnieszka Okraszewska, Romanika Woods, Catherine B Volf, Kevin Kelly, Liam Gelius, Peter Messing, Sven Forberger, Sarah Lakerveld, Jeroen Bengoechea, Enrique García Eur J Public Health Symposium BACKGROUND: There is strong evidence of the links between car-dependence and the global physical inactivity epidemic. If eliminated, physical inactivity would remove between 6% and 10% of major non-communicable diseases that are the leading cause of death globally, killing 38 million people each year. Research consistently shows that unlike passive transport (e.g. driving a car), active transport (i.e., walking, cycling) is associated with higher total daily physical activity (PA). While there are public policies that support PA in transport and, as a result, overall PA levels, the specific quantitative effect of such policies on PA behaviour has not been sufficiently investigated. The aim of this systematic review is to determine the level and type of evidence for policies in the area of transport that contribute to higher PA levels of society at large. METHODS: Six databases (MEDLINE (Ebsco), SportDiscus, Cinahl, Cochrane library, Web of Science, and Scopus) were searched for key concepts of policy, transport, evaluation and PA. Methodological quality was assessed using standardised tools. The strength of the evidence of policy impact was described based on pre-determined categories of positive, negative, inconclusive or untested. RESULTS: 17 of 2,549 studies were included in the data synthesis. The authors identified three main transport policy areas with 60 individual policy actions that had a direct or indirect effect on PA. The policy areas were: convenient transport infrastructure development, active travel promotion and shift of transport mode. These areas correspond to Haddon's methodological approach of the transport system division in to three elements (human, vehicle, road). More than half of the policy actions identified (53%) had a positive effect on PA. Study quality ratings were moderate to good. CONCLUSIONS: PA levels can be increased by implementing policies that provide convenient, safe, and connected walking and cycling infrastructures, promote active travel and give strong support to public transport. There is also clear evidence that active travel policies work best when implemented in a comprehensive way (very often as a combination of several policies). This may include infrastructure and facility improvements as well as educational programmes to achieve substantial shifts towards active modes of travel. Oxford University Press 2022-08-29 /pmc/articles/PMC9421807/ http://dx.doi.org/10.1093/eurpub/ckac093.045 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Symposium Zukowska, Joanna Gobis, Anna Krajewski, Piotr Morawiak, Agnieszka Okraszewska, Romanika Woods, Catherine B Volf, Kevin Kelly, Liam Gelius, Peter Messing, Sven Forberger, Sarah Lakerveld, Jeroen Bengoechea, Enrique García S09-1 Which transport policies increase physical activity of the whole of society? A Systematic Review |
title | S09-1 Which transport policies increase physical activity of the whole of society? A Systematic Review |
title_full | S09-1 Which transport policies increase physical activity of the whole of society? A Systematic Review |
title_fullStr | S09-1 Which transport policies increase physical activity of the whole of society? A Systematic Review |
title_full_unstemmed | S09-1 Which transport policies increase physical activity of the whole of society? A Systematic Review |
title_short | S09-1 Which transport policies increase physical activity of the whole of society? A Systematic Review |
title_sort | s09-1 which transport policies increase physical activity of the whole of society? a systematic review |
topic | Symposium |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9421807/ http://dx.doi.org/10.1093/eurpub/ckac093.045 |
work_keys_str_mv | AT zukowskajoanna s091whichtransportpoliciesincreasephysicalactivityofthewholeofsocietyasystematicreview AT gobisanna s091whichtransportpoliciesincreasephysicalactivityofthewholeofsocietyasystematicreview AT krajewskipiotr s091whichtransportpoliciesincreasephysicalactivityofthewholeofsocietyasystematicreview AT morawiakagnieszka s091whichtransportpoliciesincreasephysicalactivityofthewholeofsocietyasystematicreview AT okraszewskaromanika s091whichtransportpoliciesincreasephysicalactivityofthewholeofsocietyasystematicreview AT woodscatherineb s091whichtransportpoliciesincreasephysicalactivityofthewholeofsocietyasystematicreview AT volfkevin s091whichtransportpoliciesincreasephysicalactivityofthewholeofsocietyasystematicreview AT kellyliam s091whichtransportpoliciesincreasephysicalactivityofthewholeofsocietyasystematicreview AT geliuspeter s091whichtransportpoliciesincreasephysicalactivityofthewholeofsocietyasystematicreview AT messingsven s091whichtransportpoliciesincreasephysicalactivityofthewholeofsocietyasystematicreview AT forbergersarah s091whichtransportpoliciesincreasephysicalactivityofthewholeofsocietyasystematicreview AT lakerveldjeroen s091whichtransportpoliciesincreasephysicalactivityofthewholeofsocietyasystematicreview AT bengoecheaenriquegarcia s091whichtransportpoliciesincreasephysicalactivityofthewholeofsocietyasystematicreview AT s091whichtransportpoliciesincreasephysicalactivityofthewholeofsocietyasystematicreview |