Search results

This paper aims to synthesize the published literature regarding the impact of environmental design on the improvement of elderly residents’ physical activity.

To provide convergent evidence about the association between facility design/management and physical activity of elderly population, searches were conducted in the PubMed and Google Scholar databases, as well as in specific active living design journals such as Applied Gerontology, Aging and Physical Activity, Housing for the Elderly and Sports Sciences. The inclusion criteria for the final list were the articles that were qualitative, quantitative and mixed-methods studies as well as systematic reviews; written in English; related to the built environmental design; wholly or partially focused on physical activity in elderly population; and published in peer-reviewed journals between 1984 and 2019.

Overall, 30 studies were included in the final list. The results of this review demonstrate that design interventions can raise physical functioning inside and outside of long-term residential facilities. Increasing opportunities for walkable spaces and reducing physical barriers can result in higher levels of physical activity for the elderly population.

This systematic review discloses the design strategies to enhance the level of physical activity by the elderly population based on the findings of the published literature. Overall space layout and accessibility to outdoor walkable spaces were addressed to generally promote the moderate levels of physical activity in elderly population.

Increasing opportunities for walkable spaces and reducing physical barriers result in higher level of activity for the elderly population. Corridor design and interior design ergonomic considerations were highlighted in the literature. Space layout and accessibility to outdoor walkable spaces promote the moderate levels of physical activity.

Environmental design considerations are unique aspects of enhancement of activity level in the elderly population.

This systematic review discloses the design strategies to enhance the level of physical activity by the elderly population based on the findings of the published literature. Overall space layout and accessibility to outdoor walkable spaces were addressed to generally promote the moderate levels of physical activity in elderly population.

The chapter was prompted by the trend towards providing public health messaging through social marketing. The purpose is to understand the determinants of walking within a city in terms of framing policy to promote greater physical activity (PA). This is demonstrated through the context of Sydney, New South Wales (NSW), Australia. The chapter provides a literature review and showcases a case-study. Descriptive statistics are presented on how far Sydneysiders walk using Household Travel Survey data and how this might be changed if short motorised trips are converted to walking. Modelling walking time follows to see if there are policy levers that could be used to increase walking time. Over 78% of Sydney’s population do not meet the recommended PA target of 30 minutes per day. Converting short motorised to walking provides marginal improvement. Walking to access activities contributes more to total walking time than walking to/from public transport. Modelling suggests potential policy levers to increase PA. Targeting driving licence holders, households without cars and promoting walkable environments are found most effective. Promoting undertaking more activities on foot is likely to be more successful than promoting walking for short trips. The chapter provides an overview of PA around the world and an empirical case study of walking in Sydney, NSW, Australia. In turn this provides an evidence base for more successful targeting of social marketing messaging for public health.

The mid-1990s marked a paradigm shift in the way physical activity is promoted, and walking is now considered the most suitable type of physical activity for widespread promotion. Accurate measurement underpins public health practice, hence the aims of this chapter are to: (1) provide a typology for the measurement of walking; (2) review methods to assess walking; (3) present challenges in defining walking measures; (4) identify issues in selecting instruments for the evaluation of walking and (5) discuss current efforts to overcome measurement challenges and methodological limitations. The taxonomy of walking indicates that secondary purpose walking is a more complex set of behaviours than primary purpose walks. It has many purposes and no specific domain or intensity, may lack regularity, and therefore poses greater measurement challenges. Objective measurement methods, such as accelerometers, pedometers, smartphones and other electronic devices, have shown good approximation for walking energy expenditure, but are indirect methods of walking assessment. Global Positioning System technology, the ‘Smartmat’ and radio-frequency identification tags are potential objective methods that can distinguish walkers, but also require complex analysis, are costly, and still need their measurement properties corroborated. Subjective direct methods, such as questionnaires, diaries and direct observation, provide the richest information on walking, especially short-term diaries, such as trip records and time use records, and are particularly useful for assessing secondary purpose walking. A unifying measure for health research, surveillance and health promotion would strongly advance the understanding of the impact of walking on health.

The population of older people in the ‘western world’ is increasing both in number, as well a percentage of the overall population. Changes in lifestyle as a result of increased longevity and better health and social care mean that older people are being mobile later on in their life than ever before. This qualitative study adopts an iterative and grounded theory approach to eliciting and generating the travel needs of older drivers through in-depth qualitative research with 26 older car drivers and 31 ex-car drivers. The findings suggest three levels of travel needs, these being; practical, psychosocial and aesthetic. At a primary level, practical needs encompass day-to-day, functional and utilitarian travel needs. The secondary level, psychosocial needs, include a sense of control and independence, enhancing status and defining (personal and social) roles. The tertiary level are aesthetic needs, such as travel for pleasure and for enjoyment. Psychosocial and aesthetic needs are less obvious to the participants themselves, but arguably are of equal importance as practical needs. However, less provision is made for older people in meeting these needs when they give-up driving. This has implications for design of travel services for older people: highlighting the importance to place emphasis not only on practical aspects of travel, but also on meeting psychosocial and aesthetic needs.

Health scientists and urban planners have long been interested in the influence that the built environment has on the physical activities in which we engage, the environmental hazards we face, the kinds of amenities we enjoy, and the resulting impacts on our health. However, it is widely recognized that the extent of this influence, and the specific cause-and-effect relationships that exist, are still relatively unclear. Recent reviews highlight the need for more individual-level data on daily activities (especially physical activity) over long periods of time linked spatially to real-world characteristics of the built environment in diverse settings, along with a wide range of personal mediating variables. While capturing objective data on the built environment has benefited from wide-scale availability of detailed land use and transport network databases, the same cannot be said of human activity. A more diverse history of data collection methods exists for such activity and continues to evolve owing to a variety of quickly emerging wearable sensor technologies. At present, no “gold standard” method has emerged for assessing physical activity type and intensity under the real-world conditions of the built environment; in fact, most methods have barely been tested outside of the laboratory, and those that have tend to experience significant drops in accuracy and reliability. This paper provides a review of these diverse methods and emerging technologies, including biochemical, self-report, direct observation, passive motion detection, and integrated approaches. Based on this review and current needs, an integrated three-tiered methodology is proposed, including: (1) passive location tracking (e.g., using global positioning systems); (2) passive motion/biometric tracking (e.g., using accelerometers); and (3) limited self-reporting (e.g., using prompted recall diaries). Key development issues are highlighted, including the need for proper validation and automated activity-detection algorithms. The paper ends with a look at some of the key lessons learned and new opportunities that have emerged at the crossroads of urban studies and health sciences.

We do have a vision for a world in which people can walk to shops, school, friends' homes, or transit stations; in which they can mingle with their neighbors and admire trees, plants, and waterways; in which the air and water are clean; and in which there are parks and play areas for children, gathering spots for teens and the elderly, and convenient work and recreation places for the rest of us. (Frumkin, Frank, & Jackson, 2004, p. xvii)

This chapter develops a comprehensive framework for evaluating planning decisions that affect walking conditions (“walkability”) and walking activity. It identifies various walking economic impacts (benefits and costs), describes methods for measuring those impacts, and discusses how to apply this information, based on the literature. The chapter finds that walking plays a unique and important role in an efficient and equitable transportation system, including affordable basic mobility, exercise and recreation, and access to other modes including public transit and parked cars. Walking is typically the second most common travel mode by trip mode share, and is particularly important for physically, economically and socially disadvantaged people. Improving walkability, increasing walking activity, and creating more walkable communities provides various economic, social, and environmental benefits. Conventional planning tends to undervalue many of these benefits, resulting in less support for walking than is optimal. Decision-makers increasingly want more comprehensive evaluation which considers a wider range of planning objectives and impacts. More comprehensive benefit analysis tends to justify more support for walking, and could lead to better planning decisions. Improving walking conditions helps create a more diverse, efficient, and equitable transport system which responds to changing demands and future needs. Walking is particularly important for disadvantaged people who tend to rely on walking for basic mobility, many of whom are constrained if walking conditions are poor. The analysis presented in this chapter is significantly more comprehensive than generally used in planning, and if used could lead to improved planning and enhanced walking.

The COVID-19 pandemic disrupted travel patterns, use of space and modal choice. Cities took actions in a way they did not before, trying to accommodate economic and travel needs with the goal of reducing the spreading of the virus. Active travel (AT) played an important role in accommodating travel needs and in increasing the resilience and environmental friendliness of the urban transport system. As cities gradually return to their normal life, transport planners must decide which role to assign to AT in future urban plans. In particular, whether to confirm the temporary policies incentivising AT enacted to counteract the reduction in the use of public transport or to return to the previous road space allocation that dedicated considerable urban space to motorised vehicular traffic. After reviewing the empirical evidence on the AT evolution during the various pandemic phases and illustrating the main policies planned and implemented at city level in many countries, this chapter summarises the lessons learnt, derives some policy suggestions, and identifies future research needs.

This case study chapter reviews the evidence related to TransMilenio (TM) and its ability to promote walking among Bogotá’s citizens. A historical perspective of the Bus Rapid Transit system in Latin America and Bogotá is provided as well as some of the social, environmental and cultural implications. Through a literature review, studies that specifically assessed the role of TM in the promotion of walking and active transportation were identified. In addition, experts in the field were contacted to receive additional papers or reports from the grey literature that could have been missed through the peer-reviewed literature search. In December 2000, Bogotá implemented TM. The system has been successful in reducing traffic congestion, environmental pollution and travel times, as well as improving mobility in the city. Although not initially a goal of TM, some evidence suggests that the system has also served to promote walkability in the city. TM users are more likely to meet recommendations for daily moderate-to-vigorous physical activity and for walking for transportation, reaching an average of 22 minutes per day. Despite its many benefits, TM has some shortcomings that need to be recognised and addressed. In 2014, the daily number of TM users (2.2 million) surpassed the number of users of the traditional public transportation system, but there has still been a migration of users to private means of transportation such as motorcycles and automobiles.