Built environment and cardio-metabolic health:systematic review and meta-analysis of longitudinalstudies

Manoj Chandrabose, Jerome N Rachele, Gunn, L, Kavanagh, A, Owen, N, Turrell, G, Giles-Corti, B and Sugiyama, T 2018, 'Built environment and cardio-metabolic health:systematic review and meta-analysis of longitudinalstudies', Obesity Reviews, vol. 20, no. 1, pp. 41-54.


Document type: Journal Article
Collection: Journal Articles

Title Built environment and cardio-metabolic health:systematic review and meta-analysis of longitudinalstudies
Author(s) Manoj Chandrabose
Jerome N Rachele
Gunn, L
Kavanagh, A
Owen, N
Turrell, G
Giles-Corti, B
Sugiyama, T
Year 2018
Journal name Obesity Reviews
Volume number 20
Issue number 1
Start page 41
End page 54
Total pages 14
Publisher Wiley-Blackwell Publishing Ltd.
Abstract Built environment attributes may be related to cardio‐metabolic diseases (e.g. type 2 diabetes, heart disease and stroke) and their risk factors, potentially by influencing residents' physical activity. However, existing literature reviews on the built environment and health for the most part focus on obesity as the outcome and rely on cross‐sectional studies. This systematic review synthesized current evidence on longitudinal relationships between built environment attributes and cardio‐metabolic health outcomes among adults and on the potential mediating role of physical inactivity. By searching eight databases for peer‐reviewed journal articles published in the English language between January 2000 and July 2016, the review identified 36 articles. A meta‐analysis method, weighted Z‐test, was used to quantify the strength of evidence by incorporating the methodological quality of the studies. We found strong evidence for longitudinal relationships of walkability with obesity, type 2 diabetes and hypertension outcomes in the expected direction. There was strong evidence for the impact of urban sprawl on obesity outcomes. The evidence on potential mediation by physical activity was inconclusive. Further longitudinal studies are warranted to examine which specific built environment attributes influence residents' cardio‐metabolic health outcomes and how physical inactivity may be involved in these relationships.
Subject Public Health and Health Services not elsewhere classified
Built Environment and Design not elsewhere classified
DOI - identifier 10.1111/obr.12759
Copyright notice © 2018 World Obesity Federation
ISSN 1467-789X
NHMRC Grant ID 1061404
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