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Does the built environment moderate the relationship between having a disability and lower levels of physical activity? A systematic review

机译:建筑环境是否适中了残疾和较低的身体活动之间的关系? 系统评价

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摘要

The relationship between the built environment and physical activity has been well documented. However, little is known about how the built environment affects physical activity among people with disabilities, who have disproportionately higher rates of physical inactivity and obesity. This study is the first systematic review to examine the role of the built environment as a moderator of the relationship between having a disability (physical, sensory or cognitive) and lower levels of physical activity. After conducting an extensive search of the literature published between 1990 and 2015, 2039 articles were screened, 126 were evaluated by abstract and 66 by full text for eligibility in the review. Data were abstracted using a predefined coding guide and synthesized from both qualitative and quantitative studies to examine evidence of moderation. Nine quantitative and six qualitative articles met the inclusion criteria. Results showed that most research to date has been on older adults with physical disabilities. People with disabilities described howaspects of the built environment affect neighborhood walking, suggesting a positive moderating role of features related to safety and aesthetic qualities, such as benches, lighting and stop light timing. There were mixed results among studies that examined the relationship quantitatively. Most of the studies were not designed to appropriately examine moderation. Future research should utilize valid and reliable built environment measures that are more specific to disability and should include people with and without disabilities to allow for testing of moderation of the built environment. (C) 2016 Elsevier Inc. All rights reserved.
机译:内置环境与体力活动之间的关系已经充分了解。然而,对于建筑环境如何影响残疾人之间的身体活动知之甚少,他们具有不成比例的物理不活动和肥胖的速度。本研究是第一次系统审查,以检查建筑环境的作用作为具有残疾(物理,感官或认知)和较低的身体活动水平之间的关系的主持人。在进行1990年至2015年间发布的文献之后,筛选了2039篇文章,通过摘要和66篇,通过全文评估126条,以便在审查中获得资格。使用预定的编码指南抽象数据,并从定性和定量研究中合成,以检查适度的证据。九个定量和六篇定性文章符合纳入标准。结果表明,大多数研究迄今为止已经涉及具有身体残疾的老年人。残疾人们描述了建筑环境的如何影响邻里走路,这表明与安全性和审美品质相关的功能的积极调节作用,例如长凳,照明和停止光刻。在定量检查关系的研究中有混合结果。大多数研究没有设计用于适当检查适度。未来的研究应该利用有效且可靠的建立环境措施,这些措施更具体地对残疾,并应包括有和无残疾的人,以便测试建筑环境的适度。 (c)2016年Elsevier Inc.保留所有权利。

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