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移动基础设施与健康:欧洲研究的范围综述

Mobility Infrastructures and Health: Scoping Review of studies in Europe.

作者信息

Michel Sarah, Banwell Nicola, Senn Nicolas

机构信息

Department of Family Medicine, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.

Interdisciplinary Centre for Research in Ethics (CIRE), University of Lausanne, Lausanne, Switzerland.

出版信息

Public Health Rev. 2024 May 22;45:1606862. doi: 10.3389/phrs.2024.1606862. eCollection 2024.

Abstract

OBJECTIVES

Movement-friendly environments with infrastructure favouring active mobility are important for promoting physical activity. This scoping literature review aims at identifying the current evidence for links between mobility infrastructures and (a) behaviour regarding active mobility, (b) health outcomes and (c) co-benefits.

METHOD

This review was conducted in accordance with the PRISMA scoping review guidelines using PubMed and EMBASE databases. Studies included in this review were conducted in Europe, and published between 2000 and March 2023.

RESULTS

146 scientific articles and grey literature reports were identified. Connectivity of sidewalks, walkability, and accessibility of shops, services and work are associated with walking. Cycling is positively associated with cycle-paths, separation of cycling from traffic and proximity to greenspaces, and negatively associated with traffic danger. Increased active transportation has a protective effect on cardiovascular and respiratory health, obesity, fitness, and quality of life. Co-benefits result from the reduction of individual motorized transportation including reduced environmental pollution and projected healthcare expenditure.

CONCLUSION

Mobility infrastructure combined with social and educational incentives are effective in promoting active travel and reducing future healthcare expenses. A shift to active transportation would increase both individual and community health and decrease greenhouse gas emissions.

摘要

目标

拥有有利于积极出行的基础设施的适宜运动环境对于促进身体活动非常重要。本范围综述旨在确定当前关于出行基础设施与(a)积极出行行为、(b)健康结果和(c)协同效益之间联系的证据。

方法

本综述按照PRISMA范围综述指南,使用PubMed和EMBASE数据库进行。本综述纳入的研究在欧洲开展,发表时间为2000年至2023年3月。

结果

共识别出146篇科学文章和灰色文献报告。人行道的连通性、步行便利性以及商店、服务场所和工作地点的可达性与步行相关。自行车道、自行车与机动车的分隔以及靠近绿地与骑自行车呈正相关,而与交通危险呈负相关。增加积极出行对心血管和呼吸系统健康、肥胖、身体素质和生活质量具有保护作用。协同效益源于个人机动交通的减少,包括环境污染的降低和预计医疗支出的减少。

结论

出行基础设施与社会和教育激励措施相结合,对于促进积极出行和降低未来医疗费用是有效的。向积极出行的转变将增进个人和社区健康,并减少温室气体排放。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/325b/11150585/2e890d35a125/phrs-45-1606862-g001.jpg

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