School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Lancet Planet Health. 2024 Oct;8(10):e790-e803. doi: 10.1016/S2542-5196(24)00201-8.
Active travel is a widely recognised strategy for promoting active living but its co-benefits beyond increasing physical activity, such as broader health, environmental, and social benefits, have rarely been synthesised. We conducted a systematic review to examine the co-benefits of active travel interventions. Following a preregistered protocol (PROSPERO CRD42022359059), we identified 80 studies for the search period from Jan 1, 2000, to Sept 13, 2022. Across studies, there was consistent evidence that active travel interventions offered co-benefits beyond physical activity. Particularly, 25 (71%) of 35 studies favoured improved safety outcomes, 20 (67%) of 30 showed improved health, 17 (85%) of 20 supported economic benefits, 16 (84%) of 19 highlighted improved transport quality, 12 (92%) of 13 showed environmental benefits, and four (80%) of five documented social benefits. Despite the overall low-certainty evidence, mostly limited by the quasi-experimental design and natural-experimental design of many of the studies, active travel interventions offer unique opportunities to engage stakeholders across sectors to jointly address major societal issues, such as physical inactivity, traffic safety, and carbon emissions. This evidence can inform the design, implementation, and evaluation of active travel interventions.
积极出行是一种广泛认可的促进积极生活的策略，但它除了增加身体活动之外的其他好处，如更广泛的健康、环境和社会效益，很少被综合考虑。我们进行了一项系统评价，以研究积极出行干预措施的共同效益。根据预先注册的方案（PROSPERO CRD42022359059），我们在 2000 年 1 月 1 日至 2022 年 9 月 13 日期间的搜索期间确定了 80 项研究。在所有研究中，都有一致的证据表明积极出行干预措施提供了除身体活动之外的共同效益。特别是，35 项研究中有 25 项（71%）有利于改善安全结果，30 项研究中有 20 项（67%）显示改善了健康状况，20 项研究中有 17 项（85%）支持经济效益，19 项研究中有 16 项（84%）强调改善了交通质量，13 项研究中有 12 项（92%）显示了环境效益，5 项研究中有 4 项（80%）记录了社会效益。尽管总体证据的确定性较低，主要受到许多研究的准实验设计和自然实验设计的限制，但积极出行干预措施提供了独特的机会，可以让各部门的利益相关者共同参与，共同解决重大社会问题，如身体活动不足、交通安全和碳排放。这些证据可以为积极出行干预措施的设计、实施和评估提供信息。
