Evidence is mounting to suggest a causal relationship between the built environment and people’s physical activity behaviours, particularly active transport. The evidence base has been hindered to date by restricted consideration of cost and economic factors associated with built environment interventions, investigation of socioeconomic or ethnic differences in intervention effects, and an inability to isolate the effect of the built environment from other intervention types. The aims of this systematic review were to identify which environmental interventions increase physical activity in residents at the local level, and to build on the evidence base by considering intervention cost, and the differential effects of interventions by ethnicity and socioeconomic status. A systematic database search was conducted in June 2015. Articles were eligible if they reported a quantitative empirical study (natural experiment or a prospective, retrospective, experimental, or longitudinal research) investigating the relationship between objectively measured built environment feature(s) and physical activity and/or travel behaviours in children or adults. Quality assessment was conducted and data on intervention cost and whether the effect of the built environment differed by ethnicity or socioeconomic status were extracted. Twenty-eight studies were included in the review. Findings showed a positive effect of walkability components, provision of quality parks and playgrounds, and installation of or improvements in active transport infrastructure on active transport, physical activity, and visits or use of settings. There was some indication that infrastructure improvements may predominantly benefit socioeconomically advantaged groups. Studies were commonly limited by selection bias and insufficient controlling for confounders. Heterogeneity in study design and reporting limited comparability across studies or any clear conclusions to be made regarding intervention cost. Improving neighbourhood walkability, quality of parks and playgrounds, and providing adequate active transport infrastructure is likely to generate positive impacts on activity in children and adults. The possibility that the benefits of infrastructure improvements may be inequitably distributed requires further investigation. Opportunities to improve the quality of evidence exist, including strategies to improve response rates and representativeness, use of valid and reliable measurement tools, cost-benefit analyses, and adequate controlling for confounders.

PURPOSE::Reported prevalence estimates for fecal incontinence among community-dwelling adults vary widely. A systematic review was undertaken to investigate the studied prevalence of fecal incontinence in the community and explore the heterogeneity of study designs and sources of bias that may expla

Background: Shifting to active modes of transport in the trip to work can achieve substantial co-benefits for health, social equity, and climate change mitigation. Previous integrated modeling of transport scenarios has assumed active transport mode share and has been unable to incorporate acknowledged system feedbacks.Objectives: We compared the effects of policies to increase bicycle commuting in a car-dominated city and explored the role of participatory modeling to support transport planning in the face of complexity.Methods: We used system dynamics modeling (SDM) to compare realistic policies, incorporating feedback effects, nonlinear relationships, and time delays between variables. We developed a system dynamics model of commuter bicycling through interviews and workshops with policy, community, and academic stakeholders. We incorporated best available evidence to simulate five policy scenarios over the next 40 years in Auckland, New Zealand. Injury, physical activity, fuel costs, air pollution, an...

As a major sector contributing to the UK’s greenhouse gas (GHG) emissions, housing is an important focus of government policies to mitigate climate change. Current policy promotes the application of a variety of energy efficiency measures to a diverse building stock, which will likely lead to a wide range of unintended consequences. We have undertaken a scoping review identifying more than 100 unintended consequences impacting building fabric, population health and the environment, thus highlighting the urgent need for government and society to reconsider its approach. Many impacts are connected in complex relationships. Some are negative, others possibly co-benefits for other objectives. While there are likely to be unavoidable trade-offs between different domains affected and the emissions reduction policy, a more integrated approach to decision making could ensure co-benefits are optimised, negative impacts reduced and trade-offs are dealt with explicitly. Integrative methods can capture this complexity and support a dynamic understanding of the effects of policies over time, bringing together different kinds of knowledge in an improved decision-making process. We suggest that participatory systems dynamics with multi/inter-disciplinary stakeholders is likely to offer a useful route forward, supporting cross-sectorial policy optimisation that places reducing housing GHG emissions alongside other housing policy goals.

This article explores the phenomenon of ‘bikelash’, or organised community opposition to cycle lanes. Urban residents commonly cite bicycle lanes, a space on the road reserved for cyclists, as the infrastructure most likely to encourage them to cycle. Yet the introduction of cycle lanes is often controversial. This article explores the phenomenon of bikelash, asking: Why does it occur? And what are the best ways to respond to it? A critical review of the literature on ‘contested’ cycle lane projects is undertaken in order to explore how this phenomenon can best be conceptualised within a mobilities framework.