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Introduction: Evidence to date suggests that the built environment has the potential to facilitate and even discourage physical activity. A limitation of previous reviews is that they have typically not been country-specific. We conducted a systematized literature review of quantitative studies that estimated associations between the built environment--which were objectively measured--and walking among Canadian adults. Methods: Five scientific databases were searched for peer-reviewed studies published in all years up to December 31, 2016, that estimated the association between the built environment (i.e. objectively measured using audits and Geographic Information Systems [GIS]) and physical activity among a sample of Canadian adults. The database searches, title and abstract screen, full-text review and data extraction were undertaken by two reviewers. Results: Of 4140 articles identified, 25 met the inclusion criteria. Most studies included data from a single Canadian province. All but two studies were cross-sectional. Most studies captured self-reported walking for transportation and walking for any purpose. Overall walkability and land use were consistently associated with walking for transportation, while proximity to destinations was associated with walking for any purpose. Conclusions: Our review findings suggest that the built environment is potentially important for supporting adult walking. Overall walkability, land use and proximity to destinations appear to be important given their association with transportation walking and walking for any purpose. [ABSTRACT FROM AUTHOR]

Introduction: The aim of this study was to estimate the associations between neighbourhood built environment characteristics and transportation walking (TW), recreational walking (RW), and moderate-intensity (MPA) and vigorous-intensity physical activity (VPA) in adults independent of sociodemographic characteristics and residential self-selection (i.e. the reasons related to physical activity associated with a person's choice of neighbourhood). Methods: In 2007 and 2008, 4423 Calgary adults completed land-based telephone interviews capturing physical activity, sociodemographic characteristics and reasons for residential self-selection. Using spatial data, we estimated population density, proportion of green space, path/cycleway length, business density, bus stop density, city-managed tree density, sidewalk length, park type mix and recreational destination mix within a 1.6 km street network distance from the participants' geolocated residential postal code. Generalized linear models estimated the associations between neighbourhood built environment characteristics and weekly neighbourhood-based physical activity participation (= 10 minutes/week; odds ratios [ORs]) and, among those who reported participation, duration of activity (unstandardized beta coefficients [B]). Results: The sample included more women (59.7%) than men (40.3%) and the mean (standard deviation) age was 47.1 (15.6) years. TW participation was associated with intersection (OR = 1.11; 95% CI: 1.03 to 1.20) and business (OR = 1.52; 1.29 to 1.78) density, and sidewalk length (OR = 1.19; 1.09 to 1.29), while TW minutes was associated with business (B = 19.24 minutes/week; 11.28 to 27.20) and tree (B = 6.51; 2.29 to 10.72 minutes/week) density, and recreational destination mix (B = -8.88 minutes/week; -12.49 to -5.28). RW participation was associated with path/cycleway length (OR = 1.17; 1.05 to 1.31). MPA participation was associated with recreational destination mix (OR = 1.09; 1.01 to 1.17) and sidewalk length (OR = 1.10; 1.02 to 1.19); however, MPA minutes was negatively associated with population density (B = -8.65 minutes/week; -15.32 to -1.98). VPA participation was associated with sidewalk length (OR = 1.11; 1.02 to 1.20), path/cycleway length (OR = 1.12; 1.02 to 1.24) and proportion of neighbourhood green space (OR = 0.89; 0.82 to 0.98). VPA minutes was associated with tree density (B = 7.28 minutes/week; 0.39 to 14.17). Conclusion: Some neighbourhood built environment characteristics appear important for supporting physical activity participation while others may be more supportive of increasing physical activity duration. Modifications that increase the density of utilitarian destinations and the quantity of available sidewalks in established neighbourhoods could increase overall levels of neighbourhood-based physical activity. [ABSTRACT FROM AUTHOR]