Environmental and Policy Approaches to Increase Physical Activity: Community-scale Urban Design Land Use Policies & Practices
Community-scale urban design land use policies and practices involve the efforts of urban planners, architects, engineers, developers, and public health professionals to change the physical environment of urban areas of several square miles or more in ways that support physical activity.
They include:
- Design elements that address:
- Proximity of residential areas to stores, jobs, schools, and recreation areas
- Continuity and connectivity of sidewalks and streets
- Aesthetic and safety aspects of the physical environment
- Policy instruments such as zoning regulations, building codes, other governmental policies, and builders’ practices
Task Force Recommendations & Findings
The Task Force on Community Preventive Services recommends design and land use policies and practices that support physical activity in urban areas of several square miles or more based on sufficient evidence of effectiveness in facilitating an increase in physical activity.
Results from the Systematic Reviews
Twelve studies qualified for the review and evaluated a variety of effect measures.
- Most of the studies compared the behavior of residents in automobile-oriented (or suburban) communities with those in traditional (or urban) communities.
- Overall, the median improvement in some aspect of physical activity (e.g., number of walkers or bicyclists) was 161%.
- Additional benefits that may have been brought about by these interventions included:
- Improvements in green space
- Increased sense of community and decreased isolation
- Increased consumer choice for places to live
- Reduced crime and stress
- Increased walking and bicycling on urban streets, although beneficial, also pose the risk of increased injury to pedestrian or cyclist, because of increased exposure to motor vehicles.
These results were based on a systematic review of all available studies, conducted on behalf of the Task Force by a team of specialists in systematic review methods, and in research, practice and policy related to physical activity.
Supporting Materials
- Analytic frameworks
- Research gaps
- Summary evidence table
- Included studies
Publications
Heath GW, Brownson RC, Kruger J, et al. The effectiveness of urban design and land use and transport policies and practices to increase physical activity: a systematic review. Journal of Physical Activity and Health 2006;3(Suppl 1):S55-76.
More Community Guide publications about Promoting Physical Activity
Disclaimer
The findings and conclusions on this page are those of the authors and the Task Force on Community Preventive Services and do not necessarily represent the official position of CDC.
Sample Citation
The content of publications of the Guide to Community Preventive Services is in the public domain. Citation as to source, however, is appreciated. Sample citation: Guide to Community Preventive Services. Environmental and policy approaches to increase physical activity: community-scale urban design land use policies & practices www.thecommunityguide.org/pa/environmental-policy/communitypolicies.html. Last updated: MM/DD/YYYY.
Review completed: July 2006
- Page last reviewed: February 10, 2009
- Page last updated: February 10, 2009
- Content source: The Guide to Community Preventive Services
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