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Title: Walkability indices and childhood obesity : a review of epidemiologic evidence
Authors: Yang, SJ
Chen, X
Wang, L
Wu, T
Fei, T
Xiao, Q
Zhang, G
Ning, Y
Jia, P 
Issue Date: 2020
Source: Obesity reviews, 2020, v. 22, no. S1, e13096, p. 1-11p. 1-11
Abstract: The lack of an active neighbourhood living environment can impact community health to a great extent. One such impact manifests in walkability, a measure of urban design in connecting places and facilitating physical activity. Although a low level of walkability is generally considered to be a risk factor for childhood obesity, this association has not been established in obesity research. To further examine this association, we conducted a literature search on PubMed, Web of Science and Scopus for articles published until 31 December 2018. The included literature examined the association between measures of walkability (e.g., walkability score and walkability index) and weight-related behaviours and/or outcomes among children aged under 18 years. A total of 13 studies conducted in seven countries were identified, including 12 cross-sectional studies and one longitudinal study. The sample size ranged from 98 to 37 460, with a mean of 4971 +/- 10 618, and the age of samples ranged from 2 to 18. Eight studies reported that a higher level of walkability was associated with active lifestyles and healthy weight status, which was not supported by five studies. In addition to reviewing the state-of-the-art of applications of walkability indices in childhood obesity studies, this study also provides guidance on when and how to use walkability indices in future obesity-related research.
Keywords: Built environment
Walkability index
Publisher: Wiley-Blackwell
Journal: Obesity reviews 
ISSN: 1467-7881
EISSN: 1467-789X
DOI: 10.1111/obr.13096
Rights: © 2020 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation
This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License (, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
The following publication Yang, S. J., Chen, X., Wang, L., Wu, T., Fei, T., Xiao, Q., . . . Jia, P. (2020). Walkability indices and childhood obesity: A review of epidemiologic evidence. Obesity reviews, v. 22, no. S1, e13096, p. 1-11p. 1-11 is available at
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