1. Biblioteca
  2. Journal of Physical Activity and Health, 2025.
  3. Associações entre o ambiente construído e a atividade física na Ásia urbana: uma revisão sistemática

Associações entre o ambiente construído e a atividade física na Ásia urbana: uma revisão sistemática

Por Thitikorn Topothai (Autor), Chompoonut Topothai (Autor), Sarah Martine Edney (Autor), Shenglin Zheng (Autor), Zoey Tay (Autor), Viroj Tangcharoensathien (Autor), Falk Müller-Riemens (Autor).

Em Journal of Physical Activity and Health, 2025.

Resumo

Introdução (Background): A atividade física insuficiente e o comportamento sedentário excessivo são preocupações crescentes de saúde pública em cidades asiáticas que passam por rápida urbanização. As características do ambiente construído podem influenciar esses comportamentos, mas as evidências específicas da região ainda são limitadas. Esta revisão sintetizou as associações entre características do ambiente construído e a atividade física ou o comportamento sedentário na Ásia urbana.

Métodos: Seguindo as diretrizes do Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) (PROSPERO CRD42023396292), foram pesquisadas 5 bases de dados (Ovid MEDLINE, Embase, Web of Science, Scopus e Cochrane Library) em busca de artigos em língua inglesa publicados entre 2012 e 2024. Os artigos foram incluídos se examinassem associações entre características do ambiente construído e a atividade física ou o comportamento sedentário entre adultos em áreas urbanas da Ásia. As associações estatisticamente significativas foram sintetizadas de forma descritiva.

Resultados: Dos 14.549 registros triados, 98 artigos de 13 países atenderam aos critérios de inclusão, sendo a maioria com delineamento transversal (96,9%). Foram identificadas 261 associações, com foco na atividade física geral (37,9%), recreativa (31,4%) e relacionada ao transporte (29,9%); apenas 2 associações (0,8%) abordaram o comportamento sedentário. Ambientes construídos favoráveis estiveram mais frequentemente associados ao aumento da atividade física (n = 208) do que à sua diminuição (n = 38). A atividade física geral foi comumente associada a instalações recreativas e à mistura de usos do solo; a atividade recreativa, a instalações recreativas e à estética; e a atividade relacionada ao transporte, à mistura de usos do solo e à densidade residencial.

Conclusões: Na Ásia urbana, 208 das 261 associações significativas mostraram que ambientes construídos favoráveis estiveram associados ao aumento da atividade física. A mistura de usos do solo e o acesso a instalações recreativas foram os fatores mais consistentemente favoráveis. Esses achados destacam a necessidade de planejamento urbano sensível ao contexto e de mais pesquisas sobre comportamento sedentário.

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