SynthesisHealth promotion and chronic disease prevention in Canada : research, policy and practice2026
Impacts of built environment changes on physical activity in Canada: a systematic review of natural experiments.
Synthesis in Health promotion and chronic disease prevention in Canada : research, policy and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Natural experiments in the built environment: evaluating impacts on health.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2026Article
- Natural experiments for healthier communities: evidence to drive Canadian policy and practice.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe built environment supports physical activity (PA) by providing opportunities to be active in daily life. Natural experiments are valuable for assessing how real-world changes to the built environment affect PA and are critical for guiding policies to improve population-level PA. The objective of this review was to summarize the evidence from natural experiments that investigated the impacts of built environment changes on PA in Canada.
methodsSearches were conducted in MEDLINE, Embase, PsycINFO, ProQuest Public Health and SportDISCUS, from inception to 27 November 2024. Natural experiment evaluations that included a comparator or historical control group and assessed changes in PA associated with changes in the built environment were eligible. A narrative synthesis summarizes the evidence and the certainty of the evidence.
resultsResults from the included natural experiments (n = 25) suggest positive effects, with low to moderate certainty, of increased walkability, new cycling and pedestrian infrastructure, bike share (bike rental) programs and new trails. However, there was very low to low certainty of no significant effects for bus rapid transit, school building and yard improvements and school zone improvements. Some evidence suggests negative effects of off-leash dog park areas on children's park-based PA and of daycare yard improvements on moderate-to-vigorous intensity PA.
conclusionFew Canadian studies have evaluated the impact of built environment changes on PA, with most emerging in the last decade. Future studies should include larger and more diverse samples and all regions, control for confounders including seasonal variation in outdoor PA, use well-matched control groups and incorporate objective PA measures.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.