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Systematic Review

Exploring antecedents of built environment for walkability of older adults: A systematic literature review

[version 1; peer review: 1 approved with reservations, 1 not approved]
PUBLISHED 24 Feb 2025
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This article is included in the Manipal Academy of Higher Education gateway.

Abstract

Background

This systematic literature review (SLR) explores how urban design influences walking access in the built environment for walking of older adults, summarizing existing studies. Examining various theories, it analyses themes like safety, security, comfort, convenience, aesthetics, governance, and policy frameworks. By critically reviewing the literature, it seeks to understand current research trends and suggest future directions.

Methods

The study employs an evidence-based systematic approach, following the standard procedure of SLR to identify relevant studies and extract information.

Results

It was found that five prominent theories dominated research literature: Active Aging Framework (AAF) (35.4%), Social-Ecological Model of Health Promotion (SEMHP) (25%), Community-Engaged Urban Design Theory (CEUDT) (18%), Neighbourhood Social Environment Theory (NSET) (11%), and the fifth Ecological Model of Aging (EMA) (8%).

Empirical research dominated (37.5%), followed by grounded theory (20.8%), case study (18.8%), comparative study (12.5%), document analysis (8.3%), and analytical research (2.1%) in terms of the research type. The SLR revealed that most research uses empirical methods and focuses on applying existing theories.

Conclusions

It identifies opportunities for future research, suggesting areas for model integration, advancement, and application. Notably, it highlights the potential of combining the two most relevant theories for interventions promoting older adults’ health through walkable environments. This review can aid practitioners and researchers in identifying the theoretical underpinning of key factors for designing walkable cities that cater to older adults’ needs. A potential limitation is its focus on dominant theories, excluding others that might offer valuable insights.

Keywords

Aesthetics, built environment, comfort, convenience, older adults, safety, security, walkability.

Introduction

The built environment for walking (BEW) plays a pivotal role in shaping the daily experiences and well-being of older adults, particularly in urban settings where factors such as walkability profoundly impact their mobility, independence, and overall quality of life (Wang et al., 2024). As populations age globally, understanding and enhancing the walkability of urban environments for older adults have become increasingly important. Walkability encompasses various aspects of the physical environment, including sidewalks, street design, access to amenities, and safety features, all of which influence individuals’ ability and willingness to walk for transportation, recreation, and socialization (Hijriyah et al., 2024). Despite its significance, there remains a need for a comprehensive synthesis of the existing literature to assess the current state of research on BEW specifically tailored to the needs of older adults.

In the introduction, it is crucial to underscore the importance of conducting a systematic literature review (SLR) as opposed to other types of literature reviews. Unlike traditional narrative reviews, which may lack transparency and rigor in their selection and synthesis of literature, an SLR employs a systematic and structured approach to identify, evaluate, and synthesize all relevant research studies on a particular topic (Caporali et al., 2024; Cipriani & Geddes, 2003). By adhering to predefined criteria and transparent methodologies, an SLR minimizes bias and enhances the reliability and validity of its findings, providing a comprehensive overview of the existing body of knowledge. Moreover, an SLR allows for the synthesis of heterogeneous research findings, enabling researchers to identify patterns, trends, and gaps in the literature with greater precision (Danese et al., 2018). Unlike scoping reviews, which aim to map the breadth of available literature without necessarily assessing its quality or synthesizing findings, an SLR goes a step further by critically appraising the methodological rigor and relevance of included studies (Peters et al., 2017). This rigorous approach not only ensures the credibility of the review findings but also provides insights into the quality and applicability of existing research to inform future research directions and evidence-based practices. Furthermore, an SLR offers distinct advantages over traditional narrative reviews in terms of transparency, reproducibility, and replicability (Ferrari, 2015). In contrast to narrative reviews, the SLR distinguishes itself with its systematic, empirical, evidence-driven, and transparent approach, as emphasized by Boell and Cecez-Kecmanovic (2015). Its significance goes beyond mere summarization, as it involves the mapping of critical domains that warrant active research endeavors. Furthermore, the preference for an SLR is rooted in its ability to minimize bias through comprehensive literature searches, enabling researchers to make informed decisions, establish robust procedures, conduct thorough analyses, and derive evidence-based conclusions. By documenting each step of the review process, from search strategy development to data extraction and synthesis, an SLR enables other researchers to replicate the review process and verify its findings. This transparency enhances the credibility and trustworthiness of review findings, facilitating knowledge dissemination and advancement within the academic community. Finally, the main aim of this research is to identify the scope for future research in the BEW of older adults in urban settings, and employing an SLR ensures a comprehensive and rigorous synthesis of diverse research findings, enabling the identification of key factors influencing walkability and the development of targeted interventions tailored to the unique needs of this demographic in urban environments.

This systematic literature review (SLR) aims to address this gap by providing a comprehensive overview of the research landscape surrounding BEW and its implications for older adults in urban settings. By systematically synthesizing and analysing the available literature, this review seeks to identify key research trends, methodological approaches, and, most importantly, theories applicable to the BEW of older adults and identify gaps in knowledge to inform future research directions and policy interventions. The importance of understanding and enhancing walkability for older adults is underscored by demographic shifts, urbanization trends, and the growing recognition of the role of the built environment in promoting active aging and healthy lifestyles.

Methods

This study specifically adopts the SLR methodology, driven by its primary objective of formulating hypotheses for future empirical investigations. The systematic research procedure evolves through specific stages, enabling a thorough and orderly exploration of the literature. By adhering to this detailed approach, this research aims to offer valuable insights into comprehending the antecedents and consequences of the BEW of older adults in an urban setting, taking into account the safety, security, comfort, convenience, and aesthetics of the built environment. The sequential steps of SLR include defining the research questions, developing inclusion and exclusion criteria, conducting a comprehensive search of relevant databases and sources, screening and selecting studies based on predefined criteria, extracting relevant data from selected studies, evaluating the quality of included studies, synthesizing findings from selected studies, interpreting and analysing synthesized data, drawing conclusions and identifying implications for future research or practice.

Defining research questions

To gain insight into the current state of research on the BEW of older adults, specifically in terms of its antecedents and outcomes, the following four research questions have been identified:

RQ1 – What are the dominant theories that contribute to the body of knowledge in the BEW of older adults? How does it contribute to the future growth of research?

RQ2 – What is the current state of publication in terms of the database, specifically in terms of the type of research contribution, research focus, and research type?

RQ3 – What is the current phase of model development/testing/advancement/integration in this area, and what are the possible research gaps?

RQ4 – What research directions emerge based on the answers obtained to RQ2 and RQ3, and what would be the appropriate strategy to carry out future research on this topic?

These four research questions emerged through the initial literature survey that was undertaken to study the antecedents of BEW in older adults. The finding of the answer to RQ1 would enable the identification of the theories that influence the BEW of older adults. The answer to RQ2 would enable the identification of publications in terms of research contribution, research focus, and research type in BEW. The answer to RQ3 would open the scope for an understanding of whether there is a need to develop the model, test the existing model, work on the advancement of the model, or further compare the existing models to find their convergence or divergence in terms of the ECS of agribusiness. Finally, the answer to RQ4 will shed light on the future direction of research on the BEW of older adults considering the role of the associated theories.

Identifying keywords and the search strategy

The initial literature survey was performed to uncover theories that affect the antecedents of BEW in older adults and, accordingly, five prominent theories: 1. Community-Engaged Urban Design Theory (CEUDT). 2. Ecological Model of Ageing (EMA), 3. Social-Ecological Model of Health Promotion (SEMHP), 4. Active Aging Framework (AAF), and 5. Neighbourhood social environment theory (NSET) was identified. The research studies available on BEW using these five theories were searched thoroughly in standard databases. The electronic databases that had publications on BEW in the urban context were identified, and as a result, 15 such indexing agencies were scrutinized, which contained peer-reviewed journals, a high volume of BEW literature, and content-specific topics in that field. The indexing agencies of the databases considered were as follows: 1. Google Scholar 2. Scopus, 3. Web of Science, 4. ProQuest, 5. SAGE, 6. Science Direct, 7. JSTOR, 8. Wiley Online, 9. Springer Link, 10. Taylor & Francis Online, 11. EBSCO, 12. SSRN, 13. ERIC, 14. Emerald Insight, and 15. Elsevier’s Science Direct. The databases from which the papers were selected were as follows: 1. SCOPUS, 2. Clarivate Analytics, 3. ProQuest, 4. SAGE, 5. JSTOR, 6. Wiley Online Library, 7. SpringerLink, 8. Taylor & Francis Online, 9. EBSCO, 10. ERIC, and 11. Emerald Insight.

Fixing the years of starting and ending the search of publications in the database is very important, as it provides data for trend analysis. While there are no very well-established hard and fast rules, they are left to the discretion of the researchers to arrive at the period so that the major trends are covered. In this SLR, five theories have a dominant influence on the research construct. Each of these theories has different origins and developmental phases. CEUDT has had an impact on publications during the last 10–15 years (2010–2024), with the rationale that urban design theories, including community engagement, have evolved with a focus on inclusivity and participation. Recent publications are likely to capture the contemporary understanding and applications of community engagement in the context of urban design for walkability. The EMA has had an ideal period of development since the past 20–30 years (1994–2024), the rationale being that researchers have applied this theory since the last 20–30 years to provide a comprehensive understanding of its development and application in relation to the built environment for older adults. The SEMHP has had an ideal period of impact during the last 15–20 years (2004–2024), with the rationale being that the last 15–20 years have witnessed the development and understanding of the relationship between the social environment and health outcomes. The AAF has had a related impact during the last 10–15 years (2009–2024), the rationale being that the last 10–15 years will capture the contemporary literature on how the AAF has been applied to the built environment, especially in promoting physical activity among older adults. Finally, the NSET has had an ideal period during the last 10–20 years (2004–2024), the rationale for the choice being – during this time, the theory has been explored to provide insights into how this theory has been incorporated into research on the built environment and walkability.

Importantly, the primary objective of this research is to explore the antecedents and outcomes of BEW for older adults. Therefore, even though theories have been active in the generic sense of the wellbeing of older adults, the specific context of the BEW of older adults dates back to the early 2000s. One of the earliest references in the search results dates back to 2003, with a study by Saelens, Sallis and Frank discussing the environmental correlates of walking and cycling (Van Dyck et al., 2013; Winters et al., 2015). Another study by Takahashi, Baker, Cha, and Targonski was published in 2012, providing insights into the relationships among walking, biking, and the built environment for adults aged over 70 years (Takahashi et al., 2012). These findings indicate that the field has been actively studied for more than two decades, with ongoing research contributing to our understanding of how the built environment can affect physical activity and quality of life among older adults. Therefore, this SLR considers the period of publication selection from 2000–2023.

Having fixed the period of review of the articles, the search strategy included three sets of search items: (1) a list of theories available in the BEW of older adults in the context of urban design (e.g., “Community-Engaged Urban Design Theory”); (2) theories and their relevance in BEW, which targeted associated concepts (e.g., ‘safety’, “security”, “comfort”, “convenience”, and “aesthetics”; and (3) discipline-specific terms combined with the BEW of older adults (e.g., “policy frameworks” and ‘governance”).”

With respect to the search approach and search queries, diverse search strings were employed for each database. This is due to the distinct nature of each database, making a singular search string insufficient for obtaining the desired results. Consequently, numerous comprehensive searches were executed via various combinations of words and search strings. Table 1 provides details of the list of search strings and their combinations.

Table 1. Search strings and Boolean operators.

Theory/ConceptKey words and strings with Boolean operators

  • 1. Community-Engaged Urban Design Theory (CEUDT)

Keywords: Community-Engaged Urban Design Theory, Built Environment, Walkability, Older Adults.
Search Strings with Boolean operators: (“Community-Engaged Urban Design Theory” OR “Community-Engaged Design”) AND (“Built Environment” OR “Urban Planning”) AND (“Walkability” OR “Pedestrian-friendly”) AND (“Older Adults” OR “Elderly”).
(“Community-Engaged Urban Design Theory” OR “Participatory Urban Design”) AND (“Built Environment” OR “Architectural Design”) AND (“Walkability” OR “Accessible Spaces”) AND (“Older Adults” OR “Senior Citizens”).
(“Community-Engaged Urban Design Theory” OR “Community-Centered Design”) AND (“Built Environment” OR “Environmental Design”) AND (“Walkability” OR “Senior-Friendly Spaces”) AND (“Older Adults” OR “Aging Population”).

  • 2. Ecological Model of Aging (EMA)

Keywords: Ecological Model of Aging, Built Environment, Walkability, Older Adults, and Aging and Environment.
Search Strings with Boolean operators: (“Ecological Model of Aging”) AND (“Built Environment” OR “Walkability”) AND (“Older Adults” OR “Aging and Environment”)
"Ecological Model of Aging” AND “Built Environment” AND “Walkability” AND “Older Adults"
(“Ecological Model of Aging” OR “Aging and Environment”) AND (“Built Environment” OR “Walkability”) AND (“Older Adults” OR “Elderly”)
(“Built Environment” AND “Walkability” AND “Ecological Approach to Aging”).

  • 3. Social-Ecological Model of Health Promotion (SEMHP)

Key words: Social-Ecological Model of Health Promotion
Built Environment, Walkability, Older Adults, Aging Population, Public Health, Physical Activity, Urban Planning, Environmental Health, Health Promotion.
Search Strings with Boolean operators: (“Social-Ecological Model of Health Promotion”) AND (“Built Environment"(AND (“Walkability”)
(“Older Adults” AND “Built Environment”) AND (“Walkability”)
(“Social-Ecological Model”) AND (“Aging Population”) AND (“Urban Planning”)
(“Health Promotion”) AND (“Built Environment”) AND (“Physical Activity”) AND (“Older Adults”)
(“Environmental Health”) AND (“Social-Ecological Model”) AND (“Walkability”) AND (“Older Adults”)

  • 4. Active Aging Framework (AAF)

Key words: Active Aging Framework, Built Environment, Walkability, Older Adults, Aging in Place.
Search Strings: (“Active Aging Framework”) AND (“Built Environment”) AND (“Walkability”)
(“Active Aging Framework”) AND (“Older Adults”) AND (“Walkability”)
(“Built Environment”) AND (“Walkability”) AND (“Aging in Place”)
(“Active Aging Framework”) OR (“Built Environment”) OR (“Walkability”)
(“Active Aging Framework”) NOT (“Adult”) (to exclude irrelevant age groups).

  • 5. Neighbourhood Social Environment Theory (NSET)

Key words: Neighbourhood Social Environment Theory, Built Environment, Walkability, Older Adults, Aging Population, Urban Design, Public Spaces, Social Interaction, Physical Activity
Search Strings: (“Neighbourhood Social Environment Theory”) AND (“Built Environment” OR “Urban Design”) AND (“Walkability” OR “Physical Activity”) AND (“Older Adults”)
(“Neighbourhood Social Environment Theory” OR “Social Environment Theory”) AND "Built Environment" AND (“Walkability” OR “Physical Activity”) AND (“Aging Population”)
(“Older Adults”) AND (“Built Environment”) AND (“Walkability”) AND (“Neighbourhood Social Environment Theory” OR “Social Interaction”)
(“Built Environment” OR “Urban Design”) AND (“Neighbourhood Social Environment Theory”) AND (“Older Adults”) AND (“Walkability” OR “Physical Activity”).

Selecting and assessing the quality of primary studies

Search strings were used for all selected theories, and 622 studies were retrieved in total. First, manual screening of relevant studies based on the title was considered. In the case of the title being relevant, abstract reading was undertaken, and in this elaborate process, 202 studies were excluded, which included conferences, workshops, books, editorial reviews, dissertations, and book reviews. The articles were narrowed down to 420 relevant studies, and after the elimination of 136 studies with repetition and similarity checks in multiple databases, the number of articles was reduced to 284. In the next step, inclusion and exclusion criteria were applied to each individual study by undertaking an intricate study of their introduction, literature review, results, and conclusion. A total of 169 studies were removed as a part of this exercise; thus, we were able to select 115 studies related to BEW in older adults. The obtained studies were further subjected to quality assessment, and 19 studies did not meet our specific quality criteria; the sample size was reduced to 96 papers. The elimination process is shown in Figure 1. The inclusion and exclusion criteria of the papers selected for review were as follows:

a58baf6e-a4fc-448d-bbb0-a3f289696b0b_figure1.gif

Figure 1. Flow chart of the selection process for review.

Inclusion criteria

The articles were included if they:

  • dealt explicitly with research constructs of BEW using relevant theories,

  • discussed a theory that has bearing on the BEW of older adults,

  • incorporated theory/theories and methods for the establishment/evaluation of an intervention to improve BEW to suit the requirements of older adults,

  • empirically tested a theory by providing a clear description of the research design

  • dealt exclusively with the comparison of two or more theories,

  • addressed philosophical aspects such as epistemology, ontology, etc., in connection with the BEW and wellbeing of older adults through physical activity,

  • evaluated a hypothetical model by providing linkages to the core model and

  • criticized, proposed new solutions, and presented new/extended/hybridized models or theories to develop contemporary models of BEW.

Exclusion criteria

Research articles were not considered if they:

  • included BEW in the title and abstract but focused primarily on related aspects such as environmental sustainability,

  • qualitatively discussed BEW concerning historical and current scenarios across various contexts, including sectorial, regional, national, international, etc.,

  • approached challenges and issues related to BEW development, and

  • belonged to categories such as books, conference posters, editorial commentaries, handbooks, dissertations, keynote addresses, nonpeer-reviewed journal publications, nonEnglish publications, proposals, research presentations, technical reports, tutorial course works, and workshop summaries.

The articles selected were under one of the four categories as follows:

  • 1. Evaluative articles – These articles tested the theory empirically.

  • 2. Descriptive articles – These articles contained the original description of a theory or extension of that theory and used all three key terms of specific interest to this research – outcome achievement in BEW.

  • 3. Intervention articles – These articles used a particular theory to evaluate or inform development by aiming at an intervention to enhance the BEW of older adults.

  • 4. View-point articles – These articles were opinion-based articles on the BEW of older adults based on the general observations of researchers on the challenges faced and strategies adopted by policy makers.

Quality assessment

The evaluation of study quality poses a significant challenge in the context of an SLR. Determining what qualifies as a high-quality paper is largely subjective, as there are no standardized definitions for such assessments. However, certain factors, including the research context, design, relevant research questions, journal impact factor, precise definitions of key terms, and contributions to the body of knowledge, as outlined by Xiao and Watson (2019), are fundamental considerations for selecting articles. This study adopts an evidence-based SLR approach, and the criteria for assessing quality specifically align with the research context. A thorough process involved multiple readings of the articles and strict adherence to the inclusion and exclusion criteria, ensuring a comprehensive review and quality scrutiny of the selected articles. Additionally, the selection of articles was guided by key literature that underscores the synthesis of scientific and philosophical aspects of theories, with a focus on reproducibility for experimental purposes.

Data extraction perspectives

To streamline the process of extracting data, we formulated a Microsoft Excel form that encapsulates crucial aspects of each study. This measure was pivotal not only for organizing study features but also for consolidating data gleaned from the chosen studies. The examination of the created form concentrated on two viewpoints: initially, the overall traits of the research studies, and second, the utilized classification scheme. The subsequent sections elaborate on these two facets, which are integral to this procedure. Two reviewers independently extracted data from each report. A third reviewer resolved discrepancies when disagreements arose. Data extraction was conducted independently to reduce bias and enhance reliability. Data extracted by one reviewer was cross-checked by another to ensure accuracy and completeness. No direct contact with study investigators was reported in the manuscript for additional or missing data. The process relied on manual, reviewer-led efforts to maintain rigor and accuracy. This structured and collaborative approach ensured high-quality data extraction, minimizing errors and biases in synthesizing the included studies.

Data synthesis procedure

During the data synthesis, we thoroughly scrutinized and merged findings related to general characteristics, the identification of theories and articles, research design, target behavior, and the classification scheme of studies. The following section offers a detailed breakdown of these particulars.

Data extraction

The data extraction forms the basis for synthesis of the data in an SLR, and to facilitate this, we included two distinct parts: (i) identification of the general characteristics of the included studies and (ii) development of the classification scheme.

General characteristics of the papers

This section intends to provide an analysis of the papers incorporated in this research, specifically addressing the initial three research questions outlined in the introduction. The extracted data included information on (i) the country where the research was conducted, (ii) the database utilized for the study, (iii) the journal in which the study was published, (iv) the theory employed, (v) the article type, (vi) the source type (primary and secondary), (vii) the research design (qualitative, quantitative, and mixed methods), (viii) the target behavior, (ix) the type of sampling, and (x) the measurement of variables related to the BEW of older adults. Additionally, fundamental details about the studies, including the author’s name, study title, and study year, were documented for reference purposes.

Classification scheme

The selected studies were classified based on three perspectives that are relevant to this research: research contribution, research focus, and research type. Each of them is discussed in the following sections.

Contribution type

The BEW of older adults as a research construct can derive its theoretical foundation from theories in different areas of study, including sociology, urban planning, public health, gerontology, environmental psychology, and architecture.

Research focus

To answer RQ4 of this research, four categories of research focus areas were identified, as described below.

  • 1. Model development:

Past studies on the development of models for BEW have investigated the influence of antecedents such as social support, age-friendly urban design, and community engagement programs on BEW (e.g., John & Gunter, 2016). The focus was on understanding the relationships between these factors and the outcomes associated with increased physical activity, enhanced socialization, and improved quality of life for older adults. Researchers have employed a range of research designs, including cross-sectional analyses, longitudinal studies, and intervention-based trials, to explore the multifaceted dynamics between built environment features and the desired outcomes in the context of older adults’ walking behaviors (e.g., Annear et al., 2024). Studies have used geographic information systems (GISs) to analyse the relationship between the built environment and older adults’ physical activity levels (e.g., De Wolf & Bocken, 2024). Other studies have employed GPS devices to map individual activities within the environment, thereby providing measures of the life/activity space and destinations. Moreover, research has focused on the use of technology in facilitating older adults’ independence and participation in meaningful activities, such as managing daily tasks and overcoming environmental challenges.

  • 2. Model testing:

In the realm of research studies focusing on model testing of the BEW of older adults, past investigations delved into various antecedents, including social support, age-friendly urban design, and community engagement programs (e.g., Rupp et al., 2020). These studies sought to understand the nuanced relationship between these factors and their impact on the outcomes associated with increased physical activity, enhanced socialization, and improved quality of life for older adults. Past research aimed to validate and refine models that could effectively predict and explain the complex interplay between built environment features, antecedents, and multifaceted outcomes in the context of older adults’ well-being. Some studies have tested specific aspects related to the walkability of older adults. Some studies have utilized semi structured interviews to gather insights from older adults about their walking habits and the factors influencing their decision to walk. Studies have shown that social support plays a significant role in encouraging older adults to continue walking despite challenges, such as inclement weather (e.g., Leyden, 2003). Studies have also revealed the importance of pedestrian facilities, such as benches and well-lit walking paths, in enhancing walking behaviors among older adults. The aesthetic appeal of the walking environment, including elements such as natural surroundings and cleanliness, was noted to make walking more enjoyable (e.g., Kou et al., 2019). Another stream of model testing focused on the fear of falling as a critical concern related to walking among older adults. The findings suggested that past falls increased older adults’ anxiety regarding walking, potentially preventing them from undertaking activities such as walking that might expose them to risky environments such as uneven ground surfaces, and specific interventions were administered to prevent falls in older adults. These studies have demonstrated the significance of model testing in understanding the impact of the built environment on older adults’ walking habits and the influence of various factors on their physical activity levels and social interactions.

  • 3. Model advancement:

Several types of research studies have been conducted in the past to advance the model of the BEW of older adults. These studies have focused on antecedents such as social support, age-friendly urban design, and community engagement programs and outcomes such as increased physical activity, enhanced socialization, and improved quality of life (e.g., Rookset al., 2022). Numerous quantitative studies have been conducted to measure the impact of these antecedents on outcomes. These studies often involve statistical analysis of data collected from surveys or observational studies. Studies have collected data on the frequency of walking among older adults in different neighbourhoods and then correlated this with factors such as the availability of age-friendly urban design features, community engagement programs, and social support (e.g., John & Gunter, 2016). Qualitative research has also played a significant role in advancing the model. This type of research involves detailed interviews or focus groups with older adults, urban planners, and community leaders to gain insights into the perceptions and experiences related to BEW. The findings from qualitative research have provided rich, nuanced data that complement the quantitative data. Some studies have employed experimental designs to test the effectiveness of different interventions aimed at improving BEW. Studies have compared the outcomes for older adults living in neighbourhoods with different levels of age-friendly urban design features before and after an intervention was implemented (Carlson et al., 2012). Longitudinal studies have tracked the changes in BEW over time, providing valuable insights into the long-term effects of interventions. These studies often involved follow-up surveys or observations over several years, allowing researchers to examine trends and changes in the outcomes. These types of research studies have contributed significantly to the advancement of the model of BEW for older adults, providing valuable insights into the antecedents and outcomes related to BEW.

  • 4. Model integration:

The findings from studies with an orientation towards model integration have contributed valuable insights into the complex interplay between built environment features, social support structures, and community engagement initiatives, shedding light on the potential for positive outcomes in terms of the well-being and lifestyle of older adults. Studies have explored the relationship between the built environment and physical activity among older adults (e.g., Carlson et al., 2012; Van Dyck et al., 2013). Studies conducted by the Healthy Urban Living and Active Population (HULAP) project have investigated the associations between the built environment and physical activity in different countries. These studies utilized various methodologies, including surveys, interviews, and observations, to collect data and analyse the results. The findings of these studies indicate that the built environment plays a significant role in promoting physical activity and improving the quality of life of older adults. However, several researchers have emphasized that However, there is a growing consensus among scholars that additional research is required to unravel the complexities of these interactions and to establish evidence-based methods for fostering walkable spaces that cater to older adults.

Research type

Six different research types have been identified in publications on ECS in agribusiness, which are described in Table 2.

Table 2. Research type and description.

Research typeDescription

  • 1. Grounded theory

Grounded Theory in the context of BEW is widely used as a qualitative research methodology. This approach has enabled researchers to systematically assess the environment and develop conceptual structures through assimilation of information, leading to a thorough inquiry of the intricacies associated with BEW.

  • 2. Comparative study

This approach was employed to examine and compare various components BEW. By examining walkability features across different environments, researchers aimed to determine links between design elements of BEW and older adults’ walking patterns.

  • 3. Case study

In research on BEW for older adults, the case study based research has often been used to delve deep into the finer nuances of BEW. This involves examining of one unit for analysis, say block, township, neighbourhoods, or urban settings. The strength of case study lies in its ability to have a thorough understanding of the contextual factors that influence walking behaviours among older adults.

  • 4. Document Analysis

Document analysis has been applied in BEW for studying a wide range of city planning materials, construction designs, social development reports, community improvement reports, related to the built environment. This approach allowed for the extraction of valuable information from existing records, contributing to a comprehensive understanding etc., related to the outcome achievement through interventions in BEW for older adults.

  • 5. Empirical research

Researchers have employed various empirical methodologies, including observational studies, surveys, and interviews, to collect quantitative and qualitative data on the built environment factors influencing walkability for older individuals. These empirical studies often examined variables such as sidewalk accessibility, green spaces, safety features, and urban design elements.

  • 6. Analytical research

In analytical research, researchers employed statistical analyses and modelling techniques to systematically examine and interpret the relationships between various elements of the built environment and walkability for older adults. The focus of analytical research in this context included assessing the impact of factors such as urban design, infrastructure, and safety features on the walking behaviour of older adults.

Table 3. Frequency of occurrence of theories in publications.

Theory Number of articlesContributing authorsContribution
1. Active Aging Framework34Baert (2011); Bonaccorsi et al. (2020); Cerin et al. (2017); Davern et al. (2020); Dikken et al. (2020); Jeste et al. (2016); John & Gunter (2016); Leung et al. (2021); Levasseur & Naud (2022); MacCarthy et al. (2023); Mahmood et al. (2012); Marquet et al. (2017); Michael & Carlson (2009); Nelischer & Loukaitou-Sideris (2023); Ribeiro et al. (2024); Rosso et al. (2021); Sasidharan et al. (2006); Tuckett et al. (2018); Van Dyck et al. (2013); Van Hoof et al. (2021); Winters et al. (2015); Wood et al. (2022); Xia et al. (2024); Yang et al. (2024); Zheng & Yang (2019); Gharaveis (2020); Gripko & Joseph (2024); Echeverría et al. (2023); Fang et al. (2022); Golden & Earp (2012); Caronte-Veisz (2022); Dabelko-Schoeny et al. (2020); Santamouris et al. (2012); Rupp et al. (2020).35.4%
2. Social-Ecological Model of Health Promotion25Foster & Giles-Corti (2008); Cerin et al. (2017); Carlson et al. (2012); Agampodi et al. (2015); Asadi-Shekari et al. (2015); Braun & Clarke (2006); De Wolf & Bocken (2024); Emish et al. (2023); Ferrari (2015); He et al. (2020); Michael & Carlson (2009); Pykett & Stathi (2022); Silveira & Motl (2019); Smarr et al. (2024); Sundling & Jakobsson (2023); Ulijaszek (2018); Van Dyck et al. (2013); Winters et al. (2015); Ferrari (2015); De Wolf & Bocken (2024); Emish et al. (2023); He et al. (2020); Silveira & Motl (2019); Smarr et al. (2024); Sundling & Jakobsson (2023).26.0%
3. Community-Engaged Urban Design Theory18Anthony Jr (2024); Ardabili et al. (2024); Kou et al. (2019); Mbata (2024); Rooks et al. (2022); Adkins et al. (2017); Askarizad et al. (2024); Danese, P., de Castro et al. (2024); Elderbrock et al. (2020); Fonseca et al. (2022); Gray, et al. (2012); Takano et al. (2002); Üzümcüogğlu & Polay (2024); Stearns et al. (2021); Shealy et al. (2024); Senetra et al. (2024), Elderbrock et al. (2020); Hijriyah et al. (2024).18.8%
4. Neighbourhood Social Environment Theory11Leyden (2003); Cattell et al. (2008); Aghaabbasi et al. (2018); Austin (2024); Litt et al. (2024); Takahashi et al. (2012); Bowling et al. (2013); Lewinson & Esnard (2015); Wang et al. (2024); Dines et al. (2008).11.5%
5. Ecological Model of Aging8Annear et al. (2024), Baobeid et al. (2021), Bonaccorsi et al. (2020), Buffel et al., 2021; Davern et al. (2020), Dikken et al. (2020), Fang et al. (2022), and Gharaveis (2020).8.3%
96 100

Data synthesis

In the context of an SLR, the synthesis of data involves systematically analysing and combining findings from various studies to generate new insights or conclusions. This systematic process includes extracting, organizing, and integrating data obtained from the included studies in accordance with the review’s research objectives or questions. The primary aim of data synthesis in a systematic literature review is to provide a thorough and evidence-based summary of the findings from the studies included in the review.

Results of the analysis of general characteristics

Publications on the BEW of older adults who adopt the CEUDT generally share several common characteristics. These publications often featured an interdisciplinary approach, drawing on insights from fields such as urban planning, gerontology, and community health. They tend to focus on the collaborative aspects of urban design, emphasizing the involvement of older adults and the broader community in the planning and implementation of walkability initiatives (e.g., Cheranchery et al., 2024). Moreover, these publications commonly highlight the social and environmental factors associated with CEUDT, emphasizing the importance of community engagement programs, age-friendly urban design, and social support structures (e.g., Davern et al., 2020). Some of the studies employed mixed-methods research designs, combining qualitative and quantitative approaches to capture both the subjective experiences and objective outcomes related to the adoption of CEUDT in enhancing the built environment for walking among older adults.

Publications exploring the BEW of older adults, particularly those adopting the EMA, exhibit distinctive characteristics. These studies encompass a comprehensive perspective, considering various ecological levels, such as individual, interpersonal, community, and societal factors, that influence the walking behavior of older individuals (e.g., Golden & Earp, 2012; Rosso et al., 2021). Researchers have delved into the intricate interplay among the physical environment, social structures, and individual characteristics, acknowledging the dynamic and multifaceted nature of aging within the context of the built environment (Davern et al., 2020). Publications employing the EMA have presented a holistic understanding of the factors shaping walkability, addressing the complex interactions between older adults and their surroundings (e.g., Van Dyck et al., 2013). Moreover, these studies commonly emphasize the importance of ecological approaches in developing interventions and policies aimed at enhancing walkability for older adults, contributing to a nuanced comprehension of the subject matter.

Publications on the BEW of older adults that have adopted the SEMHP have focused on the multifaceted interactions between individuals and their environment, emphasizing the dynamic interplay of factors at various levels, including individual, interpersonal, community, and societal aspects (e.g., Michael & Carlson, 2009; Rooks et al., 2022). Research within this framework has explored how the SEMHP can be applied to increase walkability for older adults by considering factors such as social support, neighbourhood design, community engagement, and policy implications. Moreover, these publications commonly employed a holistic approach, acknowledging that the impact of the built environment on walking behavior is influenced by a complex interconnection of social, environmental, and individual factors. The overarching goal of these studies has been to offer a comprehensive understanding of the factors affecting walkability among older adults within the context of the SEMHP.

Publications focusing on the BEW of older adults who adopt the AAF have delved into multifaceted aspects of the built environment, emphasizing its role in facilitating active aging among older individuals. Research within this framework has explored the impact of urban design, infrastructure, and community planning on the walking behavior of older adults. These studies have commonly employed a holistic perspective, considering not only the physical attributes of the environment but also the social and psychological dimensions (e.g., Carlson et al., 2012; Sundling & Jakobsson, 2023)). The integration of the AAF in these publications reflected a broader understanding of aging that goes beyond mere physical health, incorporating elements such as social engagement, accessibility, and quality of life into the discourse on the built environment and its implications for active aging among older adults.

Publications focusing on the BEW of older adults and adopting the NSET typically share common characteristics. These publications have investigated the intricate interplay between the physical environment and social factors influencing walking behaviors among older individuals (Emish et al., 2023; Litt et al., 2024). They often explore how neighbourhood design, social support systems, and community engagement initiatives impact the walkability of older adults. Some of the studies adopting NSET in this context have employed mixed-methods approaches, incorporating quantitative assessments and qualitative insights to comprehensively understand the dynamics at play. Furthermore, these publications emphasize the importance of considering the social environment alongside physical features in designing age-friendly neighbourhoods that promote walking and contribute to the overall well-being of older adults (e.g., Davern et al., 2020; John & Gunter, 2016). The general characteristics of such publications underscore the importance of a holistic and integrated approach to studying the built environment for walkability among older adults through the lens of neighbourhood social environment theory.

Analysing the publication trend based on various indexing agencies reveals distinct patterns in the dissemination of research on the BEW of older adults. Scopus emerged as the leading indexing agency, with 13 publications, constituting 13.5% of the total. Google Scholar closely followed with 11 publications (11.5%), whereas Web of Science accounted for 10 publications (10.4%). ProQuest SAGE and ScienceDirect shared similar levels of prominence, with 9 publications each, representing 9.4% each. JSTOR contributed 8 publications (8.3%), and the Wiley Online Library contributed 6 publications (6.3%). Springer Link, had 5 publications (5.2%). Taylor & Francis had 4 publications (4.2%). EBSCO and SSRN had 3 publications each (3.1%). ERIC, Emerald Insight, and Elsevier’s Science Direct each contributed 2 publications (2.1%). This trend analysis highlights the diverse sources contributing to the literature on the BEW of older adults, reflecting a wide-ranging interest and dissemination across reputable indexing platforms ( Figure 2). The trend analysis of the selected papers in this systematic literature review (SLR) reveals a diverse distribution across various databases. SCOPUS stands out as the predominant database, contributing 25 publications, constituting 26% of the total. Clarivate analytics followed closely, with 22 publications, accounting for 22.9% of the publications. ProQuest with 10 publications represents 10.4% of the total number of publications. SAGE had 9 publications, constituting 9.4%. JSTOR, with 8 publications, contributes 8.3%, whereas the Wiley Online Library and Springer Link, with 5 publications each, contribute 5.2%, and Taylor & Francis and EBSCO each contribute 4 publications, with a 4.2% share. Furthermore, ERIC and Emerald Insight, with 2 each, contribute 2.1% of the share. This trend highlights the wide-ranging exploration of BEW of older adults across multiple scholarly databases, highlighting a comprehensive and inclusive approach to the literature selection ( Figure 3).

a58baf6e-a4fc-448d-bbb0-a3f289696b0b_figure2.gif

Figure 2. Distribution of publications based on indexing agencies.

a58baf6e-a4fc-448d-bbb0-a3f289696b0b_figure3.gif

Figure 3. Distribution of publications in databases.

The trend analysis of the country-wide distribution of publications, as depicted in Figure 4, reveals insights into the geographical spread of research contributions. Among the 18 countries represented, the United States emerges as the leading contributor, with 22 publications, constituting 22.9% of the total publications, followed by the United Kingdom, with 13 publications (13.5%). Australia has 11 publications, accounting for 11.5%, whereas Canada has 9 publications, accounting for 9.4%. Similarly, the number of publications and percentage contributions of the remaining countries are as follows: New Zealand, 7 (7.3%); Denmark, 6 (6.3%); Spain and France, 5 (5.2%); Germany, 4.2%; Sweden and Italy, 3 (3.1%); and the Netherlands, Belgium, Taiwan, South Korea, Brazil, China, India, and Nigeria, 1 (1%). Thus, 57.3% of the publications concerning BEW in older adults were from the USA, the UK, Australia and Canada. The trend indicates that much research has to be undertaken on the BEW of older adults by the rest of the countries in this field in connection with the five theories of specific interest to this SLR.

a58baf6e-a4fc-448d-bbb0-a3f289696b0b_figure4.gif

Figure 4. Country wise distribution of publications.

The trend of publications on the BEW of older adults has consistently increased over time. According to the data provided, there are two publications in 2000 and 2001, followed by a small increase to three publications in 2002, 2004, 2006, and 2008. After 2008, the number of publications started to rise significantly, reaching four publications in 2012, 2014, 2016, and 2017 and peaking at eight publications in 2021. The trend continued in 2022, with ten publications, eleven in 2023, and it is reasonable to expect that the number will continue to grow. There could be several reasons why there was an increase in publications on BEW after 2018 ( Figure 5). First, as awareness of the importance of walkability for older adults grows, so does interest in studying and publishing research on this topic. Second, governments around the world have started to recognize the importance of walkability for older adults, leading to policy changes that may result in more research being conducted. Third, recent advances in technology, particularly in the areas of data analysis and spatial planning, have made it easier to conduct and publish research on BEW. Fourth, with the aging population, there is an increasing demand for research that addresses the needs of older adults. This has led to a surge in publications on topics related to the built environment and older adults. Thus, the increase in publications on BEW of older adults is likely due to a combination of growing awareness, policy changes, technological advancements, and an emerging research field dedicated to addressing the needs of older adults.

a58baf6e-a4fc-448d-bbb0-a3f289696b0b_figure5.gif

Figure 5. Year wise distribution of publication frequency.

Results of theory identification and frequency of use

The AAF is the most highly discussed theory (35.4%) in the context of the BEW of older adults. While there could be many reasons for the choice of this theory, the main reason observed was that it focused mainly on physical activity and health promotion, making it a frequent choice for research on the outcomes of increased physical activity and improved quality of life among older adults (e.g., Davern et al., 2020; MacCarthy et al., 2023; Marquet et al., 2017). Given its broad applicability to health behaviors and the importance of social networks in influencing health behaviors, SEMHP (25%) might be frequently referenced in studies examining socialization and quality of life (e.g., Leung et al., 2021; Michael & Carlson, 2009; Silveira & Motl, 2019). The CEUDT is the third most common line (18%), as this theory specifically addresses the design process and community engagement; it is likely to be referenced in studies that consider the role of urban design and community participation in shaping walkable environments (Kou et al., 2019; Fang et al., 2022; Rooks et al., 2022; Rupp et al., 2020). The fourth is NSET (11%) because this theory is focused on the social aspects of the environment, which could make it relevant to studies looking at the socialization aspect of BEW (e.g., Adkins et al., 2017; Koohsari et al., 2021; Leyden, 2003). EMA is the fifth (8%) theory used in the literature, while potentially influential, this theory might be less frequently referenced in BEW research than others are, as it deals more with the broader environmental and biological factors affecting aging rather than the specific built environment (e.g., Carlson et al., 2012; Rosso et al., 2021; Zheng & Yang, 2019) ( Figure 6).

a58baf6e-a4fc-448d-bbb0-a3f289696b0b_figure6.gif

Figure 6. Share of theories in publications.

Results and Analysis in the Publications

Based on the research design characteristics ( Table 4), there are almost equal contributions in terms of the qualitative approach (41.7%) and quantitative approach (45.8%); however, very few mixed methods (12.5%) based on research studies exist ( Figure 7). Among the 44 quantitative studies, the majority used exploratory factor analysis (50%), followed by confirmatory factor analysis (36.4%), and the remaining were descriptive studies (13.6%). With respect to the sampling techniques used for quantitative methods, among the 44 papers, the majority of the studies were based on nonprobability sampling (68.2%), followed by probability sampling (27.3%), and in the remaining (4.5%), no sampling details were mentioned. The qualitative studies (N = 40) involved mainly focus group interviews (60%), followed by in-depth interviews (30%), and the remaining studies involved semistructured interviews (10%).

Table 4. Research design characteristics of the studies.

Research design characteristicSpecificationNumber of articles Contribution
1. Research methods1. Qualitative4041.7%
(N=96)2. Quantitative4445.8%
3. Mixed Methods1212.5%
2. Quantitative research1. Exploratory factor analysis2250.0%
(N=44)2. Confirmatory factor analysis1636.4%
3. Descriptive studies613.6%
3. Sampling techniques1. Probability sampling1227.3%
(N=44)2. Nonprobability sampling3068.2%
3. Not mentioned24.5%
4. Qualitative research1. Focus group interview2460%
(N=40)2. In-depth interview1230%
3. Semi structured interview410%
a58baf6e-a4fc-448d-bbb0-a3f289696b0b_figure7.gif

Figure 7. Distribution of publications via the research approach.

Results of the classification scheme

The classification scheme, which has a bearing on RQ2 of this SLR, focuses on contribution type, research focus, and research type in connection. A total of 96 articles were reviewed, and by considering the number and types of theories reviewed and the research undertaken to date, the categorization could be the underpinning theories applicable to BEW of older adults based on the contribution type, various concepts were theorized based on the five theories, namely, the AAF, SEMHP, CEUDT, NSET, and EMA. The AAF (N=34) was the most widely used theory, the SEMHP (N=25) was the second most widely used theory, the third was the CEUDT (N=18), and the least used was the EMA (N=8), with the second least used being the NSET (11). Studies focused on Model Development (N=38), Model Testing (N=34), Model Advancement (N=16), and eight papers on Model Integration. Finally, in terms of research type, the highest number of papers were based on empirical research (N=36), followed by grounded theory (N=20), case studies (N=18), comparative studies (n=12), document analysis (N=08), and analytical research (N=02) ( Figure 8).

a58baf6e-a4fc-448d-bbb0-a3f289696b0b_figure8.gif

Figure 8. Research focus map.

Classification based on research focus

The classification of the theoretical models is shown in Figure 9 based on the research focus.

a58baf6e-a4fc-448d-bbb0-a3f289696b0b_figure9.gif

Figure 9. Distribution of studies by research focus.

Model development

Among the 38 papers on model development (accounting for 39.6% of the total papers) ( Figure 9), 14 papers were based on the AAF, 7 papers each on the SEMHP and CEUDT, 6 papers on the NSET, and 4 papers on the EMA ( Figure 8).

Model testing

Among the 34 papers on model testing (accounting for 35.4% of the total papers) ( Figure 9), 10 papers were based on the AAF, 12 papers each on the SEMHP, 7 papers on the CEUDT, 11 papers on the NSET, and 8 papers on the EMA ( Figure 8).

Model advancement

Among the 16 papers on model advancement (contributing to 16.7% of the total papers) ( Figure 9), 6 papers were based on AAF, 4 papers each on SEMHP, 3 papers on CEUDT, 1 paper on NSET, and 2 papers on EMA ( Figure 8).

Model integration

Among the 8 papers on model integration (contributing to an insignificant 8.3% of the total papers) ( Figure 9), 4 papers were based on AAF, 2 papers each on SEMHP, 1 paper on CEUDT, 1 paper on NSET, and no papers on EMA ( Figure 8).

Classification based on research type

Several different types of research have been reported in the literature on the ECS of agribusiness with respect to these four theories. The number of papers on these research types are as follows, and they are shown in Figure 10.

a58baf6e-a4fc-448d-bbb0-a3f289696b0b_figure10.gif

Figure 10. Distribution of papers by research type.

Grounded theory

There were 20 papers based on the grounded theory approach (20.8% of the total papers) ( Figure 10). These papers were distributed as follows: 06 each in model development, model testing, and model advancement and 2 papers in model integration ( Figure 8).

Comparative study

There were 12 papers based on the comparative study approach (12.5% of the total papers) ( Figure 10). These papers were distributed as follows: 06 involved model development, with 3 papers each for model testing and model advancement; however, there were no papers on mode integration ( Figure 8).

Document analysis

There were 8 papers (8.3% of the total papers) ( Figure 10) that used document analysis, of which 2 were in model development, 4 were in model testing, 2 were in model advancement, and there were no papers on model integration ( Figure 8).

Analytical research

There were 2 papers (1.1%) ( Figure 10) on analytical research, with 01 papers each in terms of model development and model testing. There were no papers on model advancement or model integration ( Figure 8).

Empirical research

This was the most commonly used research type in the literature. There were 36 papers (37.5%) ( Figure 10) in this category, among which 16 were on model development, 12 were on model testing, 2 were on model advancement, and 6 were on model integration ( Figure 8).

Case study

There were 18 papers in which case studies were adopted (18.8% of the total papers) ( Figure 10). Among these papers, 7 papers focused on model development, 8 papers focused on model testing, 3 papers focused on model advancement, and no papers focused on model integration ( Figure 8).

To summarize, the research focus map provides the areas where there is a dearth of research literature and possibly the areas that may be explored by future researchers in the BEW of older adults using the five dominant theories under consideration. In terms of research focus and research contribution, model integration can be attempted in EMAs. Model advancement may be attempted via analytical research. Additionally, model integration may be explored via comparative studies, document analysis, analytical research, and case studies. This is based on the finding that there was no evidence of research in these contexts considering the 96 papers shortlisted for the SLR. Furthermore, it may also be noted that there are relatively few research studies on integrative model development in terms of research focus, and there is scope for research to apply the theories NSET and EMA based on the contribution type. Finally, in terms of the research type, there is an opportunity to explore analytical research and document analysis. At the same time, researchers may also note that the AAF and SEMHP have been considered to be the most relevant theories applicable to the BEW of older adults; hence, there is scope to undertake further research using these two theories to test the available models, advance the theories, and integrate these theories to gain newer insights into making the BEW of older adults contribute more to outcome achievement.

Discussion

The first research goal of this SLR was to identify the dominant theories that contributed to the body of knowledge in the BEW of older adults and how they can contribute to the future growth of research. In this context, the SLR conducted on the built environment for walkability of older adults revealed several dominant theories that significantly contributed to the body of knowledge in this field.

The AAF emerged as the most widely used theory, with 35.4% of the total papers incorporating its principles. This framework emphasizes the importance of promoting physical activity and engagement among older adults to enhance their overall well-being (Davern et al., 2020; MacCarthy et al., 2023). This underscores the notion that age should not be a barrier to leading an active and fulfilling life, advocating for environments that support opportunities for exercise and social interaction (Marquet et al., 2017). The SEMHP, which featured 26% of the reviewed papers, followed closely behind the SEMHP. This model acknowledges the complex interplay between individual behavior, social dynamics, environmental factors, and policy influences on health outcomes (Leung et al., 2021; Michael & Carlson, 2009). This underscores the need for multilevel interventions that address both individual choices and broader environmental determinants of health (Golden & Earp, 2012; Silveira & Motl, 2019). Moreover, the CEUDT, highlighted in 18.8% of the papers, underscores the importance of involving older adults and local communities in the design and planning processes of urban spaces (Rooks et al., 2022; Rupp et al., 2020). By actively engaging stakeholders, this approach ensures that the built environment aligns with the needs and preferences of its users, fostering a sense of ownership and belonging (Kou et al., 2019; Fang et al., 2022). Additionally, the NSET (11.5%) emphasizes the role of social cohesion, support networks, and neighbourhood characteristics in shaping older adults’ walking behavior and overall health outcomes (Adkins et al., 2017; Koohsari et al., 2021; Leyden, 2003). Finally, the EMA (8.3%) provides a comprehensive framework for understanding the dynamic interactions between aging individuals and their environment, encompassing biological, psychological, social, and environmental factors (Carlson et al., 2012; Rosso et al., 2021; Zheng & Yang, 2019. These dominant theories collectively offer valuable insights into the complex dynamics of the built environment for older adults’ walkability, providing researchers and practitioners with conceptual frameworks to guide their investigations and interventions.

The prominence of these theories not only enriches our understanding of the impact of the built environment on older adults’ walkability but also lays the groundwork for future research and practice in this area. By synthesizing and integrating insights from diverse theoretical perspectives, researchers can develop more nuanced and holistic approaches to address the complex challenges associated with aging populations and urban environments. For example, future studies could explore the synergistic effects of combining interventions informed by multiple theories, such as integrating elements of the active aging framework with principles of the social-ecological model of health promotion, to design age-friendly neighbourhoods that promote physical activity while addressing social determinants of health. Moreover, the widespread adoption of these theories underscores the interdisciplinary nature of research on the built environment and aging, highlighting the need for collaboration across fields such as urban planning, public health, gerontology, and sociology. By fostering interdisciplinary dialogue and collaboration, researchers can leverage diverse perspectives and expertise to develop innovative solutions that enhance the walkability and livability of urban environments for older adults (Baobeid et al., 2021). Furthermore, the continued exploration and refinement of these theories can inform policy and practice initiatives aimed at creating age-friendly cities and communities that support healthy aging and active lifestyles for older adults, as emphasized by several researchers (e.g., Davern et al., 2020; John & Gunter, 2016). Thus, the dominance of these theories reflects a growing recognition of the importance of considering both individual and environmental factors in promoting healthy aging and underscores the potential for future research to contribute to the development of more inclusive and supportive built environments for older adults.

The second research goal was to answer the current state of publication in terms of the database, specifically in terms of the type of research contribution, research focus, and research type. The systematic literature review reveals a diverse landscape of research contributions within the context of the built environment and walkability for older adults. The predominance of model development and testing papers underscores a concerted effort within the academic community to establish robust frameworks for understanding and assessing walkability in urban spaces. However, the relatively lower proportion of papers focusing on model advancement and integration suggests a potential gap in the literature where more emphasis could be placed on refining existing models and synthesizing different approaches to offer comprehensive insights. Furthermore, the distribution of research types highlights a variety of methodological approaches employed, with grounded theory and case studies being prominent. While these approaches offer valuable qualitative and context-specific insights, there is room for increased utilization of other research types, such as longitudinal studies or mixed-methods approaches, to enrich the understanding of walkability and its impact on older adults’ mobility and well-being. Future research in this domain could benefit from interdisciplinary collaborations to address the complexity of built environment interventions for enhancing walkability among older adults. Additionally, there is an opportunity for more comparative studies to explore variations in walkability interventions across different geographical contexts and cultural settings.

The third research goal was to identify the phase of model development/testing/advancement/integration in this area and identify the possible research gaps that need to be addressed. The SLR reveals a diverse landscape of research contributions within the context of the built environment and walkability for older adults. The predominance of model development and testing papers underscores a concerted effort within the academic community to establish robust frameworks for understanding and assessing walkability in urban spaces. However, the relatively lower proportion of papers focusing on model advancement and integration suggests a potential gap in the literature where more emphasis could be placed on refining existing models and synthesizing different approaches to offer comprehensive insights. Furthermore, the distribution of research types highlights a variety of methodological approaches employed, with grounded theory and case studies being prominent. While these approaches offer valuable qualitative and context-specific insights, there is room for increased utilization of other research types, such as longitudinal studies or mixed-methods approaches, to enrich the understanding of walkability and its impact on older adults’ mobility and well-being.

Future research in this domain could benefit from interdisciplinary collaborations to address the complexity of built environment interventions for enhancing walkability among older adults, as emphasized by several recent researchers (e.g., de Castro et al., 2024; Olorunsogo et al., 2024; Smarr et al., 2024). Integrating insights from urban planning, public health, gerontology, and other relevant disciplines can foster holistic approaches that consider not only physical infrastructure but also social, psychological, and policy dimensions influencing walkability (Shealy et al., 2024; Sundling & Jakobsson, 2023). Additionally, there is an opportunity for more comparative studies to explore variations in walkability interventions across different geographical contexts and cultural settings (Annear et al., 2024). Leveraging emerging technologies such as geographic information systems (GISs) and wearable sensors could also enable more dynamic and fine-grained assessments of walkability, offering real-time feedback and personalized recommendations for older adults (Emish et al., 2023; Ng et al., 2023). Thus, there is scope of exploring different research methodologies and fostering interdisciplinary collaborations, and future studies can contribute to more nuanced understandings of walkability in the built environment and inform targeted interventions to promote healthy aging and active lifestyles among older adults.

The fourth research goal was to suggest an appropriate strategy to carry out future research on this topic based on the answers obtained to the previous questions.

Drawing from the insights gleaned from this SLR on the BEW of older adults in urban settings, a multifaceted strategy for future research emerges. First, there is a pressing need for longitudinal studies that track the effectiveness of walkability interventions over time, capturing not only short-term outcomes but also long-term impacts on older adults’ mobility, social connectedness, and overall well-being, which has also been suggested by earlier researchers (e.g., Cheranchery et al., 2024; Kestens et al., 2019). These studies could employ mixed-method approaches, combining quantitative assessments of built environment features with qualitative insights from older adults themselves, to provide a comprehensive understanding of the complex interplay between physical infrastructure, social dynamics, and individual behavior. Furthermore, integrating advanced data analytics and machine learning techniques could enable predictive modelling of walkability outcomes, allowing researchers and policymakers to anticipate future trends and tailor interventions accordingly.

Future research should prioritize interdisciplinary collaborations to address the multifaceted nature of walkability in urban environments. Engaging urban planners, architects, public health experts, gerontologists, and community stakeholders can foster holistic approaches that consider not only the physical design of spaces but also the social, cultural, and policy factors influencing older adults’ walking behavior (Litt et al., 2024; Üzümcüogğlu & Polay, 2024). This interdisciplinary approach could involve participatory design processes, where older adults are actively involved in cocreating walkable environments that meet their diverse needs and preferences. Additionally, leveraging emerging technologies such as virtual reality simulations and smart sensors can facilitate community engagement and empower older adults to provide real-time feedback on the usability and safety of pedestrian infrastructure (De Wolf & Bocken, 2024). By fostering collaboration across disciplines and embracing innovative methodologies, future research endeavors can pave the way for more inclusive, age-friendly urban environments that promote active aging and enhance the quality of life of older adults.

Conclusion

This SLR originated from four basic research questions related to the exploration of BEW in older adults. The SLR has provided valuable insights into the current state of BEW research concerning older adults in urban settings. The findings underscore the importance of understanding and enhancing walkability as a crucial component of promoting active aging and improving the quality of life of older adults. The predominance of papers focusing on model development and testing highlights a concerted effort within the academic community to establish comprehensive frameworks for assessing walkability in urban environments. However, the relatively few papers addressing model advancement and integration suggest opportunities for further research to refine existing models and synthesize different approaches for a more nuanced understanding of walkability factors.

Moreover, the diverse array of research types employed, including grounded theory, comparative studies, case studies, empirical research, and analytical research, reflects the multidisciplinary nature of investigating walkability in the built environment. This diversity underscores the importance of employing a variety of methodological approaches to capture the complex interplay between physical infrastructure, social dynamics, and individual behaviors shaping walkability outcomes. Moving forward, future research endeavors may aim to integrate insights from various disciplines and methodologies to provide holistic understandings of walkability and inform targeted interventions tailored to the diverse needs of older adults in urban settings.

Furthermore, longitudinal studies that track the effectiveness of walkability interventions over time and assess their long-term impacts on older adults’ mobility and well-being are needed. These studies may utilize mixed-method approaches, combining quantitative assessments of built environment features with qualitative insights from older adults themselves, to provide a comprehensive understanding of the complex dynamics influencing walkability outcomes. Additionally, interdisciplinary collaborations involving urban planners, public health experts, gerontologists, and community stakeholders are essential for cocreating age-friendly urban environments that promote active ageing and social inclusion. Embracing innovative technologies and participatory design processes can empower older adults to actively engage in shaping their living environments, ultimately fostering healthier, more walkable cities for all residents.

Despite the comprehensive scope of the systematic literature review on the BEW of older adults in urban settings, certain limitations must be acknowledged. First, the review’s reliance on existing published literature may introduce potential publication bias, as it may overlook unpublished studies or those published in languages other than English. The entire SLR is based on the four dominant theories widely used in the BEW of older adults, which may deprive the opportunity to obtain some key revelations and insight stimulating examples that could be obtained from other theories, such as social cognitive theory, the theory of planned behavior, the health belief model, social support theory, and place attachment theory. Additionally, while efforts have been made to ensure a systematic and exhaustive search strategy, there remains a possibility of missing relevant studies due to variations in indexing terms or database coverage. Moreover, the review focused primarily on quantitative and qualitative research articles, potentially excluding valuable insights from other forms of literature, such as gray literature, conference proceedings, or policy documents. Finally, while the review identified key themes and trends in the literature, the synthesis of findings may be limited by variations in study methodologies, sample populations, and geographic contexts across the included studies. Despite these limitations, the SLR provides a valuable synthesis of existing knowledge and serves as a foundation for future research directions in the fields of walkability and urban aging.

In today’s urbanizing world where the needs of older adults are increasingly paramount, this SLR serves as a beacon for both academics and practitioners alike. By illuminating key themes and trends in the research on the BEW of older adults, this review not only advances scholarly discourse but also provides actionable insights for practitioners tasked with creating age-friendly smart cities. Its timeliness is not crucial, as societies worldwide are faced with the challenges of population aging and urbanization. With this comprehensive understanding of the current state of BEW research, stakeholders can collaboratively forge paths toward inclusive, walkable environments that promote healthy aging and foster vibrant, livable communities for generations to come.

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Ethical approval and consent were not required.

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Rao A and Nandineni RD. Exploring antecedents of built environment for walkability of older adults: A systematic literature review [version 1; peer review: 1 approved with reservations, 1 not approved]. F1000Research 2025, 14:229 (https://doi.org/10.12688/f1000research.161255.1)
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Not Approved
VIEWS 1
The title and objective of the review are not coherent with the paper outcomes. The review examines the extent to which pre-determined theories have been applied and what general approaches they have used. It states recommendations that are not demonstrated ... Continue reading
CITE
CITE
HOW TO CITE THIS REPORT
Waygood EOD. Reviewer Report For: Exploring antecedents of built environment for walkability of older adults: A systematic literature review [version 1; peer review: 1 approved with reservations, 1 not approved]. F1000Research 2025, 14:229 (https://doi.org/10.5256/f1000research.177260.r407275)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
Views
13
Cite
Reviewer Report 26 Mar 2025
Louis A Merlin, Florida Atlantic University, Boca Raton, Florida, USA 
Approved with Reservations
VIEWS 13
This systematic literature review examines theoretical approaches to supportive environments for walking for older adults.

The authors’ approach to a systematic literature review is well documented, but confusing in some aspects. For example, the authors claim in ... Continue reading
CITE
CITE
HOW TO CITE THIS REPORT
Merlin LA. Reviewer Report For: Exploring antecedents of built environment for walkability of older adults: A systematic literature review [version 1; peer review: 1 approved with reservations, 1 not approved]. F1000Research 2025, 14:229 (https://doi.org/10.5256/f1000research.177260.r369024)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.

Comments on this article Comments (0)

Version 1
VERSION 1 PUBLISHED 24 Feb 2025
Comment
Alongside their report, reviewers assign a status to the article:
Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions
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