TY  - JOUR
PY  - 2015//
TI  - Health impact assessment of active transportation: a systematic review
JO  - Preventive medicine
A1  - Mueller, Natalie
A1  - Rojas-Rueda, David
A1  - Cole-Hunter, Tom
A1  - de Nazelle, Audrey
A1  - Dons, Evi
A1  - Gerike, Regine
A1  - Gotschi, Thomas
A1  - Panis, Luc Int
A1  - Kahlmeier, Sonja
A1  - Nieuwenhuijsen, Mark
SP  - 103
EP  - 114
VL  - 76
IS  - 
N2  - OBJECTIVE: Walking and cycling for transportation (i.e. active transportation, AT), provide substantial health benefits from increased physical activity (PA). However, risks of injury from exposure to motorized traffic and their emissions (i.e. air pollution) exist. The objective was to systematically review studies conducting health impact assessment (HIA) of a mode shift to AT on grounds of associated health benefits and risks. <br><br>METHODS: Systematic database searches of MEDLINE, Web of Science and Transportation Research International Documentation were performed by two independent researchers, augmented by bibliographic review, internet searches and expert consultation to identify peer-reviewed studies from inception to December 2014. <br><br>RESULTS: Thirty studies were included, originating predominantly from Europe, but also the United States, Australia and New Zealand. They compromised of mostly HIA approaches of comparative risk assessment and cost-benefit analysis. Estimated health benefit-risk or benefit-cost ratios of a mode shift to AT ranged between -2 to 360 (median=9). Effects of increased PA contributed the most to estimated health benefits, which strongly outweighed detrimental effects of traffic incidents and air pollution exposure on health. <br><br>CONCLUSION: Despite different HIA methodologies being applied with distinctive assumptions on key parameters, AT can provide substantial net health benefits, irrespective of geographical context.<p />  <p>Language: en</p>
LA  - en
SN  - 0091-7435
UR  - http://dx.doi.org/10.1016/j.ypmed.2015.04.010
ID  - ref1
ER  -