Categorizing the School Neighbourhood Built Environment and Its Associations with Physical Health Among Children and Adolescents: A Scoping Review

Abstract

The aim of this scoping review is to categorize and examine the relationships between school neighbourhood built environment categories and the physical health of children and adolescents worldwide. The search strategy initially found 8837 studies in four databases (Web of Science, PubMed, SportDiscus and Transportation Research Board) and after applying the inclusion and exclusion criteria 55 articles were included. The findings report on seven school neighbourhood built environment categories: building, connectivity and network, food environment, greenness, land use, safety and other variables. Interestingly, the connectivity and network category comprises 32 variables. Likewise, this category, together with the food environment, shows a clear predominance, with both categories accounting for 71.04% of all significant associations. The greenness category stands out due to its association density similarly to the predominant categories. The physical health categories were body composition, mode of commuting, physical activity, sedentary behaviour and weight status. Complementary weighted cross-tabulation analyses showed that when associations were weighted by participant sample size and school sample size, the food environment–weight status relationship became the most prominent, whereas connectivity-related associations became less dominant. The findings indicate preferential links between school neighbourhood built environment and physical health domains, with the connectivity and network category mainly associated with commuting mode and physical activity, and the food environment was primarily linked to weight status and dietary intake. Consequently, special attention must be given to urban planning and policies in the school neighbourhood built environment.