As the global population ages, creating supportive environments for walking is a priority for public health and urban planning. While empirical studies are numerous, there is a lack of synthesized knowledge regarding the underlying theoretical constructs used to understand these environments. This systematic literature review examines the theoretical frameworks and conceptual models that define the relationship between the built environment and walking behaviors of older adults. Specifically, it explores the antecedents within these models that influence walkability. Following PRISMA guidelines, a systematic search was conducted focusing on publications that present or utilize theoretical frameworks for older adult walkability. Papers were analyzed based on their research focus categorized into model development, testing, advancement, or integration and their contribution type to the field. The review identifies a range of theoretical approaches, examining dominant theoretical frameworks within the Built Environment for Walkability (BEW) and its social and policy extensions. Findings suggest that while many models are described as “holistic,” they vary significantly in how they weigh individual, social, and environmental factors. The analysis highlights a shift toward model integration as a means to address the multi-dimensional nature of aged-friendly environments. By focusing on theoretical antecedents rather than purely empirical outcomes, this review provides a roadmap for future research to refine existing models. It emphasizes the need for a more consistent definition of the socio-built environment to better support the mobility of older populations.
Rao et al. (Sat,) studied this question.