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August 23, 2026Australasian Journal on AgeingOpen Access

Health and Physical Activity Outcomes in Age‐Friendly Cities and Communities: A Systematic Review of Emerging Evidence and a Future Research Agenda

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Authors

MAMichael AnnearCHC.C. HydeTLTianci Li

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Overview

Systematic review finds positive associations between age-friendly municipal features and older adult physical activity, highlighting the need for standardized evaluation frameworks.

Key Points

  • To evaluate contemporary evidence regarding the associations between WHO Age-Friendly Cities and Communities initiatives and directly measured health and physical activity outcomes among older adults.
  • Conducted a systematic review adhering to the PRISMA protocol across five research repositories for peer-reviewed studies published between 2017 and 2025.
  • Evaluated the methodological quality of included randomized and non-randomized studies using the Downs and Black quality criteria.
  • Identified 17 studies from WHO AFCC signatory cities, with most reporting positive associations between accessible transport, walkable environments, outdoor infrastructure, and self-rated health or physical activity.
  • Overall strength of evidence was constrained by methodological inconsistencies, variable study quality, high reliance on subjective self-reports, and a scarcity of longitudinal or quasi-experimental research designs.

Cite This Study

Annear et al. (2026) studied this question.

synapsesocial.com/papers/6a8aae007677a341144469fahttps://doi.org/10.1111/ajag.70219
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Assessing the impact of ‘Age‐Friendly Cities and Communities’ membership: Health and activity outcomes among older adults in urban Japan2025
  2. 2What we count shapes what we learn: A systematic review of age-friendly urban environments and later-life well-being2026 · 3 citations
  3. 3Age-Friendly Cities and Communities Interventions in Malaysia: A Scoping Review2025
  4. 4Understanding age-friendly communities: Five global typologies of older adults2026 · 4 citations
  5. 5Age-Friendly Health Care Systems: State of the Science, Past and Future Directions.2026 · 2 citations