Health and Physical Activity Outcomes in Age-Friendly Cities and Communities: A Systematic Review of Emerging Evidence and a Future Research Agenda.
Australas J AgeingSep 1, 2026
Michael Annear, Caitlin Hyde, Tianci Li et al.
✦ AI-curated · Sources linked
In 30 seconds
This systematic review evaluated the relationship between World Health Organization Age-Friendly Cities and Communities (AFCC) conditions and health outcomes in older adults. It analyzed 17 studies from AFCC signatory cities, finding positive associations between age-friendly features and health or physical activity outcomes, though evidence strength was limited by methodological inconsistencies and reliance on self-reports.
Key findings
- Most studies reported positive associations between age-friendly features and self-rated health or physical activity.
- Methodological inconsistencies and variable study quality limited the strength of the evidence.
- Barriers included reliance on self-reports and lack of longitudinal or quasi-experimental designs.
- A proposed research agenda aims to enhance AFCC evaluation through standardized measurement and mixed-methods research.
Why it matters
Understanding the impact of age-friendly urban environments on health outcomes is crucial for developing effective public health policies. This knowledge can guide improvements in community design that support older adults' health and well-being.