Precision medicine and healthy living: The importance of the built environment

Prog Cardiovasc Dis. 2019 Jan-Feb;62(1):34-38. doi: 10.1016/j.pcad.2018.12.013. Epub 2019 Jan 9.

Abstract

The built environment encompasses the major physical spaces, including buildings, streets, homes, schools, parks, playgrounds and other infrastructure in which we live, work and play. In an ideal world, the built environment should support and facilitate a healthy engagement in physical activity across the lifespan. However, in the context of an environment characterized by increased mechanization and urbanization, physical inactivity and higher levels of overweight and obesity, too many settings are not conducive to physical activity and/or are not safe and walkable. In the knowledge that there are multiple challenges to redress the low levels of physical activity seen in many parts of the world, this paper provides some examples of opportunities for healthy living (HL) in a built environment characteristic of an increasingly urbanized world. Particular foci include opportunities for HL fostered in child-friendly cities, in which walkability is high, and active transport is encouraged and supported.

Keywords: Built environment; Healthy living; Physical activity; Walkability.

Publication types

  • Review

MeSH terms

  • Built Environment* / economics
  • Cost-Benefit Analysis
  • Exercise*
  • Health Care Costs
  • Health Promotion / economics
  • Health Promotion / methods*
  • Health Status
  • Healthy Lifestyle*
  • Humans
  • Patient-Centered Care / economics
  • Patient-Centered Care / methods*
  • Precision Medicine / economics
  • Precision Medicine / methods*
  • Protective Factors
  • Risk Factors
  • Risk Reduction Behavior*
  • Sedentary Behavior
  • Time Factors
  • Urban Health
  • Walking