4.1. Basic Information
This study conducted a comprehensive bibliometric analysis of the composition and development trends of research related to the built environment promoting physical activity in children and adolescents from 2003 to 2022, including countries, institutions, authors, journals, citations, etc. The measurement results demonstrate that since the initial publication of this field, 347 researchers from 47 countries and 250 research institutions have invested in related research and published 1313 related papers and have achieved fruitful research results.
In the above bibliometric analysis of the research situation of countries, institutions, and researchers, it can be seen that relevant research institutions and researchers in the United States, Canada, Australia, and other countries have produced many important research results in this field. Many universities were also highlighted, including the University of Washington, the University of California, the University of San Diego, Deakin University, University of British Columbia, University of Southern Denmark, University of Alberta, University of California, Berkeley, University of Ghent, and University of Washington. Prominent researchers were Sallis, Conway, Gile-Corti, Janssen, Frank, Ding, Saelens, Carver, Gordon-Larsen, Davison, Evenson, and others. Papers in this field were published in publications such as American Journal of Preventive Medicine, Preventive Medicine, International Journal of Behavioral Nutrition and Physical Activity, and HEALTH PLACE, have a high number of citations. Their high centrality also reflects the important influence of the above publications and builds a good citation pattern. In addition, this study analyzes the literature citations in this field, and it identifies the core papers with an important influence in the related research.
4.2. Research Hotspots
Keywords are an important embodiment of the core ideas of relevant research, a highly condensed research content, and at the same time reflect the key areas and directions involved in any research. This study carried out a bibliometric and visual analysis of high-frequency keywords. Based on the results, the current hot research directions were summarized into four categories to present the current progress and hot directions of research in this field.
(1) Obesity, one of the keywords with a high frequency (276 times). Related keywords such as body mass index, overweight and childhood obesity were also high. The frequency of occurrence of obesity indicates that obesity is a frontier hotspot in the field of research on the impact of the built environment on children and adolescents’ physical activity. Obese patients tend to be younger [
23]. Based on changes in the urban built environment over a long period, researchers attempt to determine whether these changes impact childhood obesity [
7] and study their specific effects on obesity and overweight influence patterns [
24]. It was found that an increase in overweight and obesity in children and adolescents was indirectly affected by the adverse built environment [
25]. The two high-frequency keywords, overweight and childhood obesity, have high centrality, indicating that obesity plays an important role in this research field and is the original starting point of related research.
Obesity has expanded from an individual problem to a group problem, and attention to obesity has thus risen from individual research to the exploration of group solutions. Construction has become a good approach to implement a wide range of policy interventions. Several studies have explored the impact of urban green space on obesity and used the specific quantitative relationship between the body mass index and green space rate to present the positive promoting effect of urban green space [
26]. In the study of the environmental influence on obesity in children and adolescents, it was suggested that while paying attention to the physical environment, social background factors should also be considered, and the problem should be considered from a comprehensive perspective [
27]. It is thus crucial to consider socioeconomic status, race, or ethnicity. Factors such as ethnicity and gender were included [
28,
29]. The living environment of disadvantaged groups largely affects their obesity status [
30]. Low-income groups have a strong dietary intake due to the difficulty in obtaining healthier and affordable food. High-fat and high-sugar consumers are thus more prone to obesity [
11]. Other scholars have investigated preschool children from low-income families and found no association between crime, fast food restaurants, and sports fields and childhood obesity. They hypothesized that the effect of location may be ineffective due to population saturation [
10].
Health ranked second in frequency of emergence and has been associated with hot topics such as obesity, weight, and diet in the related research. Several studies have analyzed the impact of the built environment on mental health and some diseases. Neighborhoods with high crime rates and high poverty rates tend to significantly affect people’s outdoor participation in physical activities, which will affect physical health and physical activity [
31]. Unreasonable urban environment design will lead to an increase in car usage and a decrease in physical activity. At the same time, problems such as exhaust pollution further increases the health risks of outdoor physical activity and reduces the health benefits of exercise [
32]. A comprehensive analysis of the above results demonstrates that relevant researchers’ attention to epidemics, such as being overweight and obesity among children and adolescents, has already constituted a frontier focus of international research on physical activity-promoting built environments for children and adolescents.
(2) Healthy behavior. Walking, sedentary behavior, and transportation are high-frequency keywords in this field. Transportation-related physical activity is the primary aspect of the built environment research efforts to change, hoping to influence people’s daily commuting behavior [
33], so that this crucial transportation activity can be completed in the form of physical activity as much as possible. Maximizing physical activity within a limited time and scope is key. Walking behavior has become an active commuting method currently advocated due to its low participation threshold and actual health benefits. As researchers pay more attention to it, related research in this field has gradually expanded, exploring urban planning policies from a macro perspective [
34] and environmental specificity on a micro-scale [
35]. One example is investigating the influence of youth travel patterns on road safety and traffic congestion [
36] to verify the effectiveness of walking scores in evaluating the appropriateness of walking behavior in different geographical locations and different spatial ranges [
37].
More sedentary behaviors appear in people’s daily behaviors, and the resulting public health problems have attracted more attention. It has become a challenge to seek alternative behavioral activities to replace sedentary behaviors and solve the harm caused by them. A popular issue in research is on the impact of the built environment on the physical activity of children and adolescents. Countries with poor infrastructure have relatively more physical activity and less sedentary behavior, while countries with better infrastructure have less physical activity and prolonged sedentary behavior [
38]. More attention should be paid to strengthening the guidance and mobilization of individuals’ enthusiasm for physical activity in urban environment construction [
39], and refining the urban built environment construction into the diversity of land use structure, traffic safety, crime, and street connectivity, as well as other indicators [
40], so that people voluntarily reduce sedentary behavior and increase physical activity [
41].
In summary, the primary focus of addressing physical activity through the built environment is a shift in people’s daily modes of transportation, and if this positive shift can be effectively facilitated, it significantly increases physical activity and reduces daily sedentary behavior. This active commuting behavior relies on the safety of the traffic environment [
42,
43], convenience [
44], and other aspects, and it is necessary to construct schools that affect students [
41]. Starting from the travel mode of children and adolescents, more physical activities such as walking are encouraged by built environment-related factors, which has become the primary research focus of improving sedentary behavior.
(3) The home–school environment. The word “Neighborhood” is the 5th highest frequency keyword (176 times). In addition, School and Urban form also have a high frequency of emergence, which reflects the relevant research on “home–school” environment” concerns. Urban form is the core issue of research related to the built environment [
45], and the investigation and research on various aspects of the neighborhood unit is a more specific analysis and evaluation of the impact of the built environment on physical activity [
46] and schools, as a built environment element in the neighborhood unit closely related to physical activity of children and adolescents has naturally become a hot topic of related research.
In related studies of such hotspots, green space in the neighborhood unit has attracted the attention of many researchers. The standard scores of children and adolescents in the high vegetation rate area were significantly reduced [
47], and green vegetation [
48] and parks [
49] have played a positive role in the good BMI of children and adolescents. Establishing a theoretical framework for the relationship between different types of green spaces and health is beneficial for future related research programs [
15]. Greening the schoolyard has played a significant role in promoting children’s physical activities and is also an important direction to improve children’s health [
50].
Research on schools primarily focuses on the home–school commuting of children and adolescents, and its core focus is to discover the relationship between commuting distance and choice of commuting mode. Studies have found that the likelihood of choosing a walking or biking commute is positively correlated with shorter distances, male gender, higher land mix utilization, and green space rates, providing a reference for neighborhood school site selection [
51]. Traffic congestion seriously affects the walking rate of students’ commuting and is an important reference indicator for school site selection [
14].
Looking at the research results on related topics such as neighborhoods, schools, and urban form, it is found that perception (Perception), as a high-frequency keyword in this field, is closely related to various elements of the built environment. Relevant studies have demonstrated that parents or children and adolescents’ perception of the physical activity environment is a core part of this type of research and has become an important mediating variable to study the manner in which the built environment affects children and adolescents’ physical activity [
52]. Parents’ perception of traffic congestion [
36] and public security [
53] affects the frequency of adolescents’ choice of multiple traffic-related physical activities, and a good “perception” of the relevant situation can be effective in promoting more walking and cycling commutes among children and adolescents.
Parents, as the first guardians of children and adolescents, are the primary participants in physical activity behavior intervention for children and adolescents. Therefore, analyzing and understanding parents’ perceptions of the home environment and various aspects of school commuting is an unavoidable key content in this type of research. It also explains some research results that exceed assumptions. For example, some studies have found that simply changing the physical activity environment is not enough to improve the physical activity status [
54]. How to make parents aware of crime, traffic, and pollution in the physical activity environment can be guaranteed, which will be a long-term challenge in the field of the physical activity-promoting built environment for children and adolescents.
(4) Relevance. Looking at the relevant research results in this field, it was found that the research hotspots can be briefly summarized into obesity, health, behavior, family, school, and other aspects. Further analysis shows that the exploration of association is an important starting point for most of them. One study compared the relationship between children’s physical activity and green space rates in communities with smart growth and traditional design and found that, in smart growth communities, children’s physical activity was more significantly associated with green space rates [
55]. Several studies have used the NEWS-Y scale to measure the mixed land utilization, crime rate, traffic safety, and other indicators in the neighborhood environment through standardized scores, combined with self-reported physical activity, and found that this scale score was significantly associated with some types of adolescent physical activity [
40].
Additionally, related researchers also investigated the association between socioeconomic characteristics, behavioral characteristics, and physical activity in children and adolescents. They found an association between lower socioeconomic status, less sleep time, and physical activity [
56]. It is common in this type of research to sort out demographic characteristics such as socioeconomic status, perception of the environment, green space rate, home–school distance, safety status, and the impact of built-environment characteristics on children and adolescents’ physical activity with clear correlations. As a high-frequency keyword in this study, association represents another research element in this type of research.