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Chance or Strategy? Assessing the Unanticipated Policy Window for Active Transportation During the COVID-19 Pandemic: A Systematic Review

  • Katja Siefken
  • , Michael Pratt
  • , Juliana Mejía-Grueso
  • , Adrian Bauman
  • , Deborah Salvo
  • , Catherine B. Woods
  • , Wanda Wendel-Vos
  • , Justin Richards
  • , J. Jaime Miranda
  • , Pedro C. Hallal
  • , Andrea Ramírez Varela
  • MSH Medical School Hamburg
  • University of California at San Diego
  • The Global Observatory for Physical Activity—GoPA!
  • University of Sydney
  • University of Texas at Austin
  • National Institute of Public Health and the Environment
  • Victoria University of Wellington
  • Universidad Peruana Cayetano Heredia
  • University of Illinois at Urbana-Champaign
  • University of Texas Health Science Center at Houston

Research output: Contribution to journalReview articlepeer-review

Abstract

Physical activity (PA) policy is essential for promoting population-level PA by coordinating efforts across various sectors. Global crises like the COVID-19 pandemic can open policy windows, enabling rapid implementation of innovative policies. This study examined how policy windows shaped active transportation (AT) policies during the pandemic, resulting in infrastructural changes. Methods: A systematic review using PubMed, Scopus, ProQuest–Coronavirus Research Database, Web of Science, WHO COVID-19 Research Database, PsycInfo, and SPORTDiscus conducted to characterize AT policy during the pandemic (2020–2023). Descriptive analyses were conducted in Stata. PROSPERO registration number: CRD42025644930. Results: The search retrieved 3879 articles; 1162 were duplicates, leaving 2716 eligible. After applying inclusion and exclusion criteria, 14 were selected for data extraction. Findings demonstrate the pandemic’s influence on AT policy implementation and its impact on the built environment, such as the creation of bicycle lanes and pedestrian-friendly spaces. While these policies indirectly impacted PA, many were transient and unintended. Regional disparities in case-study cities highlighted mobility alternatives to mitigate SARS-CoV-2 transmission. Enablers and challenges for effective policy implementation were identified. Conclusion: The pandemic catalyzed global AT policies, demonstrating that urgency and political willpower can expedite policy enactment. Rapid urban infrastructure changes highlighted the potential for swift policy implementation during health emergencies, facilitating utilitarian PA. AT emerged as a practical solution, allowing essential movement. Addressing the immediate crisis proved more effective in implementing AT policies than prepandemic efforts focused on the physical inactivity’s health burden. Understanding local sustainability determinants can inform future urban planning for integrating AT initiatives sustainably.

Original languageEnglish
Pages (from-to)989-999
Number of pages11
JournalJournal of Physical Activity and Health
Volume22
Issue number8
DOIs
Publication statusPublished - Aug 2025

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being
  2. SDG 9 - Industry, Innovation, and Infrastructure
    SDG 9 Industry, Innovation, and Infrastructure
  3. SDG 11 - Sustainable Cities and Communities
    SDG 11 Sustainable Cities and Communities
  4. SDG 17 - Partnerships for the Goals
    SDG 17 Partnerships for the Goals

Keywords

  • active transport
  • epidemiology
  • public health

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