From Citizen Planner: Planning and Physical Activity special issue.
By Mark Fenton
In recent months Americans have heard from the Surgeon General, the Secretary of Health and Human Services, and no less than the President himself that this nation is in the midst of an obesity epidemic. Unfortunately, while rightly acknowledging the great personal and social costs of the epidemic, none of them have offered particularly enlightened solutions to the problem. In particular, none have proposed bringing to bear any of the myriad policy tools available to them, nor have they championed the types of state and local activities that make a difference at the community level. Fortunately, creative solutions are being pursued in cities and towns across the country.
The Problem with How They See the Problem
Given the incessant media attention, most people now recognize that obesity is a result of a chronic caloric imbalance–eating more calories than you burn on a regular basis. Over the past decade the public health community has seen this epidemic looming and has warned of a commensurate rise in cardiovascular disease, diabetes, hypertension and a host of related complications. Certainly there’s been focused discussion on the need to improve Americans’ nutritional habits. Specific initiatives are also being launched to encourage people to get more exercise. America on the Move, for example, is a program designed to get people to wear pedometers (hip-worn step counters) so that they become aware of and try to increase their daily step totals. More daily steps means more physical activity, goes the thinking, and thus less obesity.
Sadly, almost two decades worth of experience suggests we’ll be fighting a losing battle if the goal is simply to get people to “exercise” more. The Surgeon General’s Report on Physical Activity and Health, published in 1996, concluded that Americans should accumulate at least thirty minutes of physical activity every day to reduce their risk for chronic disease and an early death. Yet the Centers for Disease Control (CDC) collects annual survey data suggesting that only about 25 percent of the US population gets that much leisure-time physical activity (in other words, conscious exercise), while nearly 30 percent of the adult US population is essentially sedentary, getting no activity at all during the day. Even more disturbing, despite admonitions to “just do it” and “feel the burn,” those numbers haven’t budged for well over a decade. So, we’ve been talking about exercise, and we’re talking about it more now than ever, but apparently we’re not prepared to do any more of it, no matter how much we’re told we should.
This article is based on the premise that there’s a missing link, specifically that the real problem isn’t restricted to a lack of exercise, but also to a continually declining amount of routine physical activity. Not only do we have power devices–from lawn mowers to washing machines, elevators to automobiles–to do all of our work for us, Americans rarely walk or bicycle anywhere anymore. While the number of walking trips (as a percentage of total trips) were roughly cut in half from 1977 to 1995 based on US Department of Transportation Data (below left), automobile trips rose to become almost 90 percent of all trips (below right). Over nearly that same time span, the rate of obesity in the US rose from about 12 percent to over 30 percent of the adult population–i.e., nearly one-third of US adults are now considered obese by medical standards. (For more detailed or state-specific health data, go to www.cdc.gov/nccdphp/dnpa.)
Given that it is unlikely that Americans are ready to forego automatic garage door openers and washers and dryers, and that there is no evidence we’re inclined to increase our more structured exercise, it looks like we would do well to build more routine walking and bicycling into our daily lives. This is the opportunity our national leaders are missing. (For example, why aren’t they discussing dramatically increasingfederal transportation enhancement funding for bicycle and pedestrian facilities as part of the war on obesity?)
Thankfully those involved in local land use and transportation planning have taken up the call. Even better, in many communities coalitions of planners, engineers, health professionals, educators, elected officials, concerned citizens and others are joining the movement–some under the banner of smart growth or sustainable development, but more and more simply out of a recognition that our very health and well-being are at stake. (For extensive evidence and resources in creating active environments, seewww.activelivingbydesign.org.)
Planning Settings that are More Physically Active
To really impact physical activity, we’re not just talking about more playing fields, basketball and tennis courts. These are great for exercisers, and certainly should be widely available in every community, but they alone won’t get enough people moving to truly make a difference. It’s not even about more parks and purely recreational trails, though they also have great merit. What is needed are settings where people will walk and bike simply because it is safe and, for at least some trips, actually more convenient than driving a car. An extensive research literature in planning and transportation (and a growing body of research in public health) suggests five simplified elements can be used to describe places where people are more likely to walk and bike as a matter of course. (For more details and further resources on these and other ideas go to the Local Government Commission at www.lgc.org.)
1. Continuous networks. The pathways, trails and lanes for walking and cycling must be complete and create an effective network. Generally the best sidewalks are wide and separate from traffic (below, left), while blocks are short and intersections frequent, providing numerous route choices. Bike lanes provide safe riding in areas of higher volume traffic (below right, Denver). The ideal result is that the walk or bike distance between two points isn’t dramatically longer than the straight line (or “as-the-crow-flies”) distance.
2. Land Use. There are two keys here: Communities (or at least neighborhoods) must be compact enough that total travel distances aren’t too great. And there must be a high mix of uses, with residential, retail and commercial activities, schools, recreation and transit access all interspersed, and thus within walking and biking distance of one another.
3. Safety. People must feel safe both from crime and from traffic when walking or biking. This requires that elements of both the social and built environments be favorable. For example, there should be minimal illicit activity and lots of lighting, as well as separation of walkways from travel lanes and slow traffic speeds.
4. Site Designs. Even if sidewalks are available and safe and destinations are plentiful, people will not walk to uninviting buildings, especially if they are set well back from the road behind acres of parking (below left) But buildings near the street with obvious entrances, many windows and bicycle parking are not only more inviting to pedestrians and cyclists, they also provide comfort to those simply walking past (below right, Brockport, NY).
5. Civic Commitment. Though the softest of the bunch, this may be the most important for long-term, large-scale change. Everyone from elected officials and bureaucrats to the average citizen has to embrace the idea of a more walkable community–and vote with their feet! The best measure of a successful pedestrian environment is whether you see people out and about on foot (below left, 16th Street Mall, Denver; right, Park Avenue in Brockport, NY).
How to Build More Active Communities?: Creative Approaches and New Partners
In the planning field, many are developing and testing tools and approaches around zoning and site requirements, the two areas most planning entities control. The following strategies show great promise in helping to create places where more people are likely to walk and cycle.
So if this All Works, Who Needs the Health Community?
What’s so unique about this? Most of these suggestions you’d find in any smart growth manifesto, or in guidelines for creating a New Urbanist or more sustainable community. This argument adds two key ideas to those approaches.
First, we must wear the mantle of public health advocates when making the case for more pedestrian- and bicycle-friendly settings. The focus of the argument for better bike and pedestrian facilities at the beginning of this article was to help people be more physically active, and thus to help fight the very real obesity epidemic. But there are two further health arguments. As automobiles are among the greatest contributors to air pollution in this country, replacing some number of car trips with walking or cycling trips can dramatically help improve air quality, and thus health. Also, reducing bicycle and pedestrian crashes, injuries and fatalities is a key goal, and is a result of better-designed facilities. This argument is especially critical around schools, where child pedestrian traffic is likely to be greatest.
Second, we must use the skills and infrastructure of the public health community to advance the cause. Health advocates tend to be skilled at working in and even facilitating multi-disciplinary teams because it’s so often required in their work. Whether collaborating with travel authorities when trying to contain an infectious disease outbreak, hydrologists and engineers to maintain clean water supplies, or education officials and parents to assure vaccinations are complete, public health officials are accustomed to crossing boundaries. Thus, they are ready and willing allies in creating more bicycle- and pedestrian-friendly communities, once the clear connection to their goals–more physically active and thus healthier citizens–is made. Here are several examples of specific initiatives to launch in your community.
National: Walk to School Programs. Sometimes called Safe Routes to School, the approach is often to build interest among children and parents with an event on International Walk to School Day (usually the first Wednesday in October), and then build a coalition to improve safety and increase routine walking by building better facilities where needed. School or community health officers are often integral to such efforts. (See www.walktoschool.org for details and a national event registry.)
State: Michigan Active Community Awards. The Michigan Department of Community Health encourages communities to do an online self-assessment of “activity-friendliness.” It covers a variety of areas including land use and planning, non-motorized transport facilities and safety, parks and recreational programming, schools, worksites and public transportation. The assessment asks communities for intended next steps and provides a score. It both recognizes success (Michigan’s governor personally handed out the 2003 awards) while identifying the areas needing improvement. It also begins a process by forcing communities to pull together an interdisciplinary team simply to complete the survey; that team can become the basis for on-going work. (See www.mihealthtools.org/communities for the survey and information.)
Local: Bike/Pedestrian Network Building. There are numerous examples from visionary communities nationwide of efforts to complete their bicycle and pedestrian networks These include passing bonds to underwrite sidewalk and trail construction, or aggressively pursuing “road-diets,” the conversion of four-lane roads to two-lane roads that have a turn lane, with the leftover space dedicated to bike and pedestrian right-of-way. One especially creative approach: towns that purchase homes at the end of cul-de-sac streets when they go on sale, construct cut-through pathways to adjacent streets, parks or trails, and then resell the homes with the pathway easement owned by or permanently deeded to the town. It’s a powerful way to increase bike and pedestrian access in otherwise impenetrable dead-end neighborhoods. (Seewww.walkablecommunities.org and www.pedbikeinfo.org for detailed design and engineering information, resources and an extensive image library.)
Whatever avenues you pursue, keep in mind all of your potential allies. In Cohasset, MA it has been the health officer, not planners or bike advocates, who has led the charge to get local conservation funds put in place for a feasibility study of a trail along an historic rail corridor. Perhaps the health officer in your community is equally enlightened.
And what about you? Quite simply, you should put up or shut up. The final but perhaps most effective way to create a more active community is to get involved personally. It’s easy to visualize this happening at four levels; everyone can start at the first, but for greatest effect you should work all the way to the fourth.
Mark Fenton is physical activity program manager at the University of North Carolina’s Pedestrian and Bicycle Information Center (www.pedbikeinfo.org), host of the PBS TV Series “America’s Walking,” (www.pbs.org/americaswalking) and author of The Complete Guide to Walking for Health, Weight Loss, and Fitness (Lyons, 2001). Contact him at mark(dot)fenton(at)verizon(dot)net. All photo credits, Mark Fenton.