ABSTRACT
Universal design is an approach to designing products and features in the built environment aimed at eliminating barriers, at little or no extra cost, that are more likely to be burdensome for older adults and populations with physical, cognitive, or sensory disabilities. Although it is implied that universal design concepts will foster increased mobility and opportunities for physical activity, research indicates that universal design features in the environment alone may not be enough. Disabled people also have increased risk of secondary conditions, some of which can be prevented or maintained by regular physical activity, including overweight and obesity, diabetes, asthma, and arthritis. Most research on universal design, health, and place makes a general link between the built environment and physical access and general convenience. Whether universal design increases healthy behaviors or improves health outcomes is not well understood, and there are no studies that measure the physical, psychological, and social benefits of accessible neighborhoods.
