Designing or modifying buildings and communities to encourage physical activity must include strategies to maximize safety. A report released earlier this fall titled "Active Design Supplement: Promoting Safety" provides explicit guidelines for urban planners, architects, public health advocates, and others to consider when promoting active designs.

The report is intended to help professionals working in urban and building design to promote active environments. It contains information for designers, architects, planners, public health professionals, and engineers. Researchers contend it's the first time a publication has been produced to bridge the two disciplines of injury prevention and active design.

Primarily, the report identifies injury-prevention strategies that align with active design guidelines. Topics addressed include playground equipment and surfaces, complete streets, crime prevention through environmental design, and stair safety features such as good lighting.

"Communities across the U.S. have begun to change their built environments to increase physical activity and reduce obesity," says report co-author Keshia Pollack, an associate professor with the Johns Hopkins Center for Injury Research and Policy, part of the Johns Hopkins Bloomberg School of Public Health, in Baltimore, Md. "Now, the designers and architects involved in these projects have an additional resource to help them further incorporate injury prevention into their work."

Drawing on existing studies and evidence-based best practices for maximizing safety, the publication's authors identified complementary strategies to promote active living and injury prevention, including 18 strategies for urban design and nine strategies for building design. Those strategies can be applied to create health-enhancing built environments that also help to reduce the risk of injuries, the authors assert.

"Injury is the leading cause of death for Americans ages 1 to 44 and affects people at home, at work, at school, on the road and during play," says co-author Andrea Gielen, director of the Johns Hopkins Center for Injury Research and Policy. "As characteristics of the built environment can affect the risk of injury, it's critical that the fields of injury prevention and active living continue to collaborate so that safety can be considered from the onset of planning and design."

For example, when planning trails and paths for pedestrians and bicyclists, designers should consider how older adults, people with physical limitations, families with strollers, and bicyclists can all safely use the space. Signage and pavement markings can be useful to maximize safety in such circumstances. In addition, separating each of those various road users, especially pedestrians and cyclists from cars as well as pedestrians from bicyclists, is an effective design strategy for maximizing safety. Opportunities for rooftop gardens and play spaces also should include structures that prevent the risk of falls, especially among children.

"This publication demonstrates the positive impacts of active design strategies on both active living and promoting safety," says Karen K. Lee, director of Built Environment and Healthy Housing at New York City's Department of Health & Mental Hygiene. "Many active design strategies have multiple benefits. For example, complete streets, streets that can accommodate safe walking, cycling, transit use, and driving, and improved lighting can increase physical activity of all kinds and also contribute to preventing unintentional injuries and crime."

Another key takeaway of the report is that multiple active design strategies often can be enhanced simultaneously by a single injury prevention strategy; for example, improved timing of traffic signals can benefit pedestrians, bicyclists, and transit users.

"By incorporating injury-prevention strategies into projects of all scales, design professionals can realize buildings and neighborhoods that seamlessly integrate more healthful and active living with attention to design excellence, sustainability, and safety," says Joseph Aliotta, president of the New York chapter of the American Institute of Architects. "This supplement should be used by all architects, designers, and building owners in concert with the active design guidelines as both reference and resource."

Those involved in the report include Johns Hopkins Center for Injury Research and Policy, New York City Department of Health & Mental Hygiene's Built Environment and Healthy Housing Program, and the Society for Public Health Education. Experts from some New York City departments also contributed.