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Scoping review of age-friendly city plans in South Korea reveals neglect of climate resilience and environmental sustainability.

Scoping review of age-friendly city plans in South Korea reveals neglect of climate resilience and e…
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Key Takeaway
Note that current age-friendly city plans in South Korea largely neglect climate resilience and environmental sustainability.

A scoping review examined 31 publication records concerning interventions for environmentally sustainable and climate-resilient cities and communities within the aging population of South Korea. The primary outcome assessed the incorporation or omission of climate resilience and environmental sustainability in age-friendly interventions. The review identified that interventions for age-friendly cities and communities largely neglect environmental sustainability and climate resilience. Government-driven initiatives were noted to rely on limited indicators. The most popular age-friendly city and community domains included outdoor spaces and buildings, followed by community support and health services, and communication and information. Notably, no interventions were observed for the domain of civic participation and employment.

The review did not report data on adverse events, serious adverse events, discontinuations, or tolerability, as these outcomes were not applicable to this observational synthesis. Key limitations include the capturing of limited comprehensiveness, the predominance of government-driven interventions, and a lack of robust evidence on their effectiveness. Funding or conflicts of interest were not reported.

The practice relevance of this review underscores the need to integrate climate change considerations into the under-addressed domains of the age-friendly city framework. Given the observational nature of the evidence and the lack of robust effectiveness data, clinicians and planners should interpret these findings as highlighting gaps in current urban planning strategies rather than establishing causal links to health outcomes.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedApr 2026
View Original Abstract ↓
IntroductionAs the Republic of Korea undergoes demographic transitions, exposure to climate-related health risks is intensifying. In response, the government has considered population aging as part of their national plans of climate adaptation and health, and local governments have also worked on age-friendly city plans aligned with WHO guidelines. However, evidence of interventions contributing to environmental sustainability and climate resilience remains limited and unclear.MethodsSynthesizing Korean-language evidence, this review is the first to map how age-friendly interventions incorporate or miss climate resilience and environmental sustainability through a scoping review.ResultsUsing three Korean search engines (DBpia, KCI, RISS) on June 3, 2024, 35 interventions were retrieved from the final 31 publication records. The review found that interventions for age-friendly cities and communities (AFCC) largely neglect environmental sustainability and climate resilience, with government-driven initiatives relying on limited indicators. The most popular AFCC domains that the reviewed interventions belong to were Domain 1 (Outdoor spaces and buildings), followed by 8 (Community support and health services) and 7 (Communication and information). No interventions were observed under Domain 5 (Civic participation and employment).DiscussionCapturing limited comprehensiveness, predominance of government-driven interventions, and lack of robust evidence on their effectiveness, this review underscores the need to integrate climate change considerations into the under-addressed domains of the AFCC framework. At the policy level, the authors recommend promoting young older adults’ community engagement, innovation through non-governmental sector, and development of indicators through implementation research.
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