Constructing a Health-Supportive Environment for the Elderly: A Review of Multidimensional Intervention Mechanisms of the Built Environment Based on Bibliometric Analysis

The built environment constitutes a significant factor influencing the physical and mental health of the elderly and has garnered sustained interdisciplinary attention in recent years. Based on 425 publications from the Web of Science database spanning 2001 to 2025, this study employed Citespace to conduct a quantitative analysis and synthesis of the relevant literature, aiming to explore the evolutionary trends, hotspot distributions, and pathways of influence regarding the impact of the built environment on elderly health. The results indicate a close positive correlation between the population ageing trend and annual publication growth. The total publication volume exhibited a shift from gradual to rapid growth, demonstrating a distinct phased evolutionary pattern. The research hotspots displayed a gradient structure of descending research intensity: “physical activity—quality of life—mental health.” The impact of the built environment (e.g., green space, street quality) on elderly health can be primarily categorised into three pathways: direct effects, physical activity, and mental health. Macro-level allocation of elderly care facilities and micro-level construction of age-friendly living circles represent the principal optimisation strategies currently employed to address elderly health needs. Finally, potential future research directions are discussed, encompassing aspects such as spatial scales, health representations, and mechanism expansion, with the aim of providing reference and insights for advancing the initiative of “healthy ageing.”