Abstract
Background: Physical activity is essential for public health, yet disparities in access to exercise opportunities and institutional support remain significant across European regions. Objectives: This study examines how locally available physical activity options and support from local authorities relate to exercise participation, life expectancy, and healthy life years within the European Union. Methods: Using artificial neural networks and cluster analysis, the research identifies patterns across EU countries and explores associations between exercise behaviors and public health outcomes. Results: The MLP analysis showed that moderate regular physical activity had the most decisive influence on predicting healthy life years (100%), followed by regular activity (44.7%). In comparison, inactivity had a notable negative impact (40.5%). Life expectancy was most closely associated with the model's strongest predictive pathway (weight = 2.395). Access to physical activity opportunities (100%) and the presence of supportive community providers (90.8%) were the most influential factors in encouraging active lifestyles. Conclusions: Populations with greater access and engagement in physical activity tend to enjoy longer life expectancies and more years of good health. While the study's observational nature limits causal interpretations, the findings highlight the potential of community-level strategies and infrastructural investment to foster active lifestyles and enhance population health across varied local contexts.