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Is Active Commuting the Answer to Population Health?

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Abstract

This brief review examines whether active commuting is an effective method of controlling the current obesity epidemic and enhancing the cardiovascular health of the population. Of the many potential methods of active commuting, walking and cycling are the usual choices. Children and adolescents prefer cycling, but for adults issues of safety, cycle storage and company dress codes make walking the preferred option, particularly in North American cities, where urban design and weather conditions often do not favour cycling. Active transportation is more frequent in some European countries with dedicated cycle and pedestrian paths, but in most developed societies, active transportation has declined in recent years.

Attempts to increase walking behaviour in the sedentary population have had only limited success to date. A weekly gross energy expenditure of at least 4 MJ is recommended to reduce all-cause and cardiovascular mortality. This can be achieved by walking 1.9 km in 22 minutes twice per day, 5 days per week, or by cycling at 16 km/h for 11 minutes twice per day, 5 days per week. When engaged in level walking, the intensity of effort may be adequate for cardiovascular benefit in older adults, but in fit young workers, it is necessary to either increase the pace or choose a hilly route in order to induce cardio-respiratory benefit; in contrast, cycling is likely to provide an adequate cardiovascular stimulus even for young adults.

Empirical data to date have yielded mixed results: a reduced all-cause and cardiovascular mortality has been observed more frequently in cyclists than in walkers, and more frequently in women and older men than in young active commuters. More information is needed concerning the typical weekly dose of activity provided by active commuting, and the impact of such commuting on overall attitudes towards physical activity. It is also necessary to find better methods of involving the sedentary population, through both counselling and changes in urban design.

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References

  1. US Department of Health and Human Services PHS, Centres for Disease Control and Prevention, National Centre for Chronic Disease Prevention and Health Promotion, Division of Nutri tion and Physical Activity. Physical activity and health: a report of the Surgeon General. Atlanta (GA): US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, 1996

  2. Health Canada and CSEP. Handbook for Canada’s physical activity guide to healthy active living. Ottawa (ON): Health Canada, 1998

    Google Scholar 

  3. Tremblay MS, Shephard RJ, Brawley LR. Research that informs Canada. Appl Physiol Nutr Metab 2007; 32 Suppl. 2E: 1–8

    Google Scholar 

  4. World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. Geneva: World Health Organization, 1998

    Google Scholar 

  5. Andersen LB, Harro M, Sardinha LB, et al. Physical activity and clustered cardiovascular risk in children: a cross-sectional study (The European Youth Heart Study). Lancet 2006; 368: 299–304

    Article  PubMed  Google Scholar 

  6. Janssen I. Physical activity guidelines for children and youth. Appl Physiol Nutr Metab 2007; 32 Suppl. 2E: 109–21

    Article  Google Scholar 

  7. Shephard RJ. Endurance fitness. 2nd ed. Toronto (ON): University of Toronto Press,1977

    Google Scholar 

  8. David Suzuki Foundation. Kyoto protocol [online]. Available from URL: http://www.davidsuzuki.org [Accessed 2008 27 Jun]

  9. Campbell R, Wittgens M. The business case for active transportation: the economic benefits of walking and cycling. Glouces-ter (ON): Go for Green, 2004

    Google Scholar 

  10. Owen N, Humpel N, Leslie E, et al. Understanding environmental influences on walking: review and research agenda. Am J Prev Med 2004;27:67–78

    Article  PubMed  Google Scholar 

  11. Sallis JF, Kerr J. Physical activity and the built environment. PCPFS Res Digest 2006; 7 (4): 1–8

    Google Scholar 

  12. Anderson T. Safe routes to school in Odense, Denmark. In: Tolley R, editor. The greening of urban transport; planning for walking and cycling in European cities. Chichester: Wiley, 1997

    Google Scholar 

  13. Boarnet M, Day K, Anderson C, et al. California’s safe routes to school program: impacts on walking, bicycling and pedestrian safety. J Am Plann Assoc 2005; 71: 301–17

    Article  Google Scholar 

  14. Pikora TI, Giles-Corti B, Knutman MW, et al. Neighborhood environmental factors correlated with walking near home: using SPACES. Med Sci Sports Exerc 2006; 38: 708–14

    Article  PubMed  Google Scholar 

  15. Shoup D. Evaluating the effects of cashing out employer-paid parking: eight case studies. Transport Policy 1997; 4: 201–16

    Article  Google Scholar 

  16. Canada Fitness Survey. Fitness and lifestyle in Canada. Ottawa (ON): Canadian Fitness and Lifestyle Research Institute, 1983

    Google Scholar 

  17. Morris JN, Hardman E. Walking to health. Sports Med 1997; 23: 306–32

    Article  PubMed  CAS  Google Scholar 

  18. Hillsdon M, Thorogood M. A systematic review of physical activity promotional strategies. Br J Sports Med 1996; 30: 84–9

    Article  PubMed  CAS  Google Scholar 

  19. Shephard RJ. Carbon monoxide: the silent killer. Springfield (IL): C.C. Thomas, 1983

    Google Scholar 

  20. Folinsbee LA. Exercise and air pollution. In: Torg J, Shephard RJ, editors. Current therapy in sports medicine. 3rd ed. St Louis (MO): Mosby, 1995: 574–8

    Google Scholar 

  21. David HG, Freedman LS. Injuries caused by tripping over pavement stones: an unappreciated problem. BMJ 1990; 300: 784–5

    Article  PubMed  CAS  Google Scholar 

  22. UK National Consumer Council. What’s wrong with walking? London: Her Majesty’s Stationery Office, 1987

    Google Scholar 

  23. Kennedy J, Kowey B, Downey M. How to organize a walking/cycling school bus (WSB/CSB). Gloucester (ON): Go for Green, 1999

    Google Scholar 

  24. Andersen LB, Schnohr P, Schroll M, et al. All-cause mortality associated with physical activity during leisure time, work, sports, and cycling to work. Arch Int Med 2000; 160: 1621–8

    Article  CAS  Google Scholar 

  25. Andersen LB, Haraldsdottir J. Changes in CHD risk factors with age: a comparison of Danish adolescents and adults. Med Sci Sports Exerc 1994; 26: 967–72

    PubMed  CAS  Google Scholar 

  26. Cycling and the healthy city. London: Friends of the Earth, 1990

  27. Yasunaga A, Park H, Togo F, et al. Development and evaluation of the physical activity questionnaire for elderly Japanese: the Nakanojo Study. J Aging Phys Activ 2007; 15: 398–411

    Google Scholar 

  28. UK Department of Transport. National travel survey. London: Her Majesty’s Stationery Office, 1995

    Google Scholar 

  29. UK Department for Transport. Focus on personal travel. London: Her Majesty’s Stationery Office, 2005

    Google Scholar 

  30. Hillman M. Children, transport and the quality of life. London: Policy Studies Institute, 1993

    Google Scholar 

  31. Sleap M, Warburton P. Are primary school children getting heart health benefits from their journeys to school? Child Care Health Develop 1993; 19: 99–108

    Article  CAS  Google Scholar 

  32. US Department of transportation. National Personal Transportation Symposium, October, 1997. Bethesda (MD): US Federal Highway Administration, 1999

    Google Scholar 

  33. McCann B, DeLille B. Mean streets 2000: pedestrian safety. health and federal transportation spending. Washington, DC: Surface Transportation Policy Project, 2000

    Google Scholar 

  34. Ogilvie D, Foster CE, Rothie H, et al. Interventions to promote walking: systematic review. BMJ 2007; 334: 1204–7

    Article  PubMed  Google Scholar 

  35. Tudor-Locke C, Ainsworth BE, Popkin BM. Active commuting to school. An overlooked source of children’s physical activity? Sports Med 2001; 31: 309–13

    Article  PubMed  CAS  Google Scholar 

  36. Cooper AR, Andersen LB, Wedderkopp N, et al. Physical activity levels of children who walk, cycle, or are driven to school. Am J Prev Med 2005; 29: 179–84

    Article  PubMed  Google Scholar 

  37. Paffenbarger R, Hyde RT, Wing AL, et al. Some interrelations of physical activity, physiological fitness, health, and longevity. In: Bouchard C, Shephard RJ, Stephens T, editors. Physical activity, fitness and health. Champaign (IL): Human Kinetics, 1994: 119–33

    Google Scholar 

  38. Shephard RJ. Aerobic fitness and health. Champaign (IL): Human Kinetics, 1994

    Google Scholar 

  39. Shephard RJ. Physiology and biochemistry of exercise. New York: Praeger Publications, 1982

    Google Scholar 

  40. Barengo NC, Hu G, Lakka TA, et al. Low physical activity as a predictor for total and cardiovascular disease mortality in middle-aged men and women in Finland. Eur Heart J 2004; 25: 2204–11

    Article  PubMed  Google Scholar 

  41. American College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. 7th ed. Philadelphia (PA): Lippincott, Williams & Wilkins, 2006

    Google Scholar 

  42. American College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. 7th ed. Philadelphia (PA): Lippincott, Williams & Wilkins, 2006

    Google Scholar 

  43. Tully MA, Cupples M, McGlade K, et al. Brisk walking, fitness and cardiovascular risk: a randomized controlled trial in primary care. Prev Med 2005; 41: 622–8

    Article  PubMed  CAS  Google Scholar 

  44. Tully MA, Cupples ME. The effects of walking on health [e-comment]. BMJ 2007; 334: 1204

    Article  Google Scholar 

  45. Asikainen T-M, Miilunpala S, Oja P, et al. Randomised, controlled walking trials in postmenopausal women: the minimum dose to improve aerobic fitness? Br J Sports Med 2002; 36: 189–94

    Article  PubMed  Google Scholar 

  46. Moreau K, Degarmo R, Langley J, et al. Increasing daily walking lowers blood pressure in post menopausal women. Med Sci Sports Exerc 2001; 33: 1825–31

    Article  PubMed  CAS  Google Scholar 

  47. Murphy MH, Nevill AM, Murtagh EM, et al. The effect of walking on fitness, fatness and resting blood pressure: a meta analysis of randomized, controlled trials. Prev Med 2007; 44: 377–85

    Article  PubMed  Google Scholar 

  48. Matthews CE, Jurj AL, Shu X-O, et al. Influence of exercise,walking, cycling, and overall nonexercise physical activity on mortality in Chinese women. Amer J Epidemiol 2007; 165: 1343–50

    Article  Google Scholar 

  49. Cooper AR, Wedderkopp N, Wang H, et al. Active travel to school and cardiovascular fitness in Danish children and adolescents. Med Sci Sports Exerc 2006; 38: 1724–31

    Article  PubMed  Google Scholar 

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Acknowledgements

The author served as a consultant to TRL Consulting (UK) on a project entitled “Physical Activity, Absenteeism and Productivity: An Evidence-Based Review” during 2007. No funding was received for the preparation of this review.

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  1. Faculty of Physical Education & Health and Department of Public Health Sciences, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada

    Roy J. Shephard

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Shephard, R.J. Is Active Commuting the Answer to Population Health?. sports med 38, 751–758 (2008). https://doi.org/10.2165/00007256-200838090-00004

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