Journal of Urban Health

, Volume 93, Issue 2, pp 256–270 | Cite as

TransMilenio, a Scalable Bus Rapid Transit System for Promoting Physical Activity

  • Pablo D. Lemoine
  • Olga L. Sarmiento
  • Jose David Pinzón
  • Jose D. Meisel
  • Felipe Montes
  • Dario Hidalgo
  • Michael Pratt
  • Juan Manuel Zambrano
  • Juan Manuel Cordovez
  • Roberto Zarama
Article

Abstract

Transport systems can play an important role in increasing physical activity (PA). Bogotá has been recognized for its bus rapid transit (BRT) system, TransMilenio (TM). To date, BRTs have been implemented in over 160 cities worldwide. The aim of this study was to assess the association between PA and the use of TM among adults in Bogotá. The study consists of a cross-sectional study conducted from 2010 to 2011 with 1000 adults. PA was measured using the International Physical Activity Questionnaire. In a subsample of 250 adults, PA was objectively measured using ActiGraph accelerometers. Analyses were conducted using multilevel logistic regression models. The use of TM was associated with meeting moderate-to-vigorous PA (MVPA). TM users were more likely to complete an average of >22 min a day of MVPA (odds ratio [OR] = 3.1, confidence interval [CI] = 95 % 1.4–7.1) and to walk for transportation for ≥150 min per week (OR = 1.5; CI = 95 % 1.1–2.0). The use of TM was associated with 12 or more minutes of MVPA (95 % CI 4.5–19.4, p < 0.0001). Associations between meeting PA recommendations and use of TM did not differ by socioeconomic status (p value = 0.106) or sex (p value = 0.288). The use of TM is a promising strategy for enhancing public health efforts to reduce physical inactivity through walking for transport. Given the expansion of BRTs, these results could inform the development of transport PA programs in low- to high-income countries.

Keywords

Physical activity Walking Transportation Bus rapid transit 

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Copyright information

© The New York Academy of Medicine 2016

Authors and Affiliations

  • Pablo D. Lemoine
    • 1
  • Olga L. Sarmiento
    • 2
  • Jose David Pinzón
    • 3
  • Jose D. Meisel
    • 1
  • Felipe Montes
    • 1
  • Dario Hidalgo
    • 4
  • Michael Pratt
    • 2
  • Juan Manuel Zambrano
    • 2
  • Juan Manuel Cordovez
    • 5
  • Roberto Zarama
    • 1
  1. 1.Department of Industrial Engineering, Faculty of Engineering, CeiBA Complex Systems Research CenterUniversidad de los AndesBogotáColombia
  2. 2.Department of Public Health, School of Medicine, CeiBA Complex Systems Research CenterUniversidad de los AndesBogotáColombia
  3. 3.Faculty of Art and DesignUniversidad Jorge Tadeo LozanoBogotá D.C.Colombia
  4. 4.EMBARQ, The WRI Center for Sustainable TransportWashingtonUSA
  5. 5.Biomedical Engineering DepartmentUniversidad de los AndesBogotáColombia

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